Nursing Elites

1. The ability to adapt successfully to even very difficult circumstances is called ________.

• A. resilience
• B. hardiness
• C. perseverance
• D. a challenge orientation

Correct answer: A

Rationale: Resilience is indeed the correct term for the ability to adapt successfully to difficult circumstances. Resilience involves bouncing back from setbacks, handling stress, and persevering in the face of adversity. Choice B, 'hardiness,' refers more to toughness or durability rather than adapting to difficult circumstances. Choice C, 'perseverance,' is about persistence and determination rather than adaptability. Choice D, 'a challenge orientation,' does not directly relate to the ability to adapt to difficult circumstances, making it an incorrect choice.

2. What is object-relations theory?

• A. It is the theory that focuses on observable behaviors only.
• B. It is a newer psychodynamic theory focusing on how individuals interact with others and their internalized relationships.
• C. It is the theory that emphasizes the importance of cognitive processes in shaping behavior.
• D. It is a cognitive-behavioral theory focused on changing maladaptive thought patterns.

Correct answer: B

Rationale: Object-relations theory is a psychodynamic theory that focuses on how individuals interact with others and their internalized relationships. Choice A is incorrect because object-relations theory goes beyond observable behaviors to explore internalized relationships. Choice C is incorrect because object-relations theory does not primarily emphasize cognitive processes. Choice D is incorrect because object-relations theory is not a cognitive-behavioral theory focused on changing thought patterns.

3. Distinguish between assimilation and accommodation.

• A. Assimilation refers to adjusting our mental frameworks to incorporate new information.
• B. Assimilation is when new experiences are interpreted in terms of existing schemas.
• C. Assimilation is adapting our behaviors to match societal norms.
• D. Assimilation and accommodation are unrelated to cognitive development.

Correct answer: B

Rationale: The correct answer is B. Assimilation is when new experiences are interpreted in terms of existing schemas, meaning individuals try to fit new information into their pre-existing understanding of the world. Accommodation, on the other hand, involves adjusting our schemas to fit new information, which means changing our existing mental frameworks when new information doesn't fit. Choice A is incorrect because it describes accommodation rather than assimilation. Choice C is incorrect as it confuses assimilation with social adaptation. Choice D is incorrect as assimilation and accommodation are fundamental processes in cognitive development, as described by Piaget.

4. Dana's mother suffers from serious depressive episodes. Dana is likely to ________.

• A. be at risk for depression herself.
• B. become a happy-go-lucky child due to having to cope with so much.
• C. act in an aggressive, criminal manner.
• D. have intense attachments to her mother.

Correct answer: A

Rationale: When a family member, especially a parent, suffers from serious depressive episodes, it can increase the risk of depression in other family members, including children. Therefore, in this situation, Dana is likely to be at risk for depression herself. Choice B is incorrect because experiencing a parent's depression does not necessarily lead to becoming a happy-go-lucky child; it can have serious emotional implications. Choice C is incorrect as there is no direct link between a parent's depression and a child acting in an aggressive, criminal manner. Choice D may seem plausible, but it is not the most likely outcome in this scenario.

5. How does the biopsychosocial model differ from the biomedical model?

• A. The biopsychosocial model focuses solely on the biological aspects of disease.
• B. The biopsychosocial model includes biological, psychological, and social factors, whereas the biomedical model focuses on only biological factors.
• C. The biopsychosocial model is outdated and has been replaced by the biomedical model.
• D. The biopsychosocial model is identical to the biomedical model.

Correct answer: B

Rationale: The biopsychosocial model differs from the biomedical model by considering biological, psychological, and social factors in understanding health and illness. Choice A is incorrect because the biopsychosocial model does not solely focus on biological aspects. Choice C is incorrect as the biopsychosocial model is not outdated but rather offers a more comprehensive approach. Choice D is incorrect as the two models are distinct in their considerations of factors beyond biology.

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