Nursing Elites

1. Unlike those with autism spectrum disorder, those with reactive attachment disorder have a history of:

• A. Schizoid personality disorder
• B. Autism spectrum disorder
• C. Reactive attachment disorder
• D. Disinhibited social engagement disorder

Correct answer: C

Rationale: The correct answer is C: Reactive attachment disorder. Individuals with reactive attachment disorder have a history of severe social neglect, which distinguishes it from autism spectrum disorder. Choice A, Schizoid personality disorder, is incorrect as it is not typically associated with the history described in reactive attachment disorder. Choice B, Autism spectrum disorder, is incorrect because individuals with autism spectrum disorder do not necessarily have a history of severe social neglect. Choice D, Disinhibited social engagement disorder, is also incorrect as it is a separate attachment disorder characterized by indiscriminate social behavior, not necessarily a history of neglect.

2. Which term describes the conditions that guarantee the occurrence of a disorder?

• A. Necessary causes
• B. Contributory causes
• C. Sufficient causes
• D. Protective factors

Correct answer: C

Rationale: The correct answer is 'Sufficient causes.' Sufficient causes are conditions that alone are enough to guarantee the occurrence of a disorder. Necessary causes refer to factors that must be present for the disorder to occur but are not enough on their own. Contributory causes increase the likelihood of a disorder but are not enough to cause it by themselves. Protective factors are conditions that reduce the likelihood of a disorder occurring.

3. How do socioeconomic factors affect mental health?

• A. Socioeconomic factors do not affect mental health.
• B. Socioeconomic factors are one of the primary determinants of mental health.
• C. Socioeconomic factors only affect mental health in extreme cases.
• D. Socioeconomic factors have no clear impact on mental health.

Correct answer: B

Rationale: The correct answer is B. Socioeconomic factors like income and education levels are key determinants of mental health. They influence access to resources such as healthcare, housing, and social support systems, which can impact an individual's mental well-being. Additionally, socioeconomic factors can contribute to stress levels and overall quality of life, which in turn affect mental health. Choice A is incorrect because socioeconomic factors do play a significant role in mental health outcomes. Choice C is incorrect as socioeconomic factors have a broad impact on mental health beyond extreme cases. Choice D is also incorrect as numerous studies have shown the clear impact of socioeconomic factors on mental health.

4. Which of the following statements is true?

• A. Most behavioral disorders are determined exclusively by genes.
• B. Genes play a role in most mental disorders.
• C. Genes do not affect biochemical processes.
• D. The genes that will be expressed in an individual are not affected by experience.

Correct answer: B

Rationale: The correct answer is B: 'Genes play a role in most mental disorders.' This statement is true as genes do play a significant role in the development of various mental disorders. Choice A is incorrect because most behavioral disorders are influenced by a combination of genetic, environmental, and other factors, not exclusively genes. Choice C is incorrect as genes do affect biochemical processes. Choice D is incorrect because the expression of genes in an individual can be influenced by experiences and environmental factors, a concept known as gene-environment interaction.

5. Which of the following psychodynamic elements of the personality can be described as impulsive and selfish?

• A. Ego
• B. Id
• C. Superego
• D. Ideal self

Correct answer: B

Rationale: The correct answer is B, Id. In psychodynamic theory, the Id is the component driven by basic, primal instincts, seeking instant gratification without consideration for consequences. It operates on the pleasure principle, aiming to fulfill desires immediately. The Superego, on the other hand, represents the internalized moral standards and ideals, while the Ego mediates between the Id and Superego, balancing impulses with societal norms. The 'Ideal self' is a concept from humanistic psychology related to one's aspirations and goals, not a component in psychodynamic theory. Therefore, choices A, C, and D are incorrect.

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