Nursing Elites

1. 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.

2. Freud's psychosexual stage that occurs between the ages of 3 and 5 is the ________ stage.

• A. oral
• B. anal
• C. phallic
• D. genital

Correct answer: C

Rationale: Freud's psychosexual stage that occurs between the ages of 3 and 5 is the phallic stage. During this stage, children focus on the genitals and start to identify with the same-sex parent while developing the superego. Choice A, the oral stage, occurs during infancy (0-1 year), where gratification is centered around the mouth. Choice B, the anal stage, occurs between the ages of 1 and 3, focusing on toilet training. Choice D, the genital stage, is the final stage in Freud's theory, occurring from puberty onwards, where the focus is on mature sexual relationships.

3. Biological discoveries ________.

• A. have lessened the subjectivity of definitions of abnormality.
• B. demonstrate that the environment plays only a minimal role in the development of psychopathology.
• C. make it clear that mental disorders are diseases and should be dealt with by the medical profession.
• D. have led to a recognition of the role that genetic factors and other biological influences play in the development of many disorders.

Correct answer: D

Rationale: Biological discoveries have indeed led to a recognition of the role that genetic factors and other biological influences play in the development of many disorders. This understanding has shifted the focus from purely environmental explanations to acknowledging the significant impact of genetics and biology on mental health. Choices A, B, and C are incorrect because biological discoveries have not specifically addressed the subjectivity of definitions of abnormality, minimized the role of the environment in psychopathology, or definitively classified mental disorders as diseases that should only be handled by the medical profession.

4. While out for a walk, you come across a ferocious dog. You feel your heart beating faster and your palms begin to sweat. Which part of the peripheral nervous system is activated in this situation?

• A. Autonomic
• B. Sympathetic
• C. Parasympathetic
• D. Somatic

Correct answer: B

Rationale: The correct answer is B: Sympathetic. When encountering a stressful situation like a ferocious dog, the sympathetic nervous system is activated, leading to the 'fight or flight' response. This response triggers physiological changes like increased heart rate, sweating, and heightened alertness to prepare the body to deal with the perceived threat. The autonomic nervous system (Choice A) encompasses both the sympathetic and parasympathetic divisions, so it's a broader category. The parasympathetic nervous system (Choice C) is responsible for the body's 'rest and digest' functions, which are opposite to the physiological changes seen in a stress response. The somatic nervous system (Choice D) controls voluntary movements and sensory information, not the physiological responses seen in a stress reaction.

5. Children from lower-SES families ________.

• A. are more likely to be resilient adults than those from higher-SES families.
• B. show no signs of ill effects if there is an increase in SES before age 5.
• C. are not affected by SES status unless persistent employment is the reason for the economic hardships of the family.
• D. are less likely to show ill effects of SES status if they possess a high IQ and develop healthy attachments to adults and peers.

Correct answer: D

Rationale: Children from lower-SES families are less likely to show ill effects of SES status if they possess a high IQ and develop healthy attachments. Choice A is incorrect because children from lower-SES families typically face more challenges and are not inherently more resilient. Choice B is incorrect as an increase in SES may not erase the effects of early socioeconomic disadvantages. Choice C is incorrect as SES status can impact children from lower-SES families regardless of the reason for economic hardships.

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