Nursing Elites

1. What is the diathesis-stress model of psychopathology?

• A. The idea that stress is the primary cause of psychopathology.
• B. A model that focuses solely on genetic predispositions.
• C. A theory that involves only environmental factors in the development of disorders.
• D. A person must have both a vulnerability for a disorder and exposure to stressors to develop the disorder.

Correct answer: D

Rationale: The diathesis-stress model of psychopathology posits that individuals must have a vulnerability or predisposition to a disorder (diathesis) and be exposed to stressful environmental factors for the disorder to manifest. This model emphasizes the interaction between genetic or biological vulnerabilities (diathesis) and environmental stressors. Choice A is incorrect because the model does not suggest that stress is the sole cause of psychopathology. Choice B is incorrect as the model considers both genetic predispositions and environmental stressors. Choice C is incorrect because the diathesis-stress model acknowledges the role of both genetic and environmental factors in the development of disorders.

2. Which of the following is NOT a culture-bound syndrome?

• A. Hikikomori
• B. Zar
• C. Hoopa
• D. Koro

Correct answer: C

Rationale: The correct answer is C, 'Hoopa,' as it is not recognized as a culture-bound syndrome. A culture-bound syndrome refers to a cluster of symptoms that are recognized and named within a specific cultural group but may not be recognized universally. Hikikomori is a culture-bound syndrome in Japan where individuals isolate themselves from social interactions. Zar is a culture-bound syndrome found in Africa and the Middle East characterized by episodes of laughing, crying, and singing. Koro is a culture-bound syndrome, primarily documented in Asian cultures, where individuals have an intense fear of genital retraction.

3. How do early life experiences shape brain development and behavior?

• A. Early life experiences have no impact on brain development.
• B. Early life experiences are crucial in shaping brain development and later behavior.
• C. Early life experiences are not significant in brain development.
• D. Early life experiences are easily overcome by adulthood.

Correct answer: B

Rationale: Early life experiences are crucial in shaping brain development and later behavior. These experiences play a significant role in laying the foundation for future mental health and behavior. Choice A is incorrect because early life experiences do have a profound impact on brain development. Choice C is incorrect as early life experiences are indeed significant in brain development. Choice D is incorrect as early life experiences can have lasting effects into adulthood.

4. Dr. Haldol has several patients with schizophrenia who appear to exhibit excessive or distorted characteristics in relation to what one might consider normal functioning. Specific symptoms include varied hallucinations and multiple delusions. According to the DSM-5, these are referred to as?

• A. Flat affect
• B. Positive symptoms
• C. Negative symptoms
• D. Catatonia

Correct answer: B

Rationale: The correct answer is B: Positive symptoms. Positive symptoms in schizophrenia are behaviors or experiences that are added to normal functioning, such as hallucinations and delusions. These symptoms are considered 'positive' because they represent an excess or distortion of normal functions. Choices A, C, and D are incorrect. Flat affect refers to a reduction in emotional expression, negative symptoms involve deficits in normal functioning such as reduced emotional expression or motivation, and catatonia is a state of unresponsiveness.

5. How does the diathesis-stress model explain the onset of mental disorders?

• A. Stress alone is sufficient to cause mental disorders.
• B. Both genetic vulnerability and environmental stress are needed to trigger a disorder.
• C. Only genetic factors cause mental disorders.
• D. Environmental stressors alone can cause mental disorders.

Correct answer: B

Rationale: The diathesis-stress model explains that the onset of mental disorders results from the interaction of genetic vulnerability (diathesis) and environmental stress. Choice A is incorrect because stress alone is not sufficient, according to the model. Choice C is incorrect as it oversimplifies by attributing mental disorders solely to genetic factors. Choice D is incorrect because the model emphasizes the joint contribution of genetic predisposition and environmental stress.

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