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. 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.

3. 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.

4. Cross-cultural research on stress demonstrates that ________.

• A. Depression is a common response to life challenges in all countries studied.
• B. Stress rarely leads to any evidence of illness in non-Western cultures.
• C. Responses to stress vary cross-culturally.
• D. Culture-specific reactions are not seen to respond to alterations in the environment.

Correct answer: C

Rationale: Cross-cultural research on stress demonstrates that responses to stress vary cross-culturally. Choice A is incorrect because depression being a common response in all countries studied is not supported by cross-cultural research findings. Choice B is incorrect as it generalizes that stress rarely leads to illness in non-Western cultures, which is not universally true. Choice D is incorrect as culture-specific reactions can indeed respond to alterations in the environment, as observed in various cross-cultural studies.

5. Children raised in orphanages tend to have ________.

• A. more cortical gray matter than those raised by their parents.
• B. less cortical gray matter than those raised by their parents.
• C. more friendships than those raised by their parents.
• D. fewer friendships than those raised by their parents.

Correct answer: B

Rationale: The correct answer is B: 'less cortical gray matter than those raised by their parents.' Studies have shown that children raised in orphanages tend to have less cortical gray matter compared to those raised by their parents. This is due to the lack of individualized care, attention, and stimulation that can negatively impact brain development. Choices A, C, and D are incorrect because there is no direct correlation between cortical gray matter and the number of friendships when comparing children raised in orphanages and those raised by their parents.

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