Nursing Elites

1. What is the significance of the diathesis-stress model in understanding mental disorders?

• A. The diathesis-stress model suggests that stress alone causes mental disorders.
• B. The diathesis-stress model suggests that both genetic predisposition and environmental stress are necessary for the development of mental disorders.
• C. The diathesis-stress model is outdated and irrelevant.
• D. The diathesis-stress model focuses only on environmental factors.

Correct answer: B

Rationale: The diathesis-stress model suggests that both genetic predisposition and environmental stress are necessary for the development of mental disorders, highlighting the interaction between nature and nurture. Choice A is incorrect because the model emphasizes the combined influence of genetic vulnerability and environmental stressors. Choice C is incorrect as the diathesis-stress model remains a valuable framework in understanding mental health. Choice D is incorrect because the model considers both genetic and environmental factors, not solely environmental factors.

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. 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.

4. In defining a mental disorder, deviance refers to?

• A. Amount of suffering the individual is experiencing due to the mental disorder
• B. Inability of an individual to fulfill a certain role (e.g., work or family obligation)
• C. The capacity of the individual to cause harm to the people around them
• D. The tendency of an individual to display behaviors that are culturally unexpected

Correct answer: D

Rationale: In defining a mental disorder, deviance refers to behavior that is culturally unexpected or violates social norms. This means that the individual displays behaviors that are not typical or acceptable within their specific culture or society. Choices A, B, and C are incorrect because they do not directly relate to the concept of deviance in the context of defining a mental disorder. The amount of suffering, inability to fulfill a role, or capacity to cause harm are important considerations in understanding mental disorders but are not specifically related to deviance.

5. Cortisol is a hormone that ________

• A. is released by the hypothalamus and travels to the pituitary gland, causing it to respond.
• B. the pituitary gland releases to stimulate the adrenal gland.
• C. the adrenal gland produces that mobilizes the body to deal with stress.
• D. reduces the reuptake of the monoamine neurotransmitters.

Correct answer: C

Rationale: The correct answer is C. Cortisol is a hormone produced by the adrenal gland that mobilizes the body to deal with stress. It helps regulate metabolism, reduce inflammation, and assist in memory formulation. Choice A is incorrect as cortisol is not released by the hypothalamus and does not travel to the pituitary gland. Choice B is incorrect as cortisol is not released by the pituitary gland but acts on it to regulate hormone production. Choice D is incorrect as cortisol does not reduce the reuptake of monoamine neurotransmitters.

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