Nursing Elites

1. Which neurotransmitter is reduced in both the manic and depressive phases of bipolar disorder?

• A. Acetylcholine
• B. Dopamine
• C. Norepinephrine
• D. Serotonin

Correct answer: D

Rationale: The correct answer is D, Serotonin. Serotonin levels are reduced during both the manic and depressive phases of bipolar disorder. Acetylcholine (choice A) is not typically linked to bipolar disorder. Dopamine (choice B) and norepinephrine (choice C) are more commonly associated with conditions like schizophrenia and depression, respectively, rather than bipolar disorder. Therefore, they are not the neurotransmitters reduced in both manic and depressive phases of bipolar disorder.

2. Which therapy style requires the therapist to actively confront a client's irrational beliefs?

• A. Person-centered therapy
• B. Psychodynamic psychotherapy
• C. Electroconvulsive therapy
• D. REBT

Correct answer: D

Rationale: The correct answer is D, REBT (Rational Emotive Behavior Therapy). REBT involves actively confronting and changing irrational beliefs. Choice A, Person-centered therapy, is focused on providing a supportive and empathetic environment rather than confronting irrational beliefs. Choice B, Psychodynamic psychotherapy, emphasizes exploring unconscious processes and early life experiences rather than direct confrontation of irrational beliefs. Choice C, Electroconvulsive therapy, is a biological treatment for severe depression and other mental illnesses, not a therapy style that involves confronting irrational beliefs.

3. Unlike other types of anxiety disorders, this one is not triggered by anything specific, hence the name free-floating anxiety.

• A. Social anxiety disorder
• B. Generalized anxiety disorder
• C. Panic disorder
• D. Specific phobia

Correct answer: B

Rationale: The correct answer is B, Generalized anxiety disorder. Generalized anxiety disorder is characterized by persistent and excessive worry or anxiety that is not triggered by specific situations or objects, hence the term 'free-floating anxiety.' Social anxiety disorder (A) is characterized by fear and anxiety about social situations, panic disorder (C) involves recurrent unexpected panic attacks, and specific phobia (D) is an intense fear of a specific object or situation. Therefore, B is the most appropriate choice in the context of anxiety not being triggered by specific stimuli.

4. The ability to adapt successfully to even very difficult circumstances is called ________.

• A. resilience
• B. hardiness
• C. perseverance
• D. a challenge orientation

Correct answer: A

Rationale: Resilience is indeed the correct term for the ability to adapt successfully to difficult circumstances. Resilience involves bouncing back from setbacks, handling stress, and persevering in the face of adversity. Choice B, 'hardiness,' refers more to toughness or durability rather than adapting to difficult circumstances. Choice C, 'perseverance,' is about persistence and determination rather than adaptability. Choice D, 'a challenge orientation,' does not directly relate to the ability to adapt to difficult circumstances, making it an incorrect choice.

5. Which of the following perspectives focuses on social determinants of behavior?

• A. The attachment perspective
• B. The interpersonal perspective
• C. The humanistic perspective
• D. The existential perspective

Correct answer: B

Rationale: The interpersonal perspective focuses on social determinants of behavior, emphasizing the impact of social interactions, relationships, and communication on an individual's behavior. This perspective looks at how people's behavior is influenced by their interactions with others and the social environment. Choices A, C, and D are incorrect because they do not primarily focus on social determinants of behavior. The attachment perspective is concerned with emotional bonds between individuals, the humanistic perspective emphasizes personal growth and self-fulfillment, and the existential perspective focuses on individual freedom and responsibility in creating meaning in life.

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