Nursing Elites

1. Which psychosexual stage focuses on castration anxiety?

• A. Genital
• B. Oral
• C. Anal
• D. Phallic

Correct answer: D

Rationale: Castration anxiety is a concept from Freudian psychoanalytic theory that occurs during the Phallic stage. This stage occurs between 3 to 6 years of age and is when children experience conflicts related to the Oedipus complex (boys) and Electra complex (girls). During this stage, children may fear castration (in boys) or penis envy (in girls), which are crucial components of castration anxiety. Therefore, the correct answer is Phallic. The other options (A: Genital, B: Oral, C: Anal) are incorrect as they do not specifically involve castration anxiety but rather represent different stages in Freud's psychosexual development theory.

2. Charles has suffered from schizophrenia for many years and now resides in a group treatment facility. One day a nurse approaches him and quietly tells him that his sister, who has been fighting cancer for many months, died that morning. Charles has no appreciable facial reaction and in a very monotone voice says, 'okay.' The nurse is not surprised by Charles's lack of response to the awful news because she knows that _________ is one symptom often seen in those suffering from schizophrenia?

• A. Clang associations
• B. Echolalia
• C. Blunted affect
• D. Perseveration

Correct answer: C

Rationale: In individuals with schizophrenia, blunted affect, or reduced emotional expression, is a common symptom. In this scenario, Charles's lack of emotional response upon hearing about his sister's death aligns with the characteristic of blunted affect. This symptom can manifest as a limited range of facial expressions, monotone voice, and reduced display of emotions. Choice A, 'Clang associations,' refers to a thought disorder characterized by the use of words that sound alike but are not logically connected. Choice B, 'Echolalia,' is the repetition of words spoken by others. Choice D, 'Perseveration,' is the persistent repetition of a response or behavior even when it is no longer appropriate.

3. The site of chemical communication in the brain is the ________.

• A. neuron
• B. synapse
• C. axon
• D. dendrite

Correct answer: B

Rationale: The synapse is the correct answer. It is the site where communication between neurons occurs through the release and reception of neurotransmitters. Choice A, neuron, is incorrect as it is the cell itself rather than a specific site of communication. Choice C, axon, is also incorrect as it is a part of the neuron that transmits signals away from the cell body. Choice D, dendrite, is not the correct answer either, as dendrites receive signals from other neurons but do not release neurotransmitters for communication.

4. Distinguish between authoritative and authoritarian parenting.

• A. Authoritative parents are controlling and less communicative.
• B. Authoritarian parents are warm and communicative but set firm limits.
• C. Authoritative parents are less controlling and more communicative.
• D. Authoritarian parents are neither warm nor communicative, often leading to moody, irritable children.

Correct answer: B

Rationale: The correct answer is B. Authoritative parents are warm and communicative while also setting firm limits, creating a balanced and nurturing environment. Authoritarian parents, on the other hand, are controlling, less communicative, and tend to set strict rules without much room for discussion. This approach may lead to children becoming irritable and moody due to the lack of warmth and excessive control. Choices A and C incorrectly mix up the characteristics of authoritative and authoritarian parenting. Choice D, although mentioning irritable children, does not accurately capture the key differences between authoritative and authoritarian parenting styles.

5. John Bowlby's attachment theory emphasized ________.

• A. the social environment in forming attachments.
• B. the quality of parental care in forming attachments.
• C. the quality of early reinforcers and stimulation in forming attachments.
• D. the necessity of independence from parental figures in forming attachments.

Correct answer: B

Rationale: John Bowlby's attachment theory emphasized the quality of parental care in forming attachments. This is because Bowlby believed that a child's early experiences with their primary caregiver, especially the quality of care and responsiveness received, significantly influence the child's ability to form secure attachments. Choice A is incorrect because while the social environment plays a role, Bowlby's theory focused more on the caregiver-child relationship. Choice C is incorrect as it does not capture the central role of parental care highlighted in Bowlby's theory. Choice D is also incorrect as Bowlby's theory actually emphasized the importance of a secure attachment to parental figures for healthy emotional development.

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