Nursing Elites

1. Why does the selection of a theoretical perspective of mental disorders matter?

• A. Because it determines how data is interpreted, and influences treatment approaches.
• B. It matters because different perspectives offer different insights into the causes and treatments of mental disorders.
• C. The selection of a theoretical perspective is not important as all perspectives lead to the same treatment outcomes.
• D. Theoretical perspectives are only relevant for academic research, not for clinical practice.

Correct answer: A

Rationale: The selection of a theoretical perspective matters because it determines how data is interpreted and influences the treatment approaches that are considered appropriate. Choice B is incorrect because different perspectives may lead to different interpretations and treatment strategies. Choice C is incorrect because different theoretical perspectives can result in varied treatment outcomes. Choice D is incorrect because theoretical perspectives play a crucial role in both academic research and clinical practice.

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. According to the diathesis-stress model, having a predisposition towards mental illness...

• A. Means that a person will surely develop a mental disorder in the future
• B. Does not affect the chances of developing a mental disorder
• C. Increases the chance that a person would have a mental disorder
• D. None of the above

Correct answer: C

Rationale: According to the diathesis-stress model, having a predisposition towards mental illness increases the risk but does not guarantee the development of a mental disorder. Choice A is incorrect as the model does not imply certainty. Choice B is incorrect as having a predisposition does affect the chances. Choice D is incorrect as the model does have an impact on the likelihood of developing a mental disorder.

4. How do socioeconomic factors affect mental health?

• A. Socioeconomic factors do not affect mental health.
• B. Socioeconomic factors are one of the primary determinants of mental health.
• C. Socioeconomic factors only affect mental health in extreme cases.
• D. Socioeconomic factors have no clear impact on mental health.

Correct answer: B

Rationale: The correct answer is B. Socioeconomic factors like income and education levels are key determinants of mental health. They influence access to resources such as healthcare, housing, and social support systems, which can impact an individual's mental well-being. Additionally, socioeconomic factors can contribute to stress levels and overall quality of life, which in turn affect mental health. Choice A is incorrect because socioeconomic factors do play a significant role in mental health outcomes. Choice C is incorrect as socioeconomic factors have a broad impact on mental health beyond extreme cases. Choice D is also incorrect as numerous studies have shown the clear impact of socioeconomic factors on mental health.

5. In order to develop chicken pox, one must be exposed to the virus that causes chicken pox. Note, however, that not everyone who is exposed to the virus is affected. In other words, the virus is a ________

• A. risk factor.
• B. necessary cause.
• C. sufficient cause.
• D. contributory cause.

Correct answer: B

Rationale: The correct answer is B: 'necessary cause.' A necessary cause must be present for a disorder to occur. In the context of developing chicken pox, being exposed to the virus is a necessary condition for contracting the disease. Choices A, C, and D are incorrect. A 'risk factor' increases the probability of developing a disease but is not essential for its occurrence. A 'sufficient cause' can produce the outcome on its own, which is not the case with exposure to the chicken pox virus. A 'contributory cause' adds to other causes to produce an effect, but in this scenario, exposure to the virus is crucial by itself.

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