Nursing Elites

1. You are taking part in a survey that asks about your attitudes toward physical punishment of children. Even though you believe that spanking is sometimes necessary, you answer that you are opposed to any sort of physical punishment. Which of the following terms best describes why you answered the way you did?

• A. Random responding
• B. Faking bad
• C. Placebo effect
• D. Social desirability

Correct answer: D

Rationale: The correct answer is D, social desirability. Social desirability bias occurs when respondents answer questions in a way they think will be viewed favorably by others, rather than according to their true beliefs. In this scenario, the respondent may feel pressured to provide an answer that aligns with societal norms or expectations, even if it contradicts their personal beliefs. Choices A, B, and C are incorrect. Random responding refers to answering survey questions haphazardly, without consideration. Faking bad is intentionally providing extreme or negative responses. The placebo effect is a phenomenon where a person's belief in a treatment's effectiveness produces a positive outcome, unrelated to the treatment's actual effects.

2. When examining heredity, mental disorders are almost always ________.

• A. influenced by one particular gene.
• B. influenced by multiple genes.
• C. influenced by recessive genes.
• D. not influenced by genes.

Correct answer: B

Rationale: When examining heredity and mental disorders, it is important to note that these conditions are influenced by multiple genes working together. Mental disorders are complex traits that arise from the interplay of various genetic and environmental factors. Therefore, choice B, 'influenced by multiple genes,' is the correct answer. Choice A, 'influenced by one particular gene,' is incorrect because mental disorders typically do not result from the action of a single gene. Choice C, 'influenced by recessive genes,' is incorrect as it oversimplifies the genetic basis of mental disorders. Choice D, 'not influenced by genes,' is also incorrect as genes play a significant role in the development of mental disorders.

3. Unlike those with autism spectrum disorder, those with reactive attachment disorder have a history of:

• A. Schizoid personality disorder
• B. Autism spectrum disorder
• C. Reactive attachment disorder
• D. Disinhibited social engagement disorder

Correct answer: C

Rationale: The correct answer is C: Reactive attachment disorder. Individuals with reactive attachment disorder have a history of severe social neglect, which distinguishes it from autism spectrum disorder. Choice A, Schizoid personality disorder, is incorrect as it is not typically associated with the history described in reactive attachment disorder. Choice B, Autism spectrum disorder, is incorrect because individuals with autism spectrum disorder do not necessarily have a history of severe social neglect. Choice D, Disinhibited social engagement disorder, is also incorrect as it is a separate attachment disorder characterized by indiscriminate social behavior, not necessarily a history of neglect.

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. Freud's view of mental disorders was that they were a result of ________.

• A. unresolved conflicts between the id, the ego, and the superego.
• B. genetic abnormalities that influence people's ability to cope with their environment.
• C. problematic tendencies we develop while dealing with our early interpersonal environments.
• D. learned maladaptive behaviors that were rewarded with attention.

Correct answer: A

Rationale: Freud believed that mental disorders were a result of unresolved conflicts between the id, ego, and superego. This concept is central to Freud's psychoanalytic theory, where conflicts between these three components of personality lead to psychological distress. Choice B is incorrect because Freud focused more on unconscious conflicts rather than genetic abnormalities. Choice C is incorrect as it refers to later psychodynamic theories rather than Freud's specific view. Choice D is incorrect as Freud's perspective does not emphasize learned behaviors as the primary cause of mental disorders.

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