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. How do socioeconomic factors influence mental health?

• A. Socioeconomic factors have no impact on mental health.
• B. Socioeconomic factors are the primary determinants of mental health.
• C. Socioeconomic factors are irrelevant to mental health.
• D. Socioeconomic factors can exacerbate but not cause mental health issues.

Correct answer: B

Rationale: Socioeconomic factors are indeed primary determinants of mental health. These factors influence mental health by impacting access to resources, stress levels, and overall well-being. Choice A is incorrect as socioeconomic factors do have a significant impact on mental health. Choice C is incorrect as socioeconomic factors play a crucial role in mental health outcomes. Choice D is incorrect as socioeconomic factors can both exacerbate and cause mental health issues.

3. Barney helps his younger brother, who has just learned to cycle on his own, to navigate narrow roads and sharp turns. Vygotsky will refer to this as ________?

• A. Microsystem
• B. Macrosystem
• C. Mesosystem
• D. Exosystem

Correct answer: C

Rationale: In this scenario, where Barney is assisting his younger brother in navigating narrow roads and sharp turns, Vygotsky would refer to this as an example of the 'mesosystem.' The mesosystem involves the interactions between different systems in a child's environment, such as family and peers. Choices A, B, and D are incorrect: A) Microsystem refers to the immediate environment where the child lives, like home and school; B) Macrosystem encompasses the larger cultural context; D) Exosystem involves external settings that indirectly influence the child.

4. Elliot became widowed after nearly 40 years of marriage. He has convinced himself that no one will ever love him again. His irrational thinking has caused him to suffer from depression, and he rarely leaves his house. What perspective might best explain his behavior?

• A. Psychodynamic
• B. Behavioral
• C. Biological
• D. Cognitive

Correct answer: D

Rationale: The cognitive perspective might best explain Elliot's irrational thinking and resulting depression. In this case, Elliot's belief that he will never be loved again is a cognitive distortion, leading to depressive symptoms and social withdrawal. The psychodynamic perspective primarily focuses on unconscious processes and unresolved conflicts from the past, which do not directly address Elliot's current cognitive distortions. The behavioral perspective would focus on observable behaviors and how they are reinforced, which is not the central issue in this scenario. The biological perspective would examine the role of genetics, brain chemistry, and other physiological factors, which are not the primary cause of Elliot's behavior in this context.

5. 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.

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