Nursing Elites

1. A model of understanding mental illnesses that attempts to integrate the contributions of many different types of actors is called the ________ viewpoint.

• A. biopsychosocial
• B. sociocultural
• C. Gestalt
• D. neuroscience

Correct answer: A

Rationale: The correct answer is A: biopsychosocial. The biopsychosocial viewpoint considers the interplay of biological, psychological, and social factors in understanding mental illnesses. This model recognizes that mental health and illness are influenced by a combination of biological, psychological, and social factors. Choice B, sociocultural, focuses more on societal and cultural influences on mental health, while Choice C, Gestalt, relates to holistic psychology. Choice D, neuroscience, emphasizes the role of the nervous system and brain in mental processes, but it does not encompass the broader integration of biological, psychological, and social aspects seen in the biopsychosocial viewpoint.

2. Franklin wakes up in a homeless shelter in another town. He doesn't know where he is or how he got there, and he's confused when people say he has been calling himself Anthony. This is most likely an episode of dissociative?

• A. Amnesia
• B. Dissociative fugue
• C. Wandering
• D. Flight of ideas

Correct answer: B

Rationale: The correct answer is B, Dissociative fugue. In the scenario described, Franklin experiencing memory loss, travel to another town, assuming a new identity (calling himself Anthony) aligns with dissociative fugue. Amnesia (Choice A) involves memory loss without the additional aspects of travel and assuming a new identity. Wandering (Choice C) is vague and does not encompass the complete set of symptoms described. Flight of ideas (Choice D) is a symptom of conditions like mania, not dissociative disorders.

3. Neural plasticity is ________.

• A. the process by which neurotransmitters are broken down in the brain.
• B. the flexibility of the brain—existing neural circuits can change or new ones can be made.
• C. strong evidence of brain damage, leading to the development of a mental disorder.
• D. the best indicator of temperament and its effect on the personality development of a child.

Correct answer: B

Rationale: Neural plasticity refers to the brain's flexibility to change existing neural circuits or create new ones. Choice A is incorrect as it describes neurotransmitter breakdown, not neural plasticity. Choice C is incorrect because neural plasticity does not necessarily indicate brain damage leading to mental disorders. Choice D is incorrect because neural plasticity is not specifically related to temperament or personality development in children.

4. Rita shows better control over her eating habits at 2.5 years than her brother Richard did at the same age. Why?

• A. Girls are naturally smarter than boys.
• B. Second-born children learn faster.
• C. Girls have better fine motor skills.
• D. Boys have better gross motor skills.

Correct answer: D

Rationale: The correct answer is D because boys typically develop gross motor skills, like running and jumping, more quickly than girls. This can explain why Richard may have had less control over his eating habits compared to Rita at the same age. Choices A, B, and C are incorrect because they do not address the specific developmental aspect related to eating habits control mentioned in the question.

5. Why is it particularly useful to study identical twins who were raised in different environments?

• A. Differences in brain function can be easily identified.
• B. Concordance rates tend to be higher.
• C. It is possible that the genetics of twins who have been separated have changed in ways to explain any differences found.
• D. It is possible that high concordance rates between identical twins reared together are due to their being treated more similarly than nonidentical twins.

Correct answer: D

Rationale: Studying identical twins raised in different environments allows researchers to understand the impact of genetics versus environmental factors on traits. Choice A is incorrect because differences in brain function can be influenced by a variety of factors and not solely by environmental differences. Choice B is incorrect as concordance rates tend to be higher in identical twins reared together due to shared genetics and environment. Choice C is incorrect because genetics do not change due to being raised in different environments.

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