Nursing Elites

1. An elementary school principal wants to know the best predictors of juvenile delinquency and dropping out of school in high school so she can provide preventive interventions. Your best advice is ________.

• A. Look for kids who are very popular because they are class clowns.
• B. Silent, depressed, loners tend to be dropouts because they are often depressed.
• C. There is no way to predict juvenile delinquency as early as elementary school.
• D. The best predictor is aggression toward peers, which leads to peer rejection.

Correct answer: D

Rationale: The best advice is to look for aggression toward peers as the best predictor of juvenile delinquency and dropping out of school. Option A is incorrect because being popular or a class clown doesn't necessarily indicate delinquency. Option B is incorrect as not all silent, depressed loners end up as dropouts. Option C is incorrect as research shows that early signs of aggression can predict future delinquent behavior and school dropout rates, making it feasible to intervene early.

2. One important contribution of Freud's theory was that ________.

• A. he truly understood the role of women in society.
• B. he heavily utilized experimental evidence to support his theories.
• C. he applied the same principles to normal and abnormal behavior.
• D. he increased the focus on positive growth for individuals.

Correct answer: C

Rationale: Freud's important contribution was that he applied the same principles to both normal and abnormal behavior. This approach allowed for a comprehensive understanding of human behavior without creating a rigid distinction between normal and abnormal psychology. Choice A is incorrect because Freud's theory did not primarily focus on the role of women in society. Choice B is incorrect as Freud's theories were largely based on clinical observations and case studies rather than experimental evidence. Choice D is incorrect as Freud's theory emphasized the unconscious mind and conflicts rather than solely focusing on positive growth for individuals.

3. Children raised in orphanages tend to have ________.

• A. more cortical gray matter than those raised by their parents.
• B. less cortical gray matter than those raised by their parents.
• C. more friendships than those raised by their parents.
• D. fewer friendships than those raised by their parents.

Correct answer: B

Rationale: The correct answer is B: 'less cortical gray matter than those raised by their parents.' Studies have shown that children raised in orphanages tend to have less cortical gray matter compared to those raised by their parents. This is due to the lack of individualized care, attention, and stimulation that can negatively impact brain development. Choices A, C, and D are incorrect because there is no direct correlation between cortical gray matter and the number of friendships when comparing children raised in orphanages and those raised by their parents.

4. Dr. Haldol has several patients with schizophrenia who appear to exhibit excessive or distorted characteristics in relation to what one might consider normal functioning. Specific symptoms include varied hallucinations and multiple delusions. According to the DSM-5, these are referred to as?

• A. Flat affect
• B. Positive symptoms
• C. Negative symptoms
• D. Catatonia

Correct answer: B

Rationale: The correct answer is B: Positive symptoms. Positive symptoms in schizophrenia are behaviors or experiences that are added to normal functioning, such as hallucinations and delusions. These symptoms are considered 'positive' because they represent an excess or distortion of normal functions. Choices A, C, and D are incorrect. Flat affect refers to a reduction in emotional expression, negative symptoms involve deficits in normal functioning such as reduced emotional expression or motivation, and catatonia is a state of unresponsiveness.

5. According to Freud, a person who does not appropriately resolve each psychosexual stage would be _________ at that stage.

• A. defended
• B. fixated
• C. repressed
• D. displaced

Correct answer: B

Rationale: According to Freud's theory of psychosexual development, if a person does not resolve a particular stage successfully, they become fixated at that stage. This fixation can lead to behavior patterns characteristic of that stage in later life. In this context, 'defended' is incorrect because it does not align with Freud's theory of fixation. 'Repressed' is not the correct choice as it refers to the unconscious suppression of thoughts or desires. 'Displaced' involves redirecting emotions from their original source to a substitute target, which is not the concept Freud associated with unresolved psychosexual stages.

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