Nursing Elites

1. Colleen found herself attracted to her psychology instructor. She would frequently go by his office just to be near him. When he didn't respond to her advances, Colleen eventually told him that she had thoughts of killing herself so that he would spend time trying to counsel her. What personality disorder best describes Colleen's thinking and behavior?

• A. Borderline personality disorder
• B. Schizoid personality disorder
• C. Schizotypal personality disorder
• D. Antisocial personality disorder

Correct answer: A

Rationale: Colleen's behavior of seeking attention and manipulating others by threatening self-harm to elicit a response from her psychology instructor aligns with the characteristics of borderline personality disorder. This disorder is characterized by unstable relationships, impulsive actions, and efforts to avoid real or imagined abandonment. Choices B, C, and D are incorrect because they do not match Colleen's behavior as described in the scenario. Schizoid personality disorder is characterized by a lack of interest in social relationships, Schizotypal personality disorder involves social anxiety and odd behavior, and Antisocial personality disorder is characterized by a disregard for others' feelings and violating their rights.

2. What does the diathesis-stress model entail?

• A. The diathesis-stress model suggests that stress alone is sufficient to cause a mental disorder.
• B. The diathesis-stress model involves a combination of genetic vulnerability and environmental stressors.
• C. The diathesis-stress model suggests that genetic factors alone cause mental disorders.
• D. The diathesis-stress model suggests that stressors in the environment do not affect the onset of mental disorders.

Correct answer: B

Rationale: The diathesis-stress model proposes that mental disorders develop from a combination of genetic vulnerability (the diathesis) and environmental stressors. Choice A is incorrect because it states that stress alone can cause mental disorders, which is not in line with the model. Choice C is incorrect as it simplifies the model to genetic factors alone causing mental disorders. Choice D is incorrect as it suggests that environmental stressors do not play a role in the onset of mental disorders, which contradicts the essence of the diathesis-stress model.

3. The understanding of genetic influences on behavior may never be fully achieved due to ________.

• A. the ease of researching to differentiate between the effects of the environment and genes.
• B. the likelihood that most behaviors are determined by the interaction of many genes and the environment.
• C. the reliance on twin studies in genetic research.
• D. our significant understanding of how genes impact brain chemistry.

Correct answer: B

Rationale: The correct answer is B because most behaviors are influenced by the interaction of multiple genes and the environment. Choice A is incorrect because it suggests that researching the effects of the environment and genes is easy, which is not the case. Choice C is incorrect as it focuses on a specific method (twin studies) rather than the broader concept of gene-environment interaction. Choice D is incorrect as the statement implies a high level of understanding that contradicts the idea that genetic influences on behavior may never be fully understood.

4. What are culture-bound syndromes?

• A. Culture-bound syndromes are disorders that can be found in all cultures.
• B. Culture-bound syndromes are disorders that are specific to certain cultural contexts.
• C. Culture-bound syndromes are myths and do not exist.
• D. Culture-bound syndromes are conditions seen only in psychiatric hospitals.

Correct answer: B

Rationale: Culture-bound syndromes are disorders that are specific to certain cultural contexts. These syndromes may not be recognized or understood outside of the specific cultural context where they originate. Choice A is incorrect because culture-bound syndromes are not universal and are tied to specific cultural beliefs and practices. Choice C is incorrect as culture-bound syndromes are recognized in the field of psychology and anthropology. Choice D is incorrect as culture-bound syndromes are not limited to psychiatric hospitals but can be observed in various cultural settings.

5. How does stress impact brain function?

• A. Stress has no effect on brain function.
• B. Stress can lead to changes in brain structure and function.
• C. Stress can improve brain function.
• D. Stress has no long-term impact on brain function.

Correct answer: B

Rationale: Stress can lead to changes in brain structure and function, affecting mental health and increasing the risk of disorders. Choice A is incorrect as stress does affect brain function. Choice C is incorrect as stress generally has negative impacts on brain function rather than improving it. Choice D is incorrect because stress can have long-term impacts on brain function through structural and functional changes.

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