Nursing Elites

1. Dana's mother suffers from serious depressive episodes. Dana is likely to ________.

• A. be at risk for depression herself.
• B. become a happy-go-lucky child due to having to cope with so much.
• C. act in an aggressive, criminal manner.
• D. have intense attachments to her mother.

Correct answer: A

Rationale: When a family member, especially a parent, suffers from serious depressive episodes, it can increase the risk of depression in other family members, including children. Therefore, in this situation, Dana is likely to be at risk for depression herself. Choice B is incorrect because experiencing a parent's depression does not necessarily lead to becoming a happy-go-lucky child; it can have serious emotional implications. Choice C is incorrect as there is no direct link between a parent's depression and a child acting in an aggressive, criminal manner. Choice D may seem plausible, but it is not the most likely outcome in this scenario.

2. Children whose temperament is generally mild but who are hesitant about accepting new experiences are described as?

• A. Secure
• B. Avoidant
• C. Ambivalent
• D. Disorganized

Correct answer: C

Rationale: The correct answer is C: 'Ambivalent.' Children with an ambivalent temperament are indeed generally mild but hesitant about accepting new experiences. This temperament is characterized by a combination of mildness and hesitance. Choice A, 'Secure,' refers to children who are comfortable with both their caregiver's presence and absence, showing a secure attachment style. Choice B, 'Avoidant,' describes children who tend to avoid or ignore their caregiver, displaying an insecure attachment style. Choice D, 'Disorganized,' represents children with inconsistent or confused behaviors towards their caregiver, exhibiting an insecure and disoriented attachment style.

3. What is the diathesis-stress model of psychopathology?

• A. The idea that stress is the primary cause of psychopathology.
• B. A model that focuses solely on genetic predispositions.
• C. A theory that involves only environmental factors in the development of disorders.
• D. A person must have both a vulnerability for a disorder and exposure to stressors to develop the disorder.

Correct answer: D

Rationale: The diathesis-stress model of psychopathology posits that individuals must have a vulnerability or predisposition to a disorder (diathesis) and be exposed to stressful environmental factors for the disorder to manifest. This model emphasizes the interaction between genetic or biological vulnerabilities (diathesis) and environmental stressors. Choice A is incorrect because the model does not suggest that stress is the sole cause of psychopathology. Choice B is incorrect as the model considers both genetic predispositions and environmental stressors. Choice C is incorrect because the diathesis-stress model acknowledges the role of both genetic and environmental factors in the development of disorders.

4. Which of the following is true about subjective distress?

• A. All individuals with mental illness experience some degree of distress
• B. Distress is the only criterion in diagnosing abnormality
• C. Its presence is enough for a clinician to determine if someone has a mental illness
• D. Some individuals with a mental disorder may not experience subjective distress

Correct answer: D

Rationale: Subjective distress is not universal among individuals with a mental disorder. Choice A is incorrect as not all individuals with mental illness experience distress. Choice B is incorrect because distress is just one of the criteria used in diagnosing abnormality, not the only one. Choice C is incorrect because the presence of subjective distress alone is not sufficient for a clinician to determine if someone has a mental illness.

5. Which of the following explanations for the relationship between SES and abnormal behavior is not supported by the existing data?

• A. Low SES may cause abnormal behavior.
• B. Abnormal behavior is more likely to go untreated in those of low SES.
• C. Recovery from loss of a job may be more difficult for those exhibiting signs of mental illness.
• D. High SES may cause abnormal behavior.

Correct answer: D

Rationale: The correct answer is D because high SES as a cause for abnormal behavior is not supported by existing data. Abnormal behavior is often associated with factors like stress, trauma, genetics, or environmental influences. High SES is not a known cause of abnormal behavior. Choices A, B, and C are more plausible explanations: Low SES may lead to limited access to mental health care, untreated abnormal behavior due to financial constraints, and difficulties in coping with mental health issues after job loss, respectively.

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