Nursing Elites

1. Defense mechanisms ________.

• A. make a person feel more anxious and have more problems, as they begin to act defensively.
• B. are strategies the id uses to try to achieve its desires.
• C. are conscious, intentional attempts to cope effectively with an anxiety-producing event.
• D. help a person feel less anxious, but because they usually work by distorting reality, they are not always adaptive.

Correct answer: D

Rationale: The correct answer is D because defense mechanisms aim to reduce anxiety but can lead to distortion of reality, making them not always beneficial. Choice A is incorrect as defense mechanisms are meant to reduce anxiety, not increase it. Choice B is incorrect because defense mechanisms are not strategies of the id specifically. Choice C is incorrect as defense mechanisms are often unconscious and not always intentional.

2. The ____ believed that consciousness developed in humans because it serves a useful purpose?

• A. Behaviorists
• B. Humanists
• C. Functionalists
• D. Structuralists

Correct answer: C

Rationale: Functionalists believed that consciousness evolved because it serves a useful purpose in helping humans adapt to their environment. Choice A, Behaviorists, focused on observable behaviors rather than consciousness. Choice B, Humanists, emphasized human potential and self-actualization. Choice D, Structuralists, studied the basic elements of consciousness rather than its function and purpose.

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. Unlike those with autism spectrum disorder, those with reactive attachment disorder have a history of:

• A. Schizoid personality disorder
• B. Autism spectrum disorder
• C. Reactive attachment disorder
• D. Disinhibited social engagement disorder

Correct answer: C

Rationale: The correct answer is C: Reactive attachment disorder. Individuals with reactive attachment disorder have a history of severe social neglect, which distinguishes it from autism spectrum disorder. Choice A, Schizoid personality disorder, is incorrect as it is not typically associated with the history described in reactive attachment disorder. Choice B, Autism spectrum disorder, is incorrect because individuals with autism spectrum disorder do not necessarily have a history of severe social neglect. Choice D, Disinhibited social engagement disorder, is also incorrect as it is a separate attachment disorder characterized by indiscriminate social behavior, not necessarily a history of neglect.

5. 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.

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