Nursing Elites

1. 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.

2. In order for one to be diagnosed with panic disorder, the panic attacks must?

• A. Suddenly; unexpectedly
• B. Suddenly; gradually
• C. Gradually; unexpectedly
• D. Unexpectedly; suddenly

Correct answer: A

Rationale: The correct answer is A: 'Suddenly; unexpectedly.' Panic disorder is diagnosed when panic attacks occur unexpectedly, not gradually. Panic attacks are characterized by their sudden onset and are unpredictable. Choice B is incorrect because panic attacks do not manifest gradually. Choice C is incorrect because panic attacks are not expected or predicted. Choice D is incorrect as well because the unexpected nature of panic attacks is a key criterion for diagnosing panic disorder.

3. The site of chemical communication in the brain is the ________.

• A. neuron
• B. synapse
• C. axon
• D. dendrite

Correct answer: B

Rationale: The synapse is the correct answer. It is the site where communication between neurons occurs through the release and reception of neurotransmitters. Choice A, neuron, is incorrect as it is the cell itself rather than a specific site of communication. Choice C, axon, is also incorrect as it is a part of the neuron that transmits signals away from the cell body. Choice D, dendrite, is not the correct answer either, as dendrites receive signals from other neurons but do not release neurotransmitters for communication.

4. One of Freud's major contributions to current perspectives of mental disorders is ________.

• A. the concept of the Oedipal complex.
• B. the concept of the unconscious and how it can affect behavior.
• C. the concept of the Electra complex.
• D. the understanding of the three structures of personality.

Correct answer: B

Rationale: Freud's major contribution to current perspectives of mental disorders is the concept of the unconscious and its influence on behavior. While the Oedipal complex (Choice A) and Electra complex (Choice C) are important psychoanalytic concepts introduced by Freud, they are more focused on childhood psychosexual development rather than mental disorders. The understanding of the three structures of personality (Choice D) refers to Freud's id, ego, and superego model, which is essential in psychoanalytic theory but not specifically related to mental disorders.

5. Newer psychodynamic perspectives ________.

• A. disregard most elements of Freud's theories.
• B. emphasize the role of the id.
• C. do not view the libido as a primary determinant of behavior.
• D. recognize intrapsychic conflicts as a primary determinant of behavior.

Correct answer: C

Rationale: Newer psychodynamic perspectives do not view the libido as a primary determinant of behavior. While Freud's theories focused heavily on the libido as a driving force, newer perspectives have evolved to consider a broader range of factors influencing behavior. Choice A is incorrect as newer perspectives still build upon some elements of Freud's theories. Choice B is incorrect as newer perspectives may not solely emphasize the role of the id. Choice D is incorrect as while intrapsychic conflicts are considered important, they are not always viewed as the sole primary determinant of behavior in newer psychodynamic perspectives.

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