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. During which period of psychosexual development does a child become preoccupied with the development of skills and activities?

• A. Genital
• B. Phallic
• C. Latency
• D. Pubertal

Correct answer: C

Rationale: The correct answer is C, Latency. In the Latency stage of psychosexual development, which occurs from around age 6 to puberty, children are focused on developing skills and engaging in activities rather than exploring sexuality. This period is characterized by the suppression of sexual impulses and the emphasis on social and intellectual pursuits. Choice A, Genital, refers to the final stage of psychosexual development in Freud's theory where individuals reach sexual maturity. Choice B, Phallic, pertains to the stage where children become aware of anatomical differences between boys and girls and develop unconscious sexual desires for the opposite-sex parent. Choice D, Pubertal, is not a recognized stage in Freud's psychosexual development theory.

3. What did Freud believe about castration anxiety among boys?

• A. Results in penis envy.
• B. Dissolves the Oedipus complex.
• C. Cognitive; learning.
• D. Biological; ecological.

Correct answer: B

Rationale: Freud believed that castration anxiety among boys leads to the resolution of the Oedipus complex, not penis envy or cognitive learning. The Oedipus complex is a central psychodynamic concept in Freudian theory, where boys develop unconscious desires for their mothers and view their fathers as rivals, fearing castration by their fathers as a consequence.

4. Scientific research has demonstrated the __________ parenting style is most likely to lead to healthy psychological development in children.

• A. Authoritarian
• B. Permissive
• C. Authoritative
• D. Neglectful

Correct answer: C

Rationale: Scientific research has demonstrated that the authoritative parenting style is most likely to lead to healthy psychological development in children. Authoritative parents are responsive to their children's emotional needs, set clear boundaries, and encourage independence. This balance fosters a positive environment for children to thrive emotionally and psychologically. Authoritarian parenting (choice A) focuses on strict rules without much warmth, which can lead to obedience but may hinder emotional development. Permissive parenting (choice B) lacks structure and rules, potentially resulting in children feeling insecure. Neglectful parenting (choice D) is characterized by a lack of responsiveness and involvement, leading to various negative outcomes for the child's development.

5. Which of the following is NOT a culture-bound syndrome?

• A. Hikikomori
• B. Zar
• C. Hoopa
• D. Koro

Correct answer: C

Rationale: The correct answer is C, 'Hoopa,' as it is not recognized as a culture-bound syndrome. A culture-bound syndrome refers to a cluster of symptoms that are recognized and named within a specific cultural group but may not be recognized universally. Hikikomori is a culture-bound syndrome in Japan where individuals isolate themselves from social interactions. Zar is a culture-bound syndrome found in Africa and the Middle East characterized by episodes of laughing, crying, and singing. Koro is a culture-bound syndrome, primarily documented in Asian cultures, where individuals have an intense fear of genital retraction.

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