Nursing Elites

1. 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.

2. The four parenting styles described in the text differ along two dimensions: warmth and control. The style associated with the most positive developmental outcome is best described as ________ in warmth and ________ in control.

• A. high; low
• B. low; low
• C. high; moderately high
• D. low; moderately high

Correct answer: C

Rationale: The correct answer is C: 'high in warmth and moderately high in control.' The authoritative parenting style, associated with the most positive developmental outcomes, is characterized by high levels of warmth and support coupled with moderately high levels of control. This balance allows children to develop independence while feeling secure and valued. Choices A, B, and D are incorrect because the authoritative style is not characterized by low warmth or low control, but rather high warmth and moderate control.

3. 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.

4. Define resilience and explain its significance in mental health.

• A. Resilience refers to the ability to avoid all mental health issues despite severe stress.
• B. Resilience is the ability to adapt successfully to even very difficult circumstances.
• C. Resilience is the tendency to be unaffected by any form of stress or adversity.
• D. Resilience is the ability to avoid stress by avoiding challenges.

Correct answer: B

Rationale: The correct definition of resilience is the ability to adapt successfully to difficult circumstances, not avoiding stress entirely. Resilience is significant in mental health as it helps individuals overcome adversity rather than avoiding it. Choice A is incorrect as resilience doesn't mean avoiding all mental health issues but rather dealing with stress effectively. Choice C is incorrect as resilience involves facing and overcoming stress, not being unaffected by it. Choice D is incorrect as resilience involves facing challenges and stress, not avoiding them altogether.

5. Why is it particularly useful to study identical twins who were raised in different environments?

• A. Differences in brain function can be easily identified.
• B. Concordance rates tend to be higher.
• C. It is possible that the genetics of twins who have been separated have changed in ways to explain any differences found.
• D. It is possible that high concordance rates between identical twins reared together are due to their being treated more similarly than nonidentical twins.

Correct answer: D

Rationale: Studying identical twins raised in different environments allows researchers to understand the impact of genetics versus environmental factors on traits. Choice A is incorrect because differences in brain function can be influenced by a variety of factors and not solely by environmental differences. Choice B is incorrect as concordance rates tend to be higher in identical twins reared together due to shared genetics and environment. Choice C is incorrect because genetics do not change due to being raised in different environments.

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