Nursing Elites

1. How can attributional style influence the likelihood of developing depression?

• A. By fostering a positive attributional style, individuals can enhance their resilience against depression.
• B. Attributional style does not significantly influence the development of depression.
• C. By adopting a negative attributional style, individuals increase their vulnerability to depression.
• D. Attributional style influences the likelihood of developing depression by determining how individuals interpret and respond to events.

Correct answer: D

Rationale: The correct answer is D because attributional style plays a crucial role in influencing the likelihood of developing depression by shaping how individuals interpret and respond to events. A positive attributional style can indeed enhance resilience against depression by promoting adaptive coping mechanisms and positive interpretations of situations, which can buffer against the development of depressive symptoms. Conversely, a negative attributional style, characterized by attributing negative events to internal, stable, and global factors, can increase vulnerability to depression by fostering feelings of helplessness and hopelessness. Choices A and C provide accurate insights into how different attributional styles can impact the development of depression, making them incorrect. Choice B is incorrect as research indicates that attributional style does have a significant influence on the likelihood of developing depression.

2. What is object-relations theory?

• A. It is the theory that focuses on observable behaviors only.
• B. It is a newer psychodynamic theory focusing on how individuals interact with others and their internalized relationships.
• C. It is the theory that emphasizes the importance of cognitive processes in shaping behavior.
• D. It is a cognitive-behavioral theory focused on changing maladaptive thought patterns.

Correct answer: B

Rationale: Object-relations theory is a psychodynamic theory that focuses on how individuals interact with others and their internalized relationships. Choice A is incorrect because object-relations theory goes beyond observable behaviors to explore internalized relationships. Choice C is incorrect because object-relations theory does not primarily emphasize cognitive processes. Choice D is incorrect because object-relations theory is not a cognitive-behavioral theory focused on changing thought patterns.

3. 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.

4. Which psychosexual stage focuses on castration anxiety?

• A. Genital
• B. Oral
• C. Anal
• D. Phallic

Correct answer: D

Rationale: Castration anxiety is a concept from Freudian psychoanalytic theory that occurs during the Phallic stage. This stage occurs between 3 to 6 years of age and is when children experience conflicts related to the Oedipus complex (boys) and Electra complex (girls). During this stage, children may fear castration (in boys) or penis envy (in girls), which are crucial components of castration anxiety. Therefore, the correct answer is Phallic. The other options (A: Genital, B: Oral, C: Anal) are incorrect as they do not specifically involve castration anxiety but rather represent different stages in Freud's psychosexual development theory.

5. Cortisol is a hormone that ________

• A. is released by the hypothalamus and travels to the pituitary gland, causing it to respond.
• B. the pituitary gland releases to stimulate the adrenal gland.
• C. the adrenal gland produces that mobilizes the body to deal with stress.
• D. reduces the reuptake of the monoamine neurotransmitters.

Correct answer: C

Rationale: The correct answer is C. Cortisol is a hormone produced by the adrenal gland that mobilizes the body to deal with stress. It helps regulate metabolism, reduce inflammation, and assist in memory formulation. Choice A is incorrect as cortisol is not released by the hypothalamus and does not travel to the pituitary gland. Choice B is incorrect as cortisol is not released by the pituitary gland but acts on it to regulate hormone production. Choice D is incorrect as cortisol does not reduce the reuptake of monoamine neurotransmitters.

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