Nursing Elites

1. How do socioeconomic factors affect mental health?

• A. Socioeconomic factors do not affect mental health.
• B. Socioeconomic factors are one of the primary determinants of mental health.
• C. Socioeconomic factors only affect mental health in extreme cases.
• D. Socioeconomic factors have no clear impact on mental health.

Correct answer: B

Rationale: The correct answer is B. Socioeconomic factors like income and education levels are key determinants of mental health. They influence access to resources such as healthcare, housing, and social support systems, which can impact an individual's mental well-being. Additionally, socioeconomic factors can contribute to stress levels and overall quality of life, which in turn affect mental health. Choice A is incorrect because socioeconomic factors do play a significant role in mental health outcomes. Choice C is incorrect as socioeconomic factors have a broad impact on mental health beyond extreme cases. Choice D is also incorrect as numerous studies have shown the clear impact of socioeconomic factors on mental health.

2. After cheating on her husband and feeling ashamed, Julia accused her husband of cheating. Such behavior is explained by which of the following defense mechanisms?

• A. Sublimation
• B. Displacement
• C. Projection
• D. Rationalization

Correct answer: C

Rationale: The correct answer is C, Projection. Projection is the defense mechanism where one attributes their own unacceptable feelings to others. In this scenario, Julia is projecting her feelings of guilt and shame onto her husband by accusing him of cheating. Sublimation (choice A) involves channeling unacceptable impulses into socially acceptable activities. Displacement (choice B) is redirecting emotions from the original source to a substitute target. Rationalization (choice D) is providing logical explanations to justify unacceptable behavior, which is not applicable in this context.

3. In the Philippines, the existing laws only allow for 7 days of paternity leave. Consequently, fathers get to spend less time with their newborn baby. Which context in Bronfenbrenner's theory does this fall under?

• A. Microsystem
• B. Macrosystem
• C. Mesosystem
• D. Exosystem

Correct answer: D

Rationale: This situation falls under the exosystem in Bronfenbrenner's ecological systems theory. The exosystem comprises broader social systems that indirectly influence individuals' lives, such as laws governing parental leave. The limited paternity leave directly impacts fathers' ability to spend time with their newborns but is determined by external factors like societal policies, making it an exosystem influence. Choices A, B, and C do not fit this scenario as they refer to more immediate social environments or broader cultural norms that do not directly determine parental leave policies.

4. What are the potential effects of childhood trauma on adult behavior?

• A. Childhood trauma is typically overcome by adulthood.
• B. Childhood trauma can have long-lasting effects on adult behavior.
• C. Childhood trauma has minimal impact on adult behavior.
• D. Childhood trauma is easily overcome with age.

Correct answer: B

Rationale: Childhood trauma can have profound and lasting effects on behavior and mental health in adulthood. It can lead to various issues such as anxiety, depression, PTSD, and difficulties in forming relationships. Choice A is incorrect because childhood trauma doesn't automatically disappear with age. Choice C is incorrect as research shows that childhood trauma can significantly impact adult behavior. Choice D is incorrect as overcoming childhood trauma is usually a complex and challenging process that may require therapy and support.

5. How does stress impact brain function?

• A. Stress has no effect on brain function.
• B. Stress can lead to changes in brain structure and function.
• C. Stress can improve brain function.
• D. Stress has no long-term impact on brain function.

Correct answer: B

Rationale: Stress can lead to changes in brain structure and function, affecting mental health and increasing the risk of disorders. Choice A is incorrect as stress does affect brain function. Choice C is incorrect as stress generally has negative impacts on brain function rather than improving it. Choice D is incorrect because stress can have long-term impacts on brain function through structural and functional changes.

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