Nursing Elites

1. How does the diathesis-stress model explain the onset of mental disorders?

• A. Stress alone is sufficient to cause mental disorders.
• B. Both genetic vulnerability and environmental stress are needed to trigger a disorder.
• C. Only genetic factors cause mental disorders.
• D. Environmental stressors alone can cause mental disorders.

Correct answer: B

Rationale: The diathesis-stress model explains that the onset of mental disorders results from the interaction of genetic vulnerability (diathesis) and environmental stress. Choice A is incorrect because stress alone is not sufficient, according to the model. Choice C is incorrect as it oversimplifies by attributing mental disorders solely to genetic factors. Choice D is incorrect because the model emphasizes the joint contribution of genetic predisposition and environmental stress.

2. When Ryan was born, the hospital assessed his health with the Apgar scale, and the score was 5. What does this mean with respect to his breathing pattern?

• A. He was not in danger
• B. He needed help in establishing a breathing pattern
• C. He was in excellent condition
• D. He was in critical condition

Correct answer: B

Rationale: An Apgar score of 5 suggests that Ryan needed help establishing a regular breathing pattern after birth. Choice A is incorrect because a score of 5 indicates the need for assistance. Choice C is incorrect as an Apgar score of 5 does not reflect excellent condition. Choice D is incorrect as it signifies a critical condition, which is not the case with an Apgar score of 5.

3. Which of the following did Freud believe played a causal role in the development of most forms of psychopathology?

• A. Anxiety
• B. Depression
• C. Unresolved conflicts between the ego and the superego
• D. Fixation in the oral stage

Correct answer: A

Rationale: Freud believed that anxiety was a primary causal factor in the development of most forms of psychopathology. Anxiety, according to Freud, arises from conflicts within the mind, particularly conflicts between the id, ego, and superego. This unresolved conflict can lead to various psychological issues. While depression can be a symptom of psychopathology, Freud emphasized anxiety as a more foundational element. Unresolved conflicts between the ego and the superego are related to Freud's structural model of the mind but are not the primary causal factor in psychopathology. Fixation in the oral stage is a concept from Freud's psychosexual stages of development and is not directly linked to the causal role in the development of most forms of psychopathology.

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. Barney helps his younger brother, who has just learned to cycle on his own, to navigate narrow roads and sharp turns. Vygotsky will refer to this as ________?

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

Correct answer: C

Rationale: In this scenario, where Barney is assisting his younger brother in navigating narrow roads and sharp turns, Vygotsky would refer to this as an example of the 'mesosystem.' The mesosystem involves the interactions between different systems in a child's environment, such as family and peers. Choices A, B, and D are incorrect: A) Microsystem refers to the immediate environment where the child lives, like home and school; B) Macrosystem encompasses the larger cultural context; D) Exosystem involves external settings that indirectly influence the child.

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