Nursing Elites

1. In psychoanalytic theory, which psychosexual stage centers on castration anxiety?

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

Correct answer: D

Rationale: Castration anxiety is a concept specific to the Phallic stage in psychoanalytic theory, according to Sigmund Freud. During the Phallic stage, children experience the Oedipus complex (boys) and Electra complex (girls), where they develop unconscious desires for the opposite-sex parent and fear castration by the same-sex parent. This anxiety is a crucial aspect of the Phallic stage, making it the correct answer. The other stages (Genital, Oral, and Anal) do not directly involve castration anxiety and focus on different aspects of psychosexual development.

2. How does the biopsychosocial model differ from the biomedical model?

• A. The biopsychosocial model focuses solely on the biological aspects of disease.
• B. The biopsychosocial model includes biological, psychological, and social factors, whereas the biomedical model focuses on only biological factors.
• C. The biopsychosocial model is outdated and has been replaced by the biomedical model.
• D. The biopsychosocial model is identical to the biomedical model.

Correct answer: B

Rationale: The biopsychosocial model differs from the biomedical model by considering biological, psychological, and social factors in understanding health and illness. Choice A is incorrect because the biopsychosocial model does not solely focus on biological aspects. Choice C is incorrect as the biopsychosocial model is not outdated but rather offers a more comprehensive approach. Choice D is incorrect as the two models are distinct in their considerations of factors beyond biology.

3. 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.

4. Latresha is not hungry, is extremely tired, and doesn't feel like doing much of anything. She often feels that life is just hopeless. These symptoms have been going on for 2 months now. She probably is suffering from which mood disorder?

• A. Generalized anxiety disorder
• B. Bipolar disorder
• C. Major depressive disorder
• D. Obsessive-compulsive disorder

Correct answer: C

Rationale: The correct answer is C, Major Depressive Disorder. Latresha's symptoms of prolonged sadness, fatigue, and lack of interest in activities lasting for 2 months indicate a major depressive episode. Generalized anxiety disorder (A) is characterized by excessive worry and anxiety, not necessarily prolonged sadness. Bipolar disorder (B) involves episodes of both mania and depression, not solely prolonged sadness. Obsessive-compulsive disorder (D) is characterized by obsessions and compulsions, not the symptoms described in the scenario.

5. Jason, a 4-year-old boy, believes that it gets cloudy and rainy every time he is sad. He concluded that his sadness is the cause of the bad weather. This tendency is known as?

• A. Irreversibility
• B. Centration
• C. Animism
• D. Transduction

Correct answer: D

Rationale: The correct answer is D, Transduction. Transduction refers to when a child believes that their feelings or actions cause unrelated events, such as a child thinking their sadness causes rain. Choice A, Irreversibility, is incorrect as it relates to the belief that actions cannot be undone, which is more related to conservation tasks in Piaget's theory. Choice B, Centration, refers to the tendency to focus on only one aspect of a situation, overlooking other relevant aspects. Choice C, Animism, is the attribution of lifelike qualities to inanimate objects, which is not applicable in this scenario.

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