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. Which of the following is an example of telegraphic speech?

• A. A child pointed to his father's shoe and said 'daddy,' as if to convey 'daddy's shoe.'
• B. A thirsty toddler said, 'mama water.'
• C. A newborn infant asked, 'Can I have some coffee?'
• D. A baby communicated to her parents using her brain.

Correct answer: B

Rationale: The correct answer is B. Telegraphic speech is when a child uses a two-word phrase to convey a larger meaning, such as 'mama water.' Choice A is incorrect as it does not demonstrate telegraphic speech but rather a simple labeling. Choice C is incorrect as it is a complete sentence and not a two-word phrase. Choice D is also incorrect as it does not describe telegraphic speech but rather a vague statement about communication.

3. Professor Immel believes that behaviors that are predominant in certain species probably serve some adaptive function. Professor Immel's beliefs are most consistent with which perspective?

• A. Behavioral perspective.
• B. Cognitive perspective.
• C. Humanistic perspective.
• D. Evolutionary perspective.

Correct answer: D

Rationale: Professor Immel's belief that behaviors in certain species serve an adaptive function aligns with the evolutionary perspective. The evolutionary perspective posits that behaviors have developed over time because they provide an advantage for survival and reproduction. This perspective emphasizes the role of natural selection in shaping behaviors based on their adaptive value. Choices A, B, and C do not specifically address the idea that behaviors have evolved to serve specific functions for survival, making them inconsistent with Professor Immel's beliefs.

4. What is extinction, and how might it be used in treating a disorder?

• A. Extinction strengthens the conditioned response by continuously pairing the conditioned stimulus with the unconditioned stimulus.
• B. Extinction is the process of eliminating a conditioned response by repeatedly presenting the conditioned stimulus without the unconditioned stimulus.
• C. Extinction is ineffective and is not used in treating disorders.
• D. Extinction is the process of intensifying the conditioned response by pairing the conditioned stimulus with a stronger unconditioned stimulus.

Correct answer: B

Rationale: Extinction is the process of eliminating a conditioned response by repeatedly presenting the conditioned stimulus without the unconditioned stimulus. This process helps in reducing or eliminating undesired behaviors or responses. Choice A is incorrect because extinction weakens the conditioned response by breaking the association between the conditioned stimulus and the unconditioned stimulus. Choice C is incorrect as extinction is a widely used technique in behavioral therapies for treating disorders. Choice D is incorrect as extinction aims to reduce the conditioned response, not intensify it.

5. Which of the following statements about brain dysfunction and psychiatric disorders is correct?

• A. Identifiable brain damage is often the cause of psychiatric disorders.
• B. Brain damage may decrease the risk of developing a psychiatric condition.
• C. Changes in brain function appear to play a role in many psychiatric disorders.
• D. Brain development can be altered by experience, always leading to changes in the brain that decrease the risk of developing a psychiatric condition.

Correct answer: C

Rationale: The correct statement is C: 'Changes in brain function appear to play a role in many psychiatric disorders.' This statement is accurate as research suggests that alterations in brain function are associated with various psychiatric disorders. Option A is incorrect because while brain damage can contribute to some psychiatric conditions, it is not always the primary cause. Option B is incorrect as brain damage typically increases the risk of developing psychiatric disorders. Option D is incorrect because while brain development can be influenced by experiences, it does not always decrease the risk of psychiatric conditions.

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