Nursing Elites

1. What are influences that are unusual events with a major impact on individual lives because they disrupt the expected sequence of the life cycle?

• A. Nonnormative influences
• B. Normative history-graded influence
• C. Normative age-graded influence
• D. Sensitive period

Correct answer: A

Rationale: Nonnormative influences refer to unusual events that have a significant impact on individuals' lives by disrupting the typical life cycle. They are events that are not typical for a specific age or cohort. Normative history-graded influences (choice B) are common influences shared by a specific generation due to historical circumstances. Normative age-graded influences (choice C) are typical events that occur at a particular age for most people. A sensitive period (choice D) is a biologically determined time during which specific experiences have a lasting impact on development.

2. A model of understanding mental illnesses that attempts to integrate the contributions of many different types of actors is called the ________ viewpoint.

• A. biopsychosocial
• B. sociocultural
• C. Gestalt
• D. neuroscience

Correct answer: A

Rationale: The correct answer is A: biopsychosocial. The biopsychosocial viewpoint considers the interplay of biological, psychological, and social factors in understanding mental illnesses. This model recognizes that mental health and illness are influenced by a combination of biological, psychological, and social factors. Choice B, sociocultural, focuses more on societal and cultural influences on mental health, while Choice C, Gestalt, relates to holistic psychology. Choice D, neuroscience, emphasizes the role of the nervous system and brain in mental processes, but it does not encompass the broader integration of biological, psychological, and social aspects seen in the biopsychosocial viewpoint.

3. Nearly all adults who were children living in Saigon when the U.S. armed forces left Vietnam in 1975 report that their lives were changed by those events. This exemplifies which of the following?

• A. Normative age-graded influence
• B. Social clock
• C. Critical period
• D. Sensitive period

Correct answer: C

Rationale: The correct answer is C. This scenario exemplifies a critical period in development. Critical periods are specific times in an individual's life when certain events have a profound impact on their development. In this case, the events surrounding the departure of the U.S. armed forces from Saigon in 1975 had a lasting influence on the children living there at that time. Choices A, B, and D are incorrect. Normative age-graded influence refers to events that are common to people of a particular age group, the social clock relates to the culturally preferred timing of social events, and a sensitive period is a time when an individual is more susceptible to environmental influences but does not result in lifelong consequences as with critical periods.

4. In order for one to be diagnosed with panic disorder, the panic attacks must?

• A. Suddenly; unexpectedly
• B. Suddenly; gradually
• C. Gradually; unexpectedly
• D. Unexpectedly; suddenly

Correct answer: A

Rationale: The correct answer is A: 'Suddenly; unexpectedly.' Panic disorder is diagnosed when panic attacks occur unexpectedly, not gradually. Panic attacks are characterized by their sudden onset and are unpredictable. Choice B is incorrect because panic attacks do not manifest gradually. Choice C is incorrect because panic attacks are not expected or predicted. Choice D is incorrect as well because the unexpected nature of panic attacks is a key criterion for diagnosing panic disorder.

5. 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.

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