Nursing Elites

1. Sandy took part in the April 2013 Boston Marathon, where two bombs were detonated near the finish line, killing three spectators. For approximately 2 weeks after the marathon, Sandy was unable to sleep or concentrate and often found herself reliving the moment she heard the bombs explode. What disorder might Sandy be diagnosed with?

• A. Posttraumatic stress disorder
• B. Phobic disorder
• C. Panic disorder
• D. Acute stress disorder

Correct answer: A

Rationale: Sandy might be diagnosed with posttraumatic stress disorder (PTSD). PTSD typically develops after exposure to a traumatic event and is characterized by symptoms such as re-experiencing the event, avoidance of reminders of the event, negative changes in thoughts and mood, and heightened reactivity. While acute stress disorder can occur shortly after a traumatic event, the duration of symptoms in the scenario suggests a more prolonged impact, aligning with PTSD. Phobic disorder and panic disorder are not as closely related to the described symptoms as PTSD.

2. 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.

3. Children from lower-SES families ________.

• A. are more likely to be resilient adults than those from higher-SES families.
• B. show no signs of ill effects if there is an increase in SES before age 5.
• C. are not affected by SES status unless persistent employment is the reason for the economic hardships of the family.
• D. are less likely to show ill effects of SES status if they possess a high IQ and develop healthy attachments to adults and peers.

Correct answer: D

Rationale: Children from lower-SES families are less likely to show ill effects of SES status if they possess a high IQ and develop healthy attachments. Choice A is incorrect because children from lower-SES families typically face more challenges and are not inherently more resilient. Choice B is incorrect as an increase in SES may not erase the effects of early socioeconomic disadvantages. Choice C is incorrect as SES status can impact children from lower-SES families regardless of the reason for economic hardships.

4. Which part of the superego develops from our experiences with rewards for proper behavior and tells us what we should do?

• A. Conscience
• B. Ego-ideal
• C. Regressing back to the anal stage
• D. Regressing back to the oral stage

Correct answer: B

Rationale: The correct answer is B, the Ego-ideal. The Ego-ideal is a subsystem of the superego that develops from experiences with rewards for proper behavior. It guides individuals on what they should do, setting standards and ideals for behavior. Choice A, Conscience, represents the part of the superego that focuses on what one should not do, based on experiences with punishment for improper behavior. Choices C and D, regressing back to the anal and oral stages respectively, are irrelevant to the development of the superego's components and are not related to experiences with rewards for proper behavior.

5. What is the term for the age of an unborn baby, usually dated from the first day of an expectant mother's last menstrual cycle?

• A. Mental age
• B. Chronological age
• C. Functional age
• D. Gestational age

Correct answer: D

Rationale: The correct answer is D, Gestational age. Gestational age is calculated from the first day of the expectant mother's last menstrual cycle, providing an estimate of how far along the pregnancy is. Mental age (choice A), refers to an individual's level of cognitive functioning in relation to others of the same age group. Chronological age (choice B) is a person's actual age in years. Functional age (choice C) refers to how well a person is able to perform various activities compared to their chronological age.

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