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. Mental disorders are almost always _______, meaning they are influenced by multiple genes.

• A. environmental
• B. chemical circuits
• C. polygenic
• D. probabilistic

Correct answer: C

Rationale: The correct answer is C: 'polygenic.' Mental disorders are polygenic, which means they are influenced by multiple genes. This term specifically refers to conditions or traits that are caused by more than one gene. Choice A, 'environmental,' is incorrect as it doesn't directly refer to the genetic influence on mental disorders. Choice B, 'chemical circuits,' is incorrect as it is too specific and not a common term used to describe the genetic basis of mental disorders. Choice D, 'probabilistic,' is incorrect as it relates more to the likelihood or chance of something happening rather than the genetic influence on mental disorders.

3. There is experimental evidence showing that consistently being discriminated against may cause a person to ________.

• A. be happy.
• B. be more conscious.
• C. have cardiovascular reactivity.
• D. have greater intelligence and wisdom.

Correct answer: C

Rationale: The correct answer is C: 'have cardiovascular reactivity.' Consistent discrimination can lead to increased cardiovascular reactivity, impacting heart health. Choice A ('be happy') is incorrect because discrimination typically causes distress and negative emotions. Choice B ('be more conscious') is not directly related to the impact of discrimination. Choice D ('have greater intelligence and wisdom') is also unrelated to the physiological response of cardiovascular reactivity caused by discrimination.

4. What is object-relations theory?

• A. It is the theory that focuses on observable behaviors only.
• B. It is a newer psychodynamic theory focusing on how individuals interact with others and their internalized relationships.
• C. It is the theory that emphasizes the importance of cognitive processes in shaping behavior.
• D. It is a cognitive-behavioral theory focused on changing maladaptive thought patterns.

Correct answer: B

Rationale: Object-relations theory is a psychodynamic theory that focuses on how individuals interact with others and their internalized relationships. Choice A is incorrect because object-relations theory goes beyond observable behaviors to explore internalized relationships. Choice C is incorrect because object-relations theory does not primarily emphasize cognitive processes. Choice D is incorrect because object-relations theory is not a cognitive-behavioral theory focused on changing thought patterns.

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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