Nursing Elites

1. School phobia among kids may be a form of?

• A. Occurs every time when one is in a certain situation
• B. Occurs most of the time when one is in a specific situation
• C. Be unexpected
• D. Expected

Correct answer: C

Rationale: The correct answer is C: 'Be unexpected.' School phobia in children is often associated with separation anxiety disorder, leading to unexpected and intense fear or anxiety about attending school. Choices A and B are incorrect because school phobia does not necessarily occur every time or most of the time when in a specific situation; it is more about the unexpected fear related to attending school. Choice D is also incorrect because school phobia is characterized by an unexpected and overwhelming fear of school, not an expected or anticipated reaction.

2. 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.

3. After cheating on her husband and feeling ashamed, Julia accused her husband of cheating. Such behavior is explained by which of the following defense mechanisms?

• A. Sublimation
• B. Displacement
• C. Projection
• D. Rationalization

Correct answer: C

Rationale: The correct answer is C, Projection. Projection is the defense mechanism where one attributes their own unacceptable feelings to others. In this scenario, Julia is projecting her feelings of guilt and shame onto her husband by accusing him of cheating. Sublimation (choice A) involves channeling unacceptable impulses into socially acceptable activities. Displacement (choice B) is redirecting emotions from the original source to a substitute target. Rationalization (choice D) is providing logical explanations to justify unacceptable behavior, which is not applicable in this context.

4. Which of the following characteristics best describes differences between bulimia nervosa and anorexia nervosa?

• A. Individuals with anorexia nervosa do not have as severe health risks as individuals with bulimia nervosa have.
• B. Individuals with bulimia nervosa may have a normal body weight.
• C. Individuals with anorexia nervosa have been known to binge like those with bulimia nervosa on occasion.
• D. Only those with bulimia nervosa display compensatory behaviors.

Correct answer: B

Rationale: The correct answer is B. Individuals with bulimia nervosa may maintain a normal body weight, while anorexia nervosa is often associated with severe underweight. Choice A is incorrect because individuals with anorexia nervosa actually face severe health risks due to malnutrition, electrolyte imbalances, and other complications. Choice C is incorrect as anorexia nervosa is characterized by restriction of food intake rather than binge eating. Choice D is incorrect as individuals with anorexia nervosa can also display compensatory behaviors such as excessive exercise or fasting.

5. Newer psychodynamic perspectives ________.

• A. disregard most elements of Freud's theories.
• B. emphasize the role of the id.
• C. do not view the libido as a primary determinant of behavior.
• D. recognize intrapsychic conflicts as a primary determinant of behavior.

Correct answer: C

Rationale: Newer psychodynamic perspectives do not view the libido as a primary determinant of behavior. While Freud's theories focused heavily on the libido as a driving force, newer perspectives have evolved to consider a broader range of factors influencing behavior. Choice A is incorrect as newer perspectives still build upon some elements of Freud's theories. Choice B is incorrect as newer perspectives may not solely emphasize the role of the id. Choice D is incorrect as while intrapsychic conflicts are considered important, they are not always viewed as the sole primary determinant of behavior in newer psychodynamic perspectives.

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