Nursing Elites

1. Strict behaviorists would be most sympathetic to which one of the following statements?

• A. Human behavior is primarily caused by inherited factors.
• B. Human behavior is primarily caused by environmental factors.
• C. Human behavior is primarily caused by equal contributions of inherited and environmental factors.
• D. No one really knows the primary causes for human behavior.

Correct answer: B

Rationale: Strict behaviorists, who adhere to behaviorism, believe that human behavior is primarily influenced by environmental factors. This perspective asserts that individuals' actions and responses are shaped by their interactions with the environment, learning experiences, and external stimuli. Choice A is incorrect because strict behaviorists do not focus on inherited factors but on how behavior is learned and shaped through environmental influences. Choice C is also incorrect as behaviorists do not believe in equal contributions of inherited and environmental factors; they emphasize environmental determinants. Choice D is incorrect as behaviorists have a clear stance that behavior is influenced by environmental stimuli and learning experiences.

2. Which of the following psychodynamic elements of the personality can be described as impulsive and selfish?

• A. Ego
• B. Id
• C. Superego
• D. Ideal self

Correct answer: B

Rationale: The correct answer is B, Id. In psychodynamic theory, the Id is the component driven by basic, primal instincts, seeking instant gratification without consideration for consequences. It operates on the pleasure principle, aiming to fulfill desires immediately. The Superego, on the other hand, represents the internalized moral standards and ideals, while the Ego mediates between the Id and Superego, balancing impulses with societal norms. The 'Ideal self' is a concept from humanistic psychology related to one's aspirations and goals, not a component in psychodynamic theory. Therefore, choices A, C, and D are incorrect.

3. Unlike other types of anxiety disorders, this one is not triggered by anything specific, hence the name free-floating anxiety.

• A. Social anxiety disorder
• B. Generalized anxiety disorder
• C. Panic disorder
• D. Specific phobia

Correct answer: B

Rationale: The correct answer is B, Generalized anxiety disorder. Generalized anxiety disorder is characterized by persistent and excessive worry or anxiety that is not triggered by specific situations or objects, hence the term 'free-floating anxiety.' Social anxiety disorder (A) is characterized by fear and anxiety about social situations, panic disorder (C) involves recurrent unexpected panic attacks, and specific phobia (D) is an intense fear of a specific object or situation. Therefore, B is the most appropriate choice in the context of anxiety not being triggered by specific stimuli.

4. 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.

5. How does the environment interact with genetic predispositions to influence mental health?

• A. The environment has no influence on mental health.
• B. The environment interacts with genetic predispositions to either enhance or mitigate mental health risks.
• C. The environment can only influence physical health, not mental health.
• D. The environment has a minimal effect on mental health outcomes.

Correct answer: B

Rationale: The correct answer is B. The environment interacts with genetic predispositions to either enhance or mitigate mental health risks. This highlights the intricate relationship between one's genetic makeup and the environmental factors they are exposed to, both contributing significantly to mental health outcomes. Choice A is incorrect as numerous studies show that the environment plays a crucial role in mental health. Choice C is incorrect as the environment can influence both physical and mental health. Choice D is incorrect as research indicates that the environment can have a substantial impact on mental health outcomes.

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