Nursing Elites

1. Which orientation focuses on symptoms rather than looking at underlying causes?

• A. Psychodynamic
• B. Adlerian
• C. Jungian
• D. Behavioral

Correct answer: A

Rationale: The correct answer is A: Psychodynamic. The psychodynamic orientation focuses on symptoms rather than underlying causes, emphasizing the importance of the unconscious mind. This approach views symptoms as manifestations of underlying psychological issues rooted in the unconscious. Choice B, Adlerian, is focused on individual psychology, social interests, and the importance of feelings of inferiority. Choice C, Jungian, is based on analytical psychology and the concepts of the collective unconscious and archetypes. Choice D, Behavioral, concentrates on observable behaviors and how they are learned and reinforced through interactions with the environment, rather than focusing on underlying causes.

2. Undercontrolled behavior tends to be seen in American children, whereas overcontrolled behavior is seen in Thai children.

• A. Aggressive behavior; calm behavior
• B. Overcontrolled behavior; undercontrolled behavior
• C. Undercontrolled behavior; overcontrolled behavior
• D. Equal behavioral traits in both cultures.

Correct answer: C

Rationale: The correct answer is C: 'Undercontrolled behavior; overcontrolled behavior.' The question highlights a cultural difference in behavior tendencies between American and Thai children. American children are usually characterized by undercontrolled behavior, while Thai children tend to exhibit overcontrolled behavior. Choice A (Aggressive behavior; calm behavior) is incorrect as the question does not mention aggressive or calm behavior as the contrasting traits between the two groups. Choice B (Overcontrolled behavior; undercontrolled behavior) is incorrect because the described behavior patterns are reversed based on the question's context. Choice D (Equal behavioral traits in both cultures) is incorrect as the question explicitly states differing behavior patterns in American and Thai children.

3. What is the diathesis-stress model of psychopathology?

• A. The idea that stress is the primary cause of psychopathology.
• B. A model that focuses solely on genetic predispositions.
• C. A theory that involves only environmental factors in the development of disorders.
• D. A person must have both a vulnerability for a disorder and exposure to stressors to develop the disorder.

Correct answer: D

Rationale: The diathesis-stress model of psychopathology posits that individuals must have a vulnerability or predisposition to a disorder (diathesis) and be exposed to stressful environmental factors for the disorder to manifest. This model emphasizes the interaction between genetic or biological vulnerabilities (diathesis) and environmental stressors. Choice A is incorrect because the model does not suggest that stress is the sole cause of psychopathology. Choice B is incorrect as the model considers both genetic predispositions and environmental stressors. Choice C is incorrect because the diathesis-stress model acknowledges the role of both genetic and environmental factors in the development of disorders.

4. Colleen found herself attracted to her psychology instructor. She would frequently go by his office just to be near him. When he didn't respond to her advances, Colleen eventually told him that she had thoughts of killing herself so that he would spend time trying to counsel her. What personality disorder best describes Colleen's thinking and behavior?

• A. Borderline personality disorder
• B. Schizoid personality disorder
• C. Schizotypal personality disorder
• D. Antisocial personality disorder

Correct answer: A

Rationale: Colleen's behavior of seeking attention and manipulating others by threatening self-harm to elicit a response from her psychology instructor aligns with the characteristics of borderline personality disorder. This disorder is characterized by unstable relationships, impulsive actions, and efforts to avoid real or imagined abandonment. Choices B, C, and D are incorrect because they do not match Colleen's behavior as described in the scenario. Schizoid personality disorder is characterized by a lack of interest in social relationships, Schizotypal personality disorder involves social anxiety and odd behavior, and Antisocial personality disorder is characterized by a disregard for others' feelings and violating their rights.

5. How do defense mechanisms contribute to psychopathology?

• A. They do not contribute to psychopathology as they are healthy coping mechanisms.
• B. They contribute to psychopathology by allowing individuals to avoid confronting painful realities.
• C. Defense mechanisms have no connection to psychopathology.
• D. Defense mechanisms are unconscious strategies that can lead to the development of psychopathology.

Correct answer: B

Rationale: The correct answer is B. Defense mechanisms contribute to psychopathology by allowing individuals to avoid confronting painful realities. This avoidance can prevent individuals from dealing with underlying issues, leading to the development or exacerbation of psychopathological conditions. Choice A is incorrect because while defense mechanisms may serve as coping mechanisms, they can also contribute to psychopathology when used excessively or inappropriately. Choice C is incorrect as defense mechanisms are indeed connected to psychopathology. Choice D is incorrect because defense mechanisms, when maladaptive, can contribute to psychopathology rather than being considered healthy coping strategies.

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