Nursing Elites

1. What is the biopsychosocial model, and why is it important?

• A. A model that integrates biological, psychological, and social factors.
• B. A model that focuses solely on biological factors.
• C. A model that excludes social factors.
• D. A model that focuses solely on psychological factors.

Correct answer: A

Rationale: The biopsychosocial model is a model that integrates biological, psychological, and social factors. It is important because it recognizes the interconnectedness of these factors in influencing an individual's mental health. Option B is incorrect because the biopsychosocial model does not focus solely on biological factors. Option C is incorrect as the model does not exclude social factors. Option D is incorrect as the model does not focus solely on psychological factors.

2. What are the potential effects of childhood trauma on adult behavior?

• A. Childhood trauma is typically overcome by adulthood.
• B. Childhood trauma can have long-lasting effects on adult behavior.
• C. Childhood trauma has minimal impact on adult behavior.
• D. Childhood trauma is easily overcome with age.

Correct answer: B

Rationale: Childhood trauma can have profound and lasting effects on behavior and mental health in adulthood. It can lead to various issues such as anxiety, depression, PTSD, and difficulties in forming relationships. Choice A is incorrect because childhood trauma doesn't automatically disappear with age. Choice C is incorrect as research shows that childhood trauma can significantly impact adult behavior. Choice D is incorrect as overcoming childhood trauma is usually a complex and challenging process that may require therapy and support.

3. 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.

4. If a pair of monozygotic twins raised in the same environment end up being different from one another (e.g., interests, hobbies, etc.), it is highly likely due to:

• A. Cephalocaudal pattern
• B. Proximodistal pattern
• C. Cephamodistal pattern
• D. Gene-environment correlation

Correct answer: B

Rationale: The correct answer is B: Proximodistal pattern. Differences between monozygotic twins raised in the same environment are likely due to non-shared environmental influences, which lead to differences in interests, hobbies, and other individual characteristics. Choices A, C, and D are incorrect. Cephalocaudal pattern refers to the principle of development from head to toe, not relevant in explaining differences between twins. Cephamodistal pattern is not a recognized developmental term. Gene-environment correlation does not directly explain the differences between identical twins raised in the same environment.

5. Infant characteristics ________.

• A. do not affect parental behavior.
• B. only affect parental behavior when psychopathology is present.
• C. are not influenced by biological factors.
• D. can influence the quality of attachment relationships.

Correct answer: D

Rationale: Infant characteristics can indeed influence the quality of attachment relationships. Parents often respond to their infants based on their characteristics, temperament, and needs. This interaction shapes the attachment bond between the parent and the child. Choices A, B, and C are incorrect because infant characteristics do have an impact on parental behavior and are influenced by various factors, including biological ones.

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