Nursing Elites

1. 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.

2. What does the diathesis-stress model entail?

• A. The diathesis-stress model suggests that stress alone is sufficient to cause a mental disorder.
• B. The diathesis-stress model involves a combination of genetic vulnerability and environmental stressors.
• C. The diathesis-stress model suggests that genetic factors alone cause mental disorders.
• D. The diathesis-stress model suggests that stressors in the environment do not affect the onset of mental disorders.

Correct answer: B

Rationale: The diathesis-stress model proposes that mental disorders develop from a combination of genetic vulnerability (the diathesis) and environmental stressors. Choice A is incorrect because it states that stress alone can cause mental disorders, which is not in line with the model. Choice C is incorrect as it simplifies the model to genetic factors alone causing mental disorders. Choice D is incorrect as it suggests that environmental stressors do not play a role in the onset of mental disorders, which contradicts the essence of the diathesis-stress model.

3. _______ tends to be seen in American children, whereas _______ tends to be 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 tends to be seen in American children, whereas overcontrolled behavior is seen in Thai children.' This statement is supported by cultural studies and observations. American children are often described as exhibiting undercontrolled behavior, which includes impulsivity and lack of inhibition. On the other hand, Thai children are often described as showing overcontrolled behavior, characterized by restraint and adherence to social norms. Choice A is incorrect because calm behavior is not typically associated with American children. Choice B is incorrect as overcontrolled behavior is not commonly associated with American children. Choice D is incorrect as there are observed differences in behavioral traits between American and Thai children.

4. In order to develop chicken pox, one must be exposed to the virus that causes chicken pox. Note, however, that not everyone who is exposed to the virus is affected. In other words, the virus is a ________

• A. risk factor.
• B. necessary cause.
• C. sufficient cause.
• D. contributory cause.

Correct answer: B

Rationale: The correct answer is B: 'necessary cause.' A necessary cause must be present for a disorder to occur. In the context of developing chicken pox, being exposed to the virus is a necessary condition for contracting the disease. Choices A, C, and D are incorrect. A 'risk factor' increases the probability of developing a disease but is not essential for its occurrence. A 'sufficient cause' can produce the outcome on its own, which is not the case with exposure to the chicken pox virus. A 'contributory cause' adds to other causes to produce an effect, but in this scenario, exposure to the virus is crucial by itself.

5. Franklin wakes up in a homeless shelter in another town. He doesn't know where he is or how he got there, and he's confused when people say he has been calling himself Anthony. This is most likely an episode of dissociative?

• A. Amnesia
• B. Dissociative fugue
• C. Wandering
• D. Flight of ideas

Correct answer: B

Rationale: The correct answer is B, Dissociative fugue. In the scenario described, Franklin experiencing memory loss, travel to another town, assuming a new identity (calling himself Anthony) aligns with dissociative fugue. Amnesia (Choice A) involves memory loss without the additional aspects of travel and assuming a new identity. Wandering (Choice C) is vague and does not encompass the complete set of symptoms described. Flight of ideas (Choice D) is a symptom of conditions like mania, not dissociative disorders.

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