Nursing Elites

1. Which of the following is true about subjective distress?

• A. All individuals with mental illness experience some degree of distress
• B. Distress is the only criterion in diagnosing abnormality
• C. Its presence is enough for a clinician to determine if someone has a mental illness
• D. Some individuals with a mental disorder may not experience subjective distress

Correct answer: D

Rationale: Subjective distress is not universal among individuals with a mental disorder. Choice A is incorrect as not all individuals with mental illness experience distress. Choice B is incorrect because distress is just one of the criteria used in diagnosing abnormality, not the only one. Choice C is incorrect because the presence of subjective distress alone is not sufficient for a clinician to determine if someone has a mental illness.

2. Elliot became widowed after nearly 40 years of marriage. He has convinced himself that no one will ever love him again. His irrational thinking has caused him to suffer from depression, and he rarely leaves his house. What perspective might best explain his behavior?

• A. Psychodynamic
• B. Behavioral
• C. Biological
• D. Cognitive

Correct answer: D

Rationale: The cognitive perspective might best explain Elliot's irrational thinking and resulting depression. In this case, Elliot's belief that he will never be loved again is a cognitive distortion, leading to depressive symptoms and social withdrawal. The psychodynamic perspective primarily focuses on unconscious processes and unresolved conflicts from the past, which do not directly address Elliot's current cognitive distortions. The behavioral perspective would focus on observable behaviors and how they are reinforced, which is not the central issue in this scenario. The biological perspective would examine the role of genetics, brain chemistry, and other physiological factors, which are not the primary cause of Elliot's behavior in this context.

3. In an experiment, the investigators manipulate variables to learn how one affects another.?

• A. A data-collection method in which participants respond to questions
• B. The entire group that is of interest to a researcher
• C. A detailed description of a single culture or context
• D. A study that tests a causal hypothesis

Correct answer: D

Rationale: The correct answer is D because in an experimental design, investigators manipulate variables to determine the effect of one on another. This process allows researchers to test causal hypotheses by manipulating one variable while keeping others constant. Choices A, B, and C are incorrect as they do not directly relate to manipulating variables in an experiment.

4. Which of the following is an appropriate description of a child with conduct disorder?

• A. They may argue repeatedly with adults, ignore adult rules and requests, deliberately annoy other people, and feel much anger and resentment
• B. They have great difficulty attending to tasks, or behave overactively and impulsively, or both
• C. Marked by extreme unresponsiveness to other people, severe communication deficits, and highly rigid and repetitive behaviors, interests, and activities
• D. They are often aggressive, deliberately destroy other people's property, steal or lie, skip school, or run away from home

Correct answer: A

Rationale: The correct answer is A. Children with conduct disorder often exhibit behaviors such as arguing with adults, ignoring rules, deliberately annoying others, and displaying anger and resentment. Choice B describes symptoms more characteristic of ADHD (Attention-Deficit/Hyperactivity Disorder). Choice C describes symptoms commonly seen in individuals with autism spectrum disorders. Choice D outlines behaviors associated with oppositional defiant disorder rather than conduct disorder.

5. 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.

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