Nursing Elites

1. Which perspective or viewpoint focuses on intrapsychic conflicts as the cause of psychopathology?

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

Correct answer: C

Rationale: The correct answer is C: Psychodynamic. The psychodynamic perspective emphasizes the role of intrapsychic conflicts, often related to unconscious processes, in the development of psychopathology. This perspective, founded by Sigmund Freud, suggests that unresolved conflicts from early childhood experiences can manifest as mental health issues. Choice A, Biological, focuses on the physiological aspects of psychopathology, such as genetics and neurobiology. Choice B, Behavioral, looks at how behavior is learned and reinforced. Choice D, Sociocultural, considers the influence of social and cultural factors on mental health.

2. Nearly all adults who were children living in Saigon when the U.S. armed forces left Vietnam in 1975 report that their lives were changed by those events. This exemplifies which of the following?

• A. Normative age-graded influence
• B. Social clock
• C. Critical period
• D. Sensitive period

Correct answer: C

Rationale: The correct answer is C. This scenario exemplifies a critical period in development. Critical periods are specific times in an individual's life when certain events have a profound impact on their development. In this case, the events surrounding the departure of the U.S. armed forces from Saigon in 1975 had a lasting influence on the children living there at that time. Choices A, B, and D are incorrect. Normative age-graded influence refers to events that are common to people of a particular age group, the social clock relates to the culturally preferred timing of social events, and a sensitive period is a time when an individual is more susceptible to environmental influences but does not result in lifelong consequences as with critical periods.

3. A baby throws its arms out and then inward (as if embracing) in response to loud noise or when its head falls. Which reflex is this?

• A. Babinski
• B. Palmar
• C. Darwinian
• D. Moro

Correct answer: D

Rationale: The correct answer is D, Moro. The Moro reflex is an instinctual response seen in infants when they experience a sudden loss of support or loud noise. The baby will throw their arms out and then bring them back in, resembling an embrace. This reflex is important for survival as it helps the infant react to potential dangers. Choice A, Babinski, refers to the reflex where a baby's toes spread apart when the sole of the foot is stimulated. Choice B, Palmar, is related to the reflex where a baby's fingers close tightly around an object placed in their palm. Choice C, Darwinian, is not a recognized reflex in this context.

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. 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.

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