Nursing Elites

1. Why is it difficult to determine the nature of the relationship between divorce and the psychological functioning of family members?

• A. Cause and effect cannot be determined as preexisting behavioral abnormalities in either the parents or the children may make divorce more likely.
• B. The findings have been too inconsistent to draw any conclusions.
• C. While the effects of divorce are negative on children, the effects on the spouses are generally positive.
• D. Due to modern acceptance of divorce, there has been an ongoing decrease in the negative effects of divorce.

Correct answer: A

Rationale: The correct answer is A because it highlights a crucial factor that makes it challenging to establish a clear cause and effect relationship between divorce and the psychological functioning of family members. Preexisting behavioral abnormalities in either the parents or the children may influence both the likelihood of divorce and the psychological functioning of family members. Choice B is incorrect as it generalizes the findings without specifying the key issue of preexisting conditions. Choice C is incorrect as it oversimplifies the effects of divorce on family members. Choice D is incorrect as it presents a broad statement without addressing the complexities involved in determining the effects of divorce.

2. 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.

3. Latresha is not hungry, is extremely tired, and doesn't feel like doing much of anything. She often feels that life is just hopeless. These symptoms have been going on for 2 months now. She probably is suffering from which mood disorder?

• A. Generalized anxiety disorder
• B. Bipolar disorder
• C. Major depressive disorder
• D. Obsessive-compulsive disorder

Correct answer: C

Rationale: The correct answer is C, Major Depressive Disorder. Latresha's symptoms of prolonged sadness, fatigue, and lack of interest in activities lasting for 2 months indicate a major depressive episode. Generalized anxiety disorder (A) is characterized by excessive worry and anxiety, not necessarily prolonged sadness. Bipolar disorder (B) involves episodes of both mania and depression, not solely prolonged sadness. Obsessive-compulsive disorder (D) is characterized by obsessions and compulsions, not the symptoms described in the scenario.

4. A predisposition toward developing a disorder is termed a __________ .

• A. Diathesis
• B. Risk factor
• C. Sufficient cause
• D. Diathesis

Correct answer: A

Rationale: A predisposition toward developing a disorder is termed a diathesis. In this context, diathesis refers to an individual's susceptibility or predisposition to developing a disorder. A diathesis is not the same as a risk factor or a sufficient cause. A risk factor is a variable that increases the likelihood of developing a disorder but is not a predisposition itself. A sufficient cause is a factor that can produce the disorder on its own, not just a predisposition.

5. Dana's mother suffers from serious depressive episodes. Dana is likely to ________.

• A. be at risk for depression herself.
• B. become a happy-go-lucky child due to having to cope with so much.
• C. act in an aggressive, criminal manner.
• D. have intense attachments to her mother.

Correct answer: A

Rationale: When a family member, especially a parent, suffers from serious depressive episodes, it can increase the risk of depression in other family members, including children. Therefore, in this situation, Dana is likely to be at risk for depression herself. Choice B is incorrect because experiencing a parent's depression does not necessarily lead to becoming a happy-go-lucky child; it can have serious emotional implications. Choice C is incorrect as there is no direct link between a parent's depression and a child acting in an aggressive, criminal manner. Choice D may seem plausible, but it is not the most likely outcome in this scenario.

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