A nurse is preparing a presentation about the relationship of genetics, stress, and developing mental illness. Which of the following information should the nurse plan to include in the presentation?
"Family studies show that mental health has no genetic association."
"Mental health can be prevented by regular appointments with a health care provider."
"Twin studies support that stress is not related to mental illness."
"Adoptive studies suggest that there is a genetic correlation between one's biological
The Correct Answer is D
A. Family studies indicate that mental illness often has a genetic component, so stating there is no genetic association is inaccurate.
B. While regular healthcare appointments can help with early identification and management, mental illness cannot be completely prevented solely through routine care; genetics and environmental stressors also play significant roles.
C. Twin studies show that both genetics and environmental factors, including stress, contribute to mental illness, so claiming stress is unrelated is incorrect.
D. Adoption studies demonstrate that individuals are more likely to develop certain mental illnesses if their biological parents had the disorder, even when raised by adoptive parents. This supports the concept of a genetic correlation in mental illness while also highlighting the interaction with environmental factors.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. ADHD diagnosis requires that symptoms of inattention, hyperactivity, or impulsivity be present in more than one setting (e.g., home, school, social situations) and persist for at least six months, ensuring that behaviors are consistent and not situational.
B. Good academic performance does not rule out ADHD; some adolescents may compensate for symptoms through intelligence, support, or coping strategies, so ADHD can still be present despite satisfactory grades.
C. Focusing only on classroom behavior is insufficient, as ADHD symptoms must be evident across multiple settings to meet diagnostic criteria.
D. While hyperactivity may decrease with age, it remains a relevant criterion for diagnosis. Symptoms may manifest as restlessness or difficulty engaging in quiet activities rather than overt hyperactivity.
Correct Answer is A
Explanation
A. Splitting is a defense mechanism in which the client perceives people or situations as all good or all bad, with no middle ground. This can create conflict and division among healthcare team members, as the client may idealize one staff member while devaluing another, potentially disrupting team cohesion and continuity of care.
B. Regression involves reverting to earlier developmental behaviors (e.g., childish or dependent actions) under stress, but it does not typically cause division among staff.
C. Denial is the refusal to acknowledge reality or facts of a situation. While it can affect treatment adherence, it does not usually create interpersonal conflict among caregivers.
D. Reaction formation is the expression of behavior that is opposite to true feelings (e.g., acting overly friendly toward someone the client dislikes). While it may be confusing, it generally does not have the same divisive effect on the healthcare team as splitting.
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