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Q1. According to Freud, a child who does not exhibit gender-
appropriate behavior has likely not completed which stage of
psychosexual development?
A. Oral Stage
B. Anal Stage
C. Latency Stage
D. Phallic Stage
Correct Answer: D
Rationale: The Phallic Stage (ages 3-6) is when the
Oedipus/Electra complex occurs, and children identify with the
same-sex parent to develop gender identity. Failure to resolve
this stage can lead to difficulties in gender-appropriate
behavior .
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,Q2. Introjection, the process of adopting the characteristics of
others, primarily occurs during which psychosexual phase?
A. Oral Stage
B. Anal Stage
C. Phallic Stage
D. Genital Stage
Correct Answer: A
Rationale: During the Oral Stage, infants "incorporate" the
outside world by taking things in (feeding). Introjection is the
psychological extension of this process, where individuals adopt
the characteristics of others as their own .
Q3. A 5-year-old child struggles to tie his shoes but violently
refuses his parents' help. According to Erikson, this behavior
demonstrates:
A. Defiance for attention
B. Latent stage behaviors
C. Signs of mistrust
D. Exploring his autonomy
Correct Answer: D
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,Rationale: At age 5, the child is in the "Initiative vs. Guilt" stage
but still building on "Autonomy vs. Shame" from the previous
stage. Resisting help is a healthy drive for self-sufficiency, not
defiance .
Q4. Erikson's "Trust vs. Mistrust" stage (Birth to 18 months) is
associated with which basic virtue?
A. Purpose
B. Will
C. Hope
D. Fidelity
Correct Answer: C
Rationale: Trust vs. Mistrust yields the virtue of Hope. The infant
develops hope when caregivers consistently meet their needs.
Failure leads to fear and suspicion of the world .
Q5. A PMHNP is reviewing the mechanism of action of
selective serotonin reuptake inhibitors (SSRIs). Which
statement best describes their primary effect?
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, A. Blockade of norepinephrine reuptake in the synapse
B. Antagonism of dopamine D2 receptors
C. Inhibition of serotonin reuptake, increasing synaptic
serotonin
D. Enhancement of GABA activity at the chloride channel
Correct Answer: C
Rationale: SSRIs block the serotonin transporter (SERT), preventing
serotonin reabsorption into the presynaptic neuron. This increases
serotonin availability in the synaptic cleft, enhancing serotonergic
neurotransmission .
Q6. The biopsychosocial model in psychiatry emphasizes that
mental disorders result from:
A. Genetic factors only
B. Environmental stressors only
C. Interaction of biological, psychological, and social factors
D. Unresolved unconscious conflicts
Correct Answer: C
Rationale: The biopsychosocial model integrates biological
(genetics/neurochemistry), psychological (mood/personality), and
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