Nursing Elites

1. Undercontrolled behavior tends to be seen in American children, whereas overcontrolled behavior is seen in Thai children.

• A. Aggressive behavior; calm behavior
• B. Overcontrolled behavior; undercontrolled behavior
• C. Undercontrolled behavior; overcontrolled behavior
• D. Equal behavioral traits in both cultures.

Correct answer: C

Rationale: The correct answer is C: 'Undercontrolled behavior; overcontrolled behavior.' The question highlights a cultural difference in behavior tendencies between American and Thai children. American children are usually characterized by undercontrolled behavior, while Thai children tend to exhibit overcontrolled behavior. Choice A (Aggressive behavior; calm behavior) is incorrect as the question does not mention aggressive or calm behavior as the contrasting traits between the two groups. Choice B (Overcontrolled behavior; undercontrolled behavior) is incorrect because the described behavior patterns are reversed based on the question's context. Choice D (Equal behavioral traits in both cultures) is incorrect as the question explicitly states differing behavior patterns in American and Thai children.

2. While having a gene for Parkinson's disease guarantees that Parkinson's disease will develop, this is not the only factor that can lead to Parkinson's disease. In other words, the presence of the gene is a ________, but not a ________.

• A. risk factor; sufficient cause
• B. sufficient cause; necessary cause
• C. necessary cause; risk factor
• D. contributory cause; sufficient cause

Correct answer: B

Rationale: The correct answer is B: 'sufficient cause; necessary cause.' A sufficient cause will inevitably produce the disorder, but it is not the only factor. In this case, having the gene for Parkinson's disease is a sufficient cause, meaning it alone can lead to the development of the disease. However, it is not a necessary cause because Parkinson's disease can still develop without the presence of this gene. Choices A, C, and D are incorrect because they do not accurately describe the relationship between the gene and the development of Parkinson's disease as depicted in the question.

3. Sandy took part in the April 2013 Boston Marathon, where two bombs were detonated near the finish line, killing three spectators. For approximately 2 weeks after the marathon, Sandy was unable to sleep or concentrate and often found herself reliving the moment she heard the bombs explode. What disorder might Sandy be diagnosed with?

• A. Posttraumatic stress disorder
• B. Phobic disorder
• C. Panic disorder
• D. Acute stress disorder

Correct answer: A

Rationale: Sandy might be diagnosed with posttraumatic stress disorder (PTSD). PTSD typically develops after exposure to a traumatic event and is characterized by symptoms such as re-experiencing the event, avoidance of reminders of the event, negative changes in thoughts and mood, and heightened reactivity. While acute stress disorder can occur shortly after a traumatic event, the duration of symptoms in the scenario suggests a more prolonged impact, aligning with PTSD. Phobic disorder and panic disorder are not as closely related to the described symptoms as PTSD.

4. In schizophrenia, what is the term used to describe the symptom where individuals exhibit peculiar hand and limb movements or adopt unusual postures for long periods of time?

• A. Catatonia
• B. Loose association
• C. Disorganized speech
• D. Blunted affect

Correct answer: A

Rationale: The correct answer is A: Catatonia. Catatonia is a symptom seen in some cases of schizophrenia, characterized by motor abnormalities such as peculiar hand and limb movements or adopting unusual postures for extended periods. Choice B, Loose association, refers to a thought disorder where ideas shift from one subject to another in an unrelated way. Choice C, Disorganized speech, is characterized by incoherent or incomprehensible speech patterns. Choice D, Blunted affect, describes a reduction in the intensity of emotional expression.

5. Which of the following is NOT a culture-bound syndrome?

• A. Hikikomori
• B. Zar
• C. Hoopa
• D. Koro

Correct answer: C

Rationale: The correct answer is C, 'Hoopa,' as it is not recognized as a culture-bound syndrome. A culture-bound syndrome refers to a cluster of symptoms that are recognized and named within a specific cultural group but may not be recognized universally. Hikikomori is a culture-bound syndrome in Japan where individuals isolate themselves from social interactions. Zar is a culture-bound syndrome found in Africa and the Middle East characterized by episodes of laughing, crying, and singing. Koro is a culture-bound syndrome, primarily documented in Asian cultures, where individuals have an intense fear of genital retraction.

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