Nursing Elites

1. 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.

2. Cortisol is a hormone that ________

• A. is released by the hypothalamus and travels to the pituitary gland, causing it to respond.
• B. the pituitary gland releases to stimulate the adrenal gland.
• C. the adrenal gland produces that mobilizes the body to deal with stress.
• D. reduces the reuptake of the monoamine neurotransmitters.

Correct answer: C

Rationale: The correct answer is C. Cortisol is a hormone produced by the adrenal gland that mobilizes the body to deal with stress. It helps regulate metabolism, reduce inflammation, and assist in memory formulation. Choice A is incorrect as cortisol is not released by the hypothalamus and does not travel to the pituitary gland. Choice B is incorrect as cortisol is not released by the pituitary gland but acts on it to regulate hormone production. Choice D is incorrect as cortisol does not reduce the reuptake of monoamine neurotransmitters.

3. While out for a walk, you come across a ferocious dog. You feel your heart beating faster and your palms begin to sweat. Which part of the peripheral nervous system is activated in this situation?

• A. Autonomic
• B. Sympathetic
• C. Parasympathetic
• D. Somatic

Correct answer: B

Rationale: The correct answer is B: Sympathetic. When encountering a stressful situation like a ferocious dog, the sympathetic nervous system is activated, leading to the 'fight or flight' response. This response triggers physiological changes like increased heart rate, sweating, and heightened alertness to prepare the body to deal with the perceived threat. The autonomic nervous system (Choice A) encompasses both the sympathetic and parasympathetic divisions, so it's a broader category. The parasympathetic nervous system (Choice C) is responsible for the body's 'rest and digest' functions, which are opposite to the physiological changes seen in a stress response. The somatic nervous system (Choice D) controls voluntary movements and sensory information, not the physiological responses seen in a stress reaction.

4. Which disorder is characterized by a pattern of behavior that involves culturally inappropriate, overly familiar behavior with relative strangers?

• A. Schizoid personality disorder
• B. Autism spectrum disorder
• C. Reactive attachment disorder
• D. Disinhibited social engagement disorder

Correct answer: D

Rationale: Disinhibited social engagement disorder is the correct answer because it is characterized by a pattern of behavior involving culturally inappropriate and overly familiar behavior with relative strangers. This disorder is marked by a lack of social boundaries and caution when interacting with unfamiliar individuals. Schizoid personality disorder (Choice A) is characterized by a lack of interest in social relationships, Autism spectrum disorder (Choice B) involves challenges with social interactions and communication, and Reactive attachment disorder (Choice C) is typically associated with difficulty forming emotional bonds with caregivers, not with overly familiar behavior with strangers.

5. What would a humanist most likely say about Manny's passivity?

• A. Manny will find it difficult to change because he probably has deep-seated feelings of inferiority.
• B. Manny can become more assertive once he begins to feel better about himself and recognizes that he has the ability to fulfill his potential.
• C. Manny simply needs to take an assertiveness training class in which he can learn and practice assertive behaviors.
• D. Manny should undergo analysis so that he can begin to resolve whatever unconscious conflict is at the root of his passivity.

Correct answer: B

Rationale: Humanists believe in the inherent goodness and potential of individuals. They would most likely say that Manny can become more assertive by improving his self-esteem and recognizing his abilities. Choice A is incorrect because humanists focus on self-actualization rather than deep-seated feelings of inferiority. Choice C is incorrect as it oversimplifies the issue by suggesting a training class can solve the problem without addressing underlying beliefs. Choice D is incorrect as it suggests a psychoanalytic approach, while humanists usually emphasize personal growth and self-improvement.

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