Nursing Elites

1. A predisposition toward developing a disorder is termed a ________.

• A. diathesis
• B. comorbidity
• C. genotype
• D. phenotype

Correct answer: A

Rationale: A diathesis is indeed the correct term for a predisposition toward developing a disorder. A diathesis refers to an underlying vulnerability or predisposition to a particular condition. Choice B, 'comorbidity,' refers to the presence of two or more disorders in the same individual. Choice C, 'genotype,' relates to an individual's genetic makeup. Choice D, 'phenotype,' refers to the observable characteristics of an organism resulting from the interaction of its genotype with the environment. Therefore, A is the most appropriate term for describing a predisposition toward developing a disorder.

2. Barney helps his younger brother, who has just learned to cycle on his own, to navigate narrow roads and sharp turns. Vygotsky will refer to this as ________?

• A. Microsystem
• B. Macrosystem
• C. Mesosystem
• D. Exosystem

Correct answer: C

Rationale: In this scenario, where Barney is assisting his younger brother in navigating narrow roads and sharp turns, Vygotsky would refer to this as an example of the 'mesosystem.' The mesosystem involves the interactions between different systems in a child's environment, such as family and peers. Choices A, B, and D are incorrect: A) Microsystem refers to the immediate environment where the child lives, like home and school; B) Macrosystem encompasses the larger cultural context; D) Exosystem involves external settings that indirectly influence the child.

3. Most behavioral disorders are determined primarily by ________.

• A. genetics
• B. upbringing
• C. diet
• D. environment

Correct answer: A

Rationale: Genetics play a significant role in the development of behavioral disorders. While upbringing, diet, and environment can also influence behavior, genetics are often the primary factor in determining behavioral disorders. Choice B (upbringing) can contribute to behavior but is not the sole determinant of behavioral disorders. Choice C (diet) can impact behavior but is not the primary factor in behavioral disorders. Choice D (environment) can also influence behavior, but genetics typically play a more significant role in determining behavioral disorders.

4. Charles has suffered from schizophrenia for many years and now resides in a group treatment facility. One day a nurse approaches him and quietly tells him that his sister, who has been fighting cancer for many months, died that morning. Charles has no appreciable facial reaction and in a very monotone voice says, 'okay.' The nurse is not surprised by Charles's lack of response to the awful news because she knows that _________ is one symptom often seen in those suffering from schizophrenia?

• A. Clang associations
• B. Echolalia
• C. Blunted affect
• D. Perseveration

Correct answer: C

Rationale: In individuals with schizophrenia, blunted affect, or reduced emotional expression, is a common symptom. In this scenario, Charles's lack of emotional response upon hearing about his sister's death aligns with the characteristic of blunted affect. This symptom can manifest as a limited range of facial expressions, monotone voice, and reduced display of emotions. Choice A, 'Clang associations,' refers to a thought disorder characterized by the use of words that sound alike but are not logically connected. Choice B, 'Echolalia,' is the repetition of words spoken by others. Choice D, 'Perseveration,' is the persistent repetition of a response or behavior even when it is no longer appropriate.

5. One key issue in the study of human development is the continuity-discontinuity issue. The discontinuity side posits that development is characterized by change in type or kind. These are known as ____.

• A. Qualitative change
• B. Quantitative change
• C. Maturation
• D. Multidirectional development

Correct answer: A

Rationale: The correct answer is A: Qualitative change. Qualitative change aligns with the discontinuity view by involving changes in type or kind. This contrasts with quantitative change (B), which is about changes in amount or quantity. Maturation (C) refers to the process of becoming fully developed in a particular way, and multidirectional development (D) emphasizes that development involves both gains and losses, not specifically focusing on changes in type or kind.

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