Nursing Elites

1. An elementary school principal wants to know the best predictors of juvenile delinquency and dropping out of school in high school so she can provide preventive interventions. Your best advice is ________.

• A. Look for kids who are very popular because they are class clowns.
• B. Silent, depressed, loners tend to be dropouts because they are often depressed.
• C. There is no way to predict juvenile delinquency as early as elementary school.
• D. The best predictor is aggression toward peers, which leads to peer rejection.

Correct answer: D

Rationale: The best advice is to look for aggression toward peers as the best predictor of juvenile delinquency and dropping out of school. Option A is incorrect because being popular or a class clown doesn't necessarily indicate delinquency. Option B is incorrect as not all silent, depressed loners end up as dropouts. Option C is incorrect as research shows that early signs of aggression can predict future delinquent behavior and school dropout rates, making it feasible to intervene early.

2. 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.

3. What is the biopsychosocial model?

• A. A model that integrates biological, psychological, and social factors in understanding mental disorders.
• B. A model that emphasizes the interaction between biological and psychological factors, excluding social influences.
• C. The biopsychosocial model emphasizes only psychological factors in mental disorders.
• D. The biopsychosocial model is a purely biological approach to mental health.

Correct answer: A

Rationale: The biopsychosocial model is a comprehensive approach that considers biological, psychological, and social factors in understanding mental disorders. Choice A is correct because it accurately describes how this model integrates these three factors. Choice B is incorrect as it excludes social influences from the model. Choice C is incorrect because it states that the model only emphasizes psychological factors, which is not true. Choice D is incorrect as it suggests that the model is purely biological, which is also inaccurate.

4. Albert has brown eyes, even though one of his biological parents has blue eyes. Genes for blue eyes are part of Albert's ___.

• A. Phenotype
• B. Zygote
• C. Genotype
• D. Environment

Correct answer: C

Rationale: Albert's genotype refers to the genetic makeup inherited from his parents, which includes the genes for blue eyes. The phenotype, on the other hand, is the observable trait, in this case, brown eyes. Therefore, the correct answer is C. Choice A (Phenotype) is incorrect as it refers to the observable characteristics, not the genetic information. Choice B (Zygote) is incorrect as it refers to the initial stage of a developing organism. Choice D (Environment) is incorrect as it does not directly determine eye color.

5. In order for one to be diagnosed with panic disorder, the panic attacks must?

• A. Suddenly; unexpectedly
• B. Suddenly; gradually
• C. Gradually; unexpectedly
• D. Unexpectedly; suddenly

Correct answer: A

Rationale: The correct answer is A: 'Suddenly; unexpectedly.' Panic disorder is diagnosed when panic attacks occur unexpectedly, not gradually. Panic attacks are characterized by their sudden onset and are unpredictable. Choice B is incorrect because panic attacks do not manifest gradually. Choice C is incorrect because panic attacks are not expected or predicted. Choice D is incorrect as well because the unexpected nature of panic attacks is a key criterion for diagnosing panic disorder.

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