Nursing Elites

1. 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.

2. Unlike those with autism spectrum disorder, those with reactive attachment disorder have a history of:

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

Correct answer: C

Rationale: The correct answer is C: Reactive attachment disorder. Individuals with reactive attachment disorder have a history of severe social neglect, which distinguishes it from autism spectrum disorder. Choice A, Schizoid personality disorder, is incorrect as it is not typically associated with the history described in reactive attachment disorder. Choice B, Autism spectrum disorder, is incorrect because individuals with autism spectrum disorder do not necessarily have a history of severe social neglect. Choice D, Disinhibited social engagement disorder, is also incorrect as it is a separate attachment disorder characterized by indiscriminate social behavior, not necessarily a history of neglect.

3. Which term describes the conditions that guarantee the occurrence of a disorder?

• A. Necessary causes
• B. Contributory causes
• C. Sufficient causes
• D. Protective factors

Correct answer: C

Rationale: The correct answer is 'Sufficient causes.' Sufficient causes are conditions that alone are enough to guarantee the occurrence of a disorder. Necessary causes refer to factors that must be present for the disorder to occur but are not enough on their own. Contributory causes increase the likelihood of a disorder but are not enough to cause it by themselves. Protective factors are conditions that reduce the likelihood of a disorder occurring.

4. In psychoanalytic theory, which psychosexual stage centers on castration anxiety?

• A. Genital
• B. Oral
• C. Anal
• D. Phallic

Correct answer: D

Rationale: Castration anxiety is a concept specific to the Phallic stage in psychoanalytic theory, according to Sigmund Freud. During the Phallic stage, children experience the Oedipus complex (boys) and Electra complex (girls), where they develop unconscious desires for the opposite-sex parent and fear castration by the same-sex parent. This anxiety is a crucial aspect of the Phallic stage, making it the correct answer. The other stages (Genital, Oral, and Anal) do not directly involve castration anxiety and focus on different aspects of psychosexual development.

5. Etiology refers to ________

• A. a condition that tends to maintain maladaptive behavior.
• B. the causal pattern of a disorder.
• C. a predisposition toward developing a disorder.
• D. a condition that makes it less likely a person will experience the negative consequences of stress.

Correct answer: B

Rationale: Etiology refers to the causal pattern of a disorder, explaining the factors contributing to the development of a specific condition. Choice A is incorrect as it describes a condition that maintains maladaptive behavior, which is not the definition of etiology. Choice C is incorrect as it refers to a predisposition, which is more related to risk factors rather than the cause itself. Choice D is incorrect as it discusses a condition that reduces the negative consequences of stress, which is not directly related to the cause of a disorder.

Similar Questions