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. If Dr. Maple is a behaviorist, he would most likely believe that the cause of a child's disruptive behavior in school is the result of?

• A. A learning disability.
• B. His genetic inheritance.
• C. His prior experiences.
• D. A combination of his genetic inheritance and his prior experiences.

Correct answer: C

Rationale: Behaviorists, like Dr. Maple, focus on how behavior is learned through interactions with the environment. They would attribute a child's disruptive behavior to their prior experiences rather than genetic factors. Choice A, a learning disability, relates more to cognitive or developmental perspectives. Choice B, genetic inheritance, is more aligned with biological or genetic theories. Choice D combines genetic and experiential factors, but behaviorists typically emphasize the influence of the environment on behavior.

3. In a breech presentation, how is the infant positioned for delivery?

• A. Is too large to be delivered vaginally.
• B. Is delivered feet or bottom first.
• C. Is delivered head first.
• D. Appears face down.

Correct answer: B

Rationale: In a breech presentation, the infant is positioned to be delivered feet or bottom first. This is because the baby's pelvis or feet enter the birth canal before the head. Therefore, choice B is correct. Choices A, C, and D are incorrect because a breech presentation specifically refers to the baby being positioned feet or bottom first, not head first, face down, or being too large for vaginal delivery.

4. School phobia among kids may be a form of?

• A. Occurs every time when one is in a certain situation
• B. Occurs most of the time when one is in a specific situation
• C. Be unexpected
• D. Expected

Correct answer: C

Rationale: The correct answer is C: 'Be unexpected.' School phobia in children is often associated with separation anxiety disorder, leading to unexpected and intense fear or anxiety about attending school. Choices A and B are incorrect because school phobia does not necessarily occur every time or most of the time when in a specific situation; it is more about the unexpected fear related to attending school. Choice D is also incorrect because school phobia is characterized by an unexpected and overwhelming fear of school, not an expected or anticipated reaction.

5. What impact do parenting styles have on child development?

• A. Authoritarian parenting leads to positive developmental outcomes.
• B. Permissive parenting is associated with positive developmental outcomes.
• C. Neglectful parenting is associated with positive developmental outcomes.
• D. All parenting styles produce similar developmental outcomes.

Correct answer: B

Rationale: Permissive parenting is associated with positive developmental outcomes because it involves warmth and a lack of strict control. Authoritarian parenting, as mentioned in choice A, is characterized by strict rules and harsh discipline, which may not lead to the best developmental outcomes. Neglectful parenting, as in choice C, involves a lack of responsiveness and support, which can have detrimental effects on a child's development. Choice D is incorrect because different parenting styles can have varying impacts on child development.

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