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. Which of the following views is most consistent with the notion that unconscious motivations can influence our overt behavior?

• A. Carl Rogers.
• B. Wilhelm Wundt.
• C. B.F. Skinner.
• D. Sigmund Freud.

Correct answer: D

Rationale: The correct answer is D, Sigmund Freud. Freud's psychoanalytic theory emphasized the impact of unconscious motivations on behavior. Carl Rogers (choice A) is known for person-centered therapy emphasizing self-actualization, Wilhelm Wundt (choice B) is a structuralist in psychology focusing on consciousness, and B.F. Skinner (choice C) is associated with behaviorism and operant conditioning, which do not primarily focus on unconscious motivations.

3. What are substances, such as viruses and drugs, that can cause birth defects?

• A. Teratogens
• B. Placenta
• C. Parturition
• D. Androgens

Correct answer: A

Rationale: Teratogens are substances that can cause birth defects, especially if exposure occurs during critical periods of development. In this context, teratogens refer to external agents that can interfere with the development of the embryo or fetus, leading to structural or functional abnormalities. Choice B, Placenta, is incorrect as it is an organ that develops during pregnancy to provide nutrients and oxygen to the fetus and remove waste products. Choice C, Parturition, refers to the process of giving birth and is not related to substances that cause birth defects. Choice D, Androgens, are male sex hormones and are not associated with causing birth defects.

4. 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.

5. How does parenting style influence child development?

• A. Authoritative parenting is associated with the best outcomes.
• B. Permissive parenting leads to the best outcomes.
• C. Neglectful parenting is associated with the best outcomes.
• D. Authoritarian parenting is the most effective in child development.

Correct answer: A

Rationale: Authoritative parenting, which balances warmth and control, is associated with the best outcomes in child development. It fosters independence, self-regulation, and social competence in children. Choice B is incorrect because permissive parenting, which is characterized by low demands and high responsiveness, may lead to issues like lack of self-discipline. Choice C is incorrect as neglectful parenting, characterized by low demands and low responsiveness, can result in various negative outcomes for the child. Choice D is incorrect because authoritarian parenting, which is high on control but low on warmth, may lead to obedience but can also stifle a child's independence and creativity.

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