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. Down syndrome is caused by ________

• A. a chemical imbalance.
• B. a gene on the X chromosome.
• C. possessing an extra X chromosome.
• D. possessing an extra chromosome in chromosome 21.

Correct answer: D

Rationale: Down syndrome is caused by possessing an extra chromosome in chromosome 21, not a chemical imbalance (choice A), a gene on the X chromosome (choice B), or possessing an extra X chromosome (choice C). The presence of an extra copy of chromosome 21, also known as trisomy 21, leads to the characteristic features and health problems associated with Down syndrome.

3. The cognitive perspective contends that to fully understand human behavior, psychologists need to focus attention on?

• A. The role of the unconscious.
• B. Internal mental events.
• C. The interrelations among the mind, body, and behavior.
• D. The adaptive value of a behavior.

Correct answer: B

Rationale: The cognitive perspective emphasizes understanding human behavior by focusing on internal mental events such as thoughts, beliefs, and perceptions. This helps in explaining how individuals process information, solve problems, and make decisions. Choice A, the role of the unconscious, is associated with psychoanalytic theory rather than the cognitive perspective. Choice C, the interrelations among the mind, body, and behavior, is more aligned with a holistic or biopsychosocial perspective. Choice D, the adaptive value of a behavior, is more related to evolutionary psychology rather than the cognitive perspective.

4. How do socioeconomic factors affect mental health?

• A. Socioeconomic factors do not affect mental health.
• B. Socioeconomic factors are one of the primary determinants of mental health.
• C. Socioeconomic factors only affect mental health in extreme cases.
• D. Socioeconomic factors have no clear impact on mental health.

Correct answer: B

Rationale: The correct answer is B. Socioeconomic factors like income and education levels are key determinants of mental health. They influence access to resources such as healthcare, housing, and social support systems, which can impact an individual's mental well-being. Additionally, socioeconomic factors can contribute to stress levels and overall quality of life, which in turn affect mental health. Choice A is incorrect because socioeconomic factors do play a significant role in mental health outcomes. Choice C is incorrect as socioeconomic factors have a broad impact on mental health beyond extreme cases. Choice D is also incorrect as numerous studies have shown the clear impact of socioeconomic factors on mental health.

5. According to John Watson, behavior is governed primarily by?

• A. Heredity.
• B. Personal motives.
• C. The environment.
• D. Unconscious desires.

Correct answer: C

Rationale: According to John Watson, behavior is primarily governed by environmental factors. Watson was a behaviorist who emphasized the influence of the environment on behavior. He believed that behavior is shaped by external stimuli and experiences, rather than internal factors like heredity or unconscious desires. Therefore, choices A, B, and D are incorrect as they do not align with Watson's perspective on behaviorism.

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