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 psychodynamic elements of the personality can be described as impulsive and selfish?

• A. Ego
• B. Id
• C. Superego
• D. Ideal self

Correct answer: B

Rationale: The correct answer is B, Id. In psychodynamic theory, the Id is the component driven by basic, primal instincts, seeking instant gratification without consideration for consequences. It operates on the pleasure principle, aiming to fulfill desires immediately. The Superego, on the other hand, represents the internalized moral standards and ideals, while the Ego mediates between the Id and Superego, balancing impulses with societal norms. The 'Ideal self' is a concept from humanistic psychology related to one's aspirations and goals, not a component in psychodynamic theory. Therefore, choices A, C, and D are incorrect.

3. Which term refers to events that typically happen to everyone at certain times of life?

• A. Normative age-graded influence
• B. Social clock
• C. Sensitive period
• D. Normative history-graded influences

Correct answer: A

Rationale: The correct answer is A: Normative age-graded influence. Normative age-graded influences are events that typically happen to everyone at certain life stages, such as marriage, parenthood, puberty, and menopause. Choice B, 'Social clock,' refers to the culturally preferred timing of social events. Choice C, 'Sensitive period,' represents a time when a particular development occurs most easily. Choice D, 'Normative history-graded influences,' are common to people of a particular generation due to historical circumstances.

4. What major departure did Freud's position have from prevailing viewpoints around the early 1900s?

• A. Viewed abnormal behavior as resulting from biological causes.
• B. Viewed people as not fully aware of the forces that control their behavior.
• C. Proposed the existence of free will.
• D. Emphasized environmental forces on behavior.

Correct answer: B

Rationale: Freud's major departure from prevailing viewpoints around the early 1900s was that he viewed people as not fully aware of the forces that control their behavior. This is reflected in his emphasis on unconscious forces influencing behavior. Choice A is incorrect as Freud focused on psychological rather than solely biological causes. Choice C is incorrect as Freud's theory did not emphasize free will but rather unconscious drives. Choice D is incorrect as Freud emphasized internal psychological forces over external environmental factors.

5. The humanistic perspective focuses primarily upon the capacity of the individual to ________.

• A. confront the dilemma of our deaths.
• B. be driven by unconscious motives.
• C. rationally explain our behavior.
• D. engage in positive self-growth.

Correct answer: D

Rationale: The humanistic perspective, as highlighted by proponents like Carl Rogers and Abraham Maslow, emphasizes the inherent drive of individuals to achieve self-actualization and positive self-growth. It focuses on the individual's potential for growth, self-improvement, and fulfilling their highest capabilities. Choice A is incorrect as the humanistic perspective is more concerned with personal growth than with addressing the fear of death. Choice B is associated with the psychodynamic perspective, which focuses on unconscious motives. Choice C is related to cognitive-behavioral approaches that emphasize the rational understanding of behavior.

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