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. How does stress impact brain function?

• A. Stress has no effect on brain function.
• B. Stress can lead to changes in brain structure and function.
• C. Stress can improve brain function.
• D. Stress has no long-term impact on brain function.

Correct answer: B

Rationale: Stress can lead to changes in brain structure and function, affecting mental health and increasing the risk of disorders. Choice A is incorrect as stress does affect brain function. Choice C is incorrect as stress generally has negative impacts on brain function rather than improving it. Choice D is incorrect because stress can have long-term impacts on brain function through structural and functional changes.

3. Emotions, such as pride, shame, and guilt, that depend on both self-awareness and knowledge of socially accepted standards of behavior are known as what?

• A. Self-awareness emotions
• B. Self-evaluative emotions
• C. Self-conscious emotions
• D. Egocentric emotions

Correct answer: C

Rationale: The correct answer is C: Self-conscious emotions. Self-conscious emotions like pride, shame, and guilt require not only self-awareness but also an understanding of socially accepted behaviors. These emotions involve evaluating oneself in relation to societal norms. Choices A, B, and D are incorrect because they do not accurately capture the idea of emotions that rely on both self-awareness and knowledge of socially accepted standards of behavior.

4. Why does the selection of a theoretical perspective of mental disorders matter?

• A. Because it determines how data is interpreted, and influences treatment approaches.
• B. It matters because different perspectives offer different insights into the causes and treatments of mental disorders.
• C. The selection of a theoretical perspective is not important as all perspectives lead to the same treatment outcomes.
• D. Theoretical perspectives are only relevant for academic research, not for clinical practice.

Correct answer: A

Rationale: The selection of a theoretical perspective matters because it determines how data is interpreted and influences the treatment approaches that are considered appropriate. Choice B is incorrect because different perspectives may lead to different interpretations and treatment strategies. Choice C is incorrect because different theoretical perspectives can result in varied treatment outcomes. Choice D is incorrect because theoretical perspectives play a crucial role in both academic research and clinical practice.

5. Normal human cells have ________

• A. twenty-two chromosome pairs and one pair of sex chromosomes.
• B. twenty-one trisomy chromosome pairs, one autosomal pair, and one pair of sex chromosomes.
• C. twenty-one chromosome pairs and two trisomy chromosome pairs.
• D. twenty-three chromosome pairs.

Correct answer: A

Rationale: Normal human cells have twenty-two chromosome pairs and one pair of sex chromosomes. This is the correct answer as it accurately describes the typical chromosome count in human cells. Choice B is incorrect because it mentions 'twenty-one trisomy chromosome pairs,' which is not characteristic of normal cells. Choice C is incorrect as it suggests having 'two trisomy chromosome pairs,' which is abnormal. Choice D is incorrect as it states 'twenty-three chromosome pairs,' which is not the standard count in normal human cells.

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