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. The process of ________ is used to increase the probability that a behavior will occur.

• A. operant conditioning
• B. reinforcement
• C. classical conditioning
• D. punishment

Correct answer: B

Rationale: The correct answer is reinforcement. Reinforcement involves providing a consequence that increases the likelihood of a behavior being repeated. Operant conditioning (Choice A) refers to learning through consequences for behavior, which includes reinforcement and punishment. Classical conditioning (Choice C) involves forming associations between stimuli and involuntary responses. Punishment (Choice D) involves providing a consequence that decreases the likelihood of a behavior being repeated. In this context, the question specifically asks about a process that increases the probability of a behavior occurring, aligning with the concept of reinforcement.

3. Why is it discouraged to use terms such as 'schizophrenic', 'autistic', and 'retarded' when referring to people with mental illness?

• A. These terms are no longer in the DSM
• B. There are only a small number of people diagnosed with these terms
• C. There is nothing wrong in using these terms
• D. Because people with mental illness are not defined by their condition

Correct answer: D

Rationale: It is discouraged to use terms like 'schizophrenic', 'autistic', and 'retarded' when referring to people with mental illness because people with mental illness should not be defined solely by their condition. Using such labels can reduce individuals to just their diagnosis, overlooking their individuality and other aspects of their identity. It is essential to treat individuals with mental illness with respect and dignity, focusing on their humanity rather than reducing them to a label. Choices A, B, and C are incorrect because the main reason for discouraging these terms lies in not defining individuals by their conditions, rather than the terms being in or out of the DSM, the number of diagnosed individuals, or the perception of whether there is anything wrong with using such terms.

4. _______ memory stores information about facts, whereas _______ memory stores information about our personal experiences.

• A. Declarative, episodic
• B. Episodic, semantic
• C. Semantic, nondeclarative
• D. Semantic, episodic

Correct answer: D

Rationale: The correct answer is D: "Semantic, episodic." Semantic memory is responsible for storing factual information, such as concepts and general knowledge. Episodic memory, on the other hand, stores personal experiences and events. Choice A is incorrect because declarative memory is an umbrella term that includes both semantic and episodic memory, so it is not a direct contrast. Choice B is incorrect as it switches the definitions of episodic and semantic memory. Choice C is incorrect because nondeclarative memory refers to implicit or procedural memory, which is different from episodic memory.

5. 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.

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