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. Daniel is pretending that one of his blocks is a car. Daniel is exhibiting which function?

• A. Abstraction
• B. Preoperational
• C. Overextension
• D. Semiotic

Correct answer: A

Rationale: The correct answer is A: Abstraction. Pretending that a block is a car demonstrates abstraction, where one object is used to represent another. Choice B, Preoperational, refers to Piaget's stage of cognitive development. Choice C, Overextension, involves using a word in a broader context than is appropriate. Choice D, Semiotic, refers to the use of symbols to represent ideas or concepts, which is not directly related to the scenario described in the question.

3. Sandy took part in the April 2013 Boston Marathon, where two bombs were detonated near the finish line, killing three spectators. For approximately 2 weeks after the marathon, Sandy was unable to sleep or concentrate and often found herself reliving the moment she heard the bombs explode. What disorder might Sandy be diagnosed with?

• A. Posttraumatic stress disorder
• B. Phobic disorder
• C. Panic disorder
• D. Acute stress disorder

Correct answer: A

Rationale: Sandy might be diagnosed with posttraumatic stress disorder (PTSD). PTSD typically develops after exposure to a traumatic event and is characterized by symptoms such as re-experiencing the event, avoidance of reminders of the event, negative changes in thoughts and mood, and heightened reactivity. While acute stress disorder can occur shortly after a traumatic event, the duration of symptoms in the scenario suggests a more prolonged impact, aligning with PTSD. Phobic disorder and panic disorder are not as closely related to the described symptoms as PTSD.

4. Which characteristics are associated with adults fixated in the anal stage?

• A. Orderliness, obstinacy, or messiness
• B. Fixated in the oral stage
• C. Dissolves the electra complex
• D. Triggers penis envy, which then dissolves the female oedipus complex

Correct answer: A

Rationale: The correct answer is A: 'Orderliness, obstinacy, or messiness.' According to Freud's psychosexual theory, fixation in the anal stage can lead to these characteristics in adulthood. Choice B is incorrect as fixation in the oral stage is associated with issues related to dependency and aggression. Choice C is incorrect as it refers to the Electra complex, which is not related to the anal stage fixation. Choice D is incorrect as it refers to penis envy and the female Oedipus complex, which are not directly related to characteristics of adults fixated in the anal stage.

5. Which neurotransmitter is reduced in both the manic and depressive phases of bipolar disorder?

• A. Acetylcholine
• B. Dopamine
• C. Norepinephrine
• D. Serotonin

Correct answer: D

Rationale: The correct answer is D, Serotonin. Serotonin levels are reduced during both the manic and depressive phases of bipolar disorder. Acetylcholine (choice A) is not typically linked to bipolar disorder. Dopamine (choice B) and norepinephrine (choice C) are more commonly associated with conditions like schizophrenia and depression, respectively, rather than bipolar disorder. Therefore, they are not the neurotransmitters reduced in both manic and depressive phases of bipolar disorder.

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