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. What impact do parenting styles have on child development?

• A. Authoritarian parenting leads to positive developmental outcomes.
• B. Permissive parenting is associated with positive developmental outcomes.
• C. Neglectful parenting is associated with positive developmental outcomes.
• D. All parenting styles produce similar developmental outcomes.

Correct answer: B

Rationale: Permissive parenting is associated with positive developmental outcomes because it involves warmth and a lack of strict control. Authoritarian parenting, as mentioned in choice A, is characterized by strict rules and harsh discipline, which may not lead to the best developmental outcomes. Neglectful parenting, as in choice C, involves a lack of responsiveness and support, which can have detrimental effects on a child's development. Choice D is incorrect because different parenting styles can have varying impacts on child development.

3. Which orientation focuses on symptoms rather than looking at underlying causes?

• A. Psychodynamic
• B. Adlerian
• C. Jungian
• D. Behavioral

Correct answer: A

Rationale: The correct answer is A: Psychodynamic. The psychodynamic orientation focuses on symptoms rather than underlying causes, emphasizing the importance of the unconscious mind. This approach views symptoms as manifestations of underlying psychological issues rooted in the unconscious. Choice B, Adlerian, is focused on individual psychology, social interests, and the importance of feelings of inferiority. Choice C, Jungian, is based on analytical psychology and the concepts of the collective unconscious and archetypes. Choice D, Behavioral, concentrates on observable behaviors and how they are learned and reinforced through interactions with the environment, rather than focusing on underlying causes.

4. Marissa wants to study people's emotional reactions to increases in temperature. Her classmate, Bernard, tells her that she should focus on observable behaviors rather than internal states in her study. Bernard's views are most similar to those found in?

• A. The psychodynamic perspective.
• B. The evolutionary perspective.
• C. The behavioral perspective.
• D. The biological perspective.

Correct answer: C

Rationale: Bernard's advice to focus on observable behaviors aligns with the behavioral perspective. Behaviorists emphasize studying external actions rather than internal states to understand human behavior. The psychodynamic perspective (Choice A) focuses on unconscious processes, the evolutionary perspective (Choice B) on adaptation and natural selection, and the biological perspective (Choice D) on the biological underpinnings of behavior, making them less similar to Bernard's suggestion.

5. What role does genetic predisposition play in the development of mental disorders?

• A. Genetic predisposition guarantees the development of mental disorders.
• B. Genetic predisposition plays a significant role but is not the only factor in developing mental disorders.
• C. Genetic predisposition is irrelevant in mental health.
• D. Genetic predisposition can be completely overridden by environmental factors.

Correct answer: B

Rationale: Genetic predisposition plays a significant role in the development of mental disorders, interacting with environmental factors. While genetics can predispose individuals to certain mental disorders, it is not a guarantee that the disorders will develop. Environmental factors, such as lifestyle, upbringing, and traumatic experiences, also play a crucial role in the manifestation of mental health conditions. Choice C is incorrect as genetic predisposition does have relevance in mental health. Choice D is incorrect as genetic predisposition and environmental factors both contribute to the development of mental disorders, neither completely overriding the other.

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