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. _______ tends to be seen in American children, whereas _______ tends to be seen in Thai children.

• A. Aggressive behavior; calm behavior
• B. Overcontrolled behavior; undercontrolled behavior
• C. Undercontrolled behavior; overcontrolled behavior
• D. Equal behavioral traits in both cultures.

Correct answer: C

Rationale: The correct answer is C: 'Undercontrolled behavior tends to be seen in American children, whereas overcontrolled behavior is seen in Thai children.' This statement is supported by cultural studies and observations. American children are often described as exhibiting undercontrolled behavior, which includes impulsivity and lack of inhibition. On the other hand, Thai children are often described as showing overcontrolled behavior, characterized by restraint and adherence to social norms. Choice A is incorrect because calm behavior is not typically associated with American children. Choice B is incorrect as overcontrolled behavior is not commonly associated with American children. Choice D is incorrect as there are observed differences in behavioral traits between American and Thai children.

3. How do socioeconomic factors affect mental health?

• A. Socioeconomic factors do not affect mental health.
• B. Socioeconomic factors are one of the primary determinants of mental health.
• C. Socioeconomic factors only affect mental health in extreme cases.
• D. Socioeconomic factors have no clear impact on mental health.

Correct answer: B

Rationale: The correct answer is B. Socioeconomic factors like income and education levels are key determinants of mental health. They influence access to resources such as healthcare, housing, and social support systems, which can impact an individual's mental well-being. Additionally, socioeconomic factors can contribute to stress levels and overall quality of life, which in turn affect mental health. Choice A is incorrect because socioeconomic factors do play a significant role in mental health outcomes. Choice C is incorrect as socioeconomic factors have a broad impact on mental health beyond extreme cases. Choice D is also incorrect as numerous studies have shown the clear impact of socioeconomic factors on mental health.

4. In psychoanalytic theory, which psychosexual stage centers on castration anxiety?

• A. Genital
• B. Oral
• C. Anal
• D. Phallic

Correct answer: D

Rationale: Castration anxiety is a concept specific to the Phallic stage in psychoanalytic theory, according to Sigmund Freud. During the Phallic stage, children experience the Oedipus complex (boys) and Electra complex (girls), where they develop unconscious desires for the opposite-sex parent and fear castration by the same-sex parent. This anxiety is a crucial aspect of the Phallic stage, making it the correct answer. The other stages (Genital, Oral, and Anal) do not directly involve castration anxiety and focus on different aspects of psychosexual development.

5. Which parenting style is characterized by warmth, control, and communication?

• A. Authoritarian
• B. Permissive/indulgent
• C. Authoritative
• D. Neglectful/uninvolved

Correct answer: C

Rationale: The correct answer is C. The authoritative parenting style is characterized by a balance of warmth, control, and communication. This style promotes a nurturing environment where rules are established, but there is also room for open communication and understanding. Choice A, Authoritarian, is characterized by high control and low warmth, with strict rules and limited communication. Choice B, Permissive/indulgent, is characterized by high warmth and low control, with few rules and little discipline. Choice D, Neglectful/uninvolved, is characterized by low warmth, low control, and lack of communication or involvement in the child's life.

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