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. 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.

3. Etiology refers to ________

• A. a condition that tends to maintain maladaptive behavior.
• B. the causal pattern of a disorder.
• C. a predisposition toward developing a disorder.
• D. a condition that makes it less likely a person will experience the negative consequences of stress.

Correct answer: B

Rationale: Etiology refers to the causal pattern of a disorder, explaining the factors contributing to the development of a specific condition. Choice A is incorrect as it describes a condition that maintains maladaptive behavior, which is not the definition of etiology. Choice C is incorrect as it refers to a predisposition, which is more related to risk factors rather than the cause itself. Choice D is incorrect as it discusses a condition that reduces the negative consequences of stress, which is not directly related to the cause of a disorder.

4. William James, who was a pioneer in the development of functionalism, was most heavily influenced by?

• A. Charles Darwin.
• B. Sigmund Freud.
• C. John Watson.
• D. B.F. Skinner.

Correct answer: A

Rationale: William James was heavily influenced by Charles Darwin's theory of evolution, which shaped his functionalist views on psychology. This influence is evident in James's emphasis on adaptation, survival, and the functional purposes of behavior. Choice B, Sigmund Freud, is incorrect because Freud's psychoanalytic theory focused on unconscious processes and childhood experiences, which differ significantly from James's functionalism. Choice C, John Watson, is incorrect as Watson was a behaviorist who emphasized observable behavior and rejected mental processes, which contrasts with James's focus on mental processes. Choice D, B.F. Skinner, is also incorrect as Skinner was a behaviorist known for his work on operant conditioning, which is not directly aligned with James's functionalist perspective.

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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