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 is the term for a fluid-filled sac in which the baby floats until just before it is born?

• A. Amnion
• B. Placenta
• C. Umbilical cord
• D. Embryo

Correct answer: A

Rationale: The correct answer is A: Amnion. The amnion is a fluid-filled sac that surrounds and protects the developing fetus in the womb. It acts as a cushion, maintaining a stable temperature and protecting the fetus from external pressure. Choices B, C, and D are incorrect because the placenta is an organ that provides nutrients and oxygen to the fetus and removes waste products, the umbilical cord connects the fetus to the placenta to facilitate nutrient exchange, and an embryo is an early stage of development before it becomes a fetus.

3. The understanding of genetic influences on behavior may never be fully achieved due to ________.

• A. the ease of researching to differentiate between the effects of the environment and genes.
• B. the likelihood that most behaviors are determined by the interaction of many genes and the environment.
• C. the reliance on twin studies in genetic research.
• D. our significant understanding of how genes impact brain chemistry.

Correct answer: B

Rationale: The correct answer is B because most behaviors are influenced by the interaction of multiple genes and the environment. Choice A is incorrect because it suggests that researching the effects of the environment and genes is easy, which is not the case. Choice C is incorrect as it focuses on a specific method (twin studies) rather than the broader concept of gene-environment interaction. Choice D is incorrect as the statement implies a high level of understanding that contradicts the idea that genetic influences on behavior may never be fully understood.

4. Which of the following explanations for the relationship between SES and abnormal behavior is not supported by the existing data?

• A. Low SES may cause abnormal behavior.
• B. Abnormal behavior is more likely to go untreated in those of low SES.
• C. Recovery from loss of a job may be more difficult for those exhibiting signs of mental illness.
• D. High SES may cause abnormal behavior.

Correct answer: D

Rationale: The correct answer is D because high SES as a cause for abnormal behavior is not supported by existing data. Abnormal behavior is often associated with factors like stress, trauma, genetics, or environmental influences. High SES is not a known cause of abnormal behavior. Choices A, B, and C are more plausible explanations: Low SES may lead to limited access to mental health care, untreated abnormal behavior due to financial constraints, and difficulties in coping with mental health issues after job loss, respectively.

5. What is the sequence in which growth starts at the center of the body and moves toward the extremities?

• A. Cephalocaudal pattern
• B. Proximodistal pattern
• C. Cephamodistal pattern
• D. Gene-environment correlation

Correct answer: B

Rationale: The correct answer is B: Proximodistal pattern. This pattern describes growth starting at the center of the body and moving towards the extremities. Choice A, Cephalocaudal pattern, refers to growth starting from the head and moving downwards, which is not the sequence described in the question. Choice D, Gene-environment correlation, does not relate to the sequential pattern of growth described in the question, making it incorrect.

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