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. David believes that characters in a popular science fiction show are secretly sending him messages. This would be an example of a delusion of?

• A. Persecution
• B. Influence
• C. Reference
• D. Grandeur

Correct answer: C

Rationale: The correct answer is C: Reference. A delusion of reference is when an individual believes that external events or characters are sending them personal messages. In this scenario, David's belief that characters from the science fiction show are sending him messages aligns with a delusion of reference. Choices A, B, and D are incorrect because persecution delusions involve feeling targeted or harassed, influence delusions involve believing external forces are controlling one's thoughts or actions, and grandeur delusions involve an exaggerated sense of importance or power.

3. What is the term for the age of an unborn baby, usually dated from the first day of an expectant mother's last menstrual cycle?

• A. Mental age
• B. Chronological age
• C. Functional age
• D. Gestational age

Correct answer: D

Rationale: The correct answer is D, Gestational age. Gestational age is calculated from the first day of the expectant mother's last menstrual cycle, providing an estimate of how far along the pregnancy is. Mental age (choice A), refers to an individual's level of cognitive functioning in relation to others of the same age group. Chronological age (choice B) is a person's actual age in years. Functional age (choice C) refers to how well a person is able to perform various activities compared to their chronological age.

4. 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.

5. Which of the following is an appropriate description of a child with conduct disorder?

• A. They may argue repeatedly with adults, ignore adult rules and requests, deliberately annoy other people, and feel much anger and resentment
• B. They have great difficulty attending to tasks, or behave overactively and impulsively, or both
• C. Marked by extreme unresponsiveness to other people, severe communication deficits, and highly rigid and repetitive behaviors, interests, and activities
• D. They are often aggressive, deliberately destroy other people's property, steal or lie, skip school, or run away from home

Correct answer: A

Rationale: The correct answer is A. Children with conduct disorder often exhibit behaviors such as arguing with adults, ignoring rules, deliberately annoying others, and displaying anger and resentment. Choice B describes symptoms more characteristic of ADHD (Attention-Deficit/Hyperactivity Disorder). Choice C describes symptoms commonly seen in individuals with autism spectrum disorders. Choice D outlines behaviors associated with oppositional defiant disorder rather than conduct disorder.

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