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. How do early life experiences shape brain development and behavior?

• A. Early life experiences have no impact on brain development.
• B. Early life experiences are crucial in shaping brain development and later behavior.
• C. Early life experiences are not significant in brain development.
• D. Early life experiences are easily overcome by adulthood.

Correct answer: B

Rationale: Early life experiences are crucial in shaping brain development and later behavior. These experiences play a significant role in laying the foundation for future mental health and behavior. Choice A is incorrect because early life experiences do have a profound impact on brain development. Choice C is incorrect as early life experiences are indeed significant in brain development. Choice D is incorrect as early life experiences can have lasting effects into adulthood.

3. What is the biopsychosocial model?

• A. A model that integrates biological, psychological, and social factors in understanding mental disorders.
• B. A model that emphasizes the interaction between biological and psychological factors, excluding social influences.
• C. The biopsychosocial model emphasizes only psychological factors in mental disorders.
• D. The biopsychosocial model is a purely biological approach to mental health.

Correct answer: A

Rationale: The biopsychosocial model is a comprehensive approach that considers biological, psychological, and social factors in understanding mental disorders. Choice A is correct because it accurately describes how this model integrates these three factors. Choice B is incorrect as it excludes social influences from the model. Choice C is incorrect because it states that the model only emphasizes psychological factors, which is not true. Choice D is incorrect as it suggests that the model is purely biological, which is also inaccurate.

4. _______ 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.

5. In order for one to be diagnosed with panic disorder, the panic attacks must?

• A. Suddenly; unexpectedly
• B. Suddenly; gradually
• C. Gradually; unexpectedly
• D. Unexpectedly; suddenly

Correct answer: A

Rationale: The correct answer is A: 'Suddenly; unexpectedly.' Panic disorder is diagnosed when panic attacks occur unexpectedly, not gradually. Panic attacks are characterized by their sudden onset and are unpredictable. Choice B is incorrect because panic attacks do not manifest gradually. Choice C is incorrect because panic attacks are not expected or predicted. Choice D is incorrect as well because the unexpected nature of panic attacks is a key criterion for diagnosing panic disorder.

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