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. Mental disorders are almost always _______, meaning they are influenced by multiple genes.

• A. environmental
• B. chemical circuits
• C. polygenic
• D. probabilistic

Correct answer: C

Rationale: The correct answer is C: 'polygenic.' Mental disorders are polygenic, which means they are influenced by multiple genes. This term specifically refers to conditions or traits that are caused by more than one gene. Choice A, 'environmental,' is incorrect as it doesn't directly refer to the genetic influence on mental disorders. Choice B, 'chemical circuits,' is incorrect as it is too specific and not a common term used to describe the genetic basis of mental disorders. Choice D, 'probabilistic,' is incorrect as it relates more to the likelihood or chance of something happening rather than the genetic influence on mental disorders.

3. Undercontrolled behavior tends to be seen in American children, whereas overcontrolled behavior is 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; overcontrolled behavior.' The question highlights a cultural difference in behavior tendencies between American and Thai children. American children are usually characterized by undercontrolled behavior, while Thai children tend to exhibit overcontrolled behavior. Choice A (Aggressive behavior; calm behavior) is incorrect as the question does not mention aggressive or calm behavior as the contrasting traits between the two groups. Choice B (Overcontrolled behavior; undercontrolled behavior) is incorrect because the described behavior patterns are reversed based on the question's context. Choice D (Equal behavioral traits in both cultures) is incorrect as the question explicitly states differing behavior patterns in American and Thai children.

4. Why is it particularly useful to study identical twins who were raised in different environments?

• A. Differences in brain function can be easily identified.
• B. Concordance rates tend to be higher.
• C. It is possible that the genetics of twins who have been separated have changed in ways to explain any differences found.
• D. It is possible that high concordance rates between identical twins reared together are due to their being treated more similarly than nonidentical twins.

Correct answer: D

Rationale: Studying identical twins raised in different environments allows researchers to understand the impact of genetics versus environmental factors on traits. Choice A is incorrect because differences in brain function can be influenced by a variety of factors and not solely by environmental differences. Choice B is incorrect as concordance rates tend to be higher in identical twins reared together due to shared genetics and environment. Choice C is incorrect because genetics do not change due to being raised in different environments.

5. In order to develop chicken pox, one must be exposed to the virus that causes chicken pox. Note, however, that not everyone who is exposed to the virus is affected. In other words, the virus is a ________

• A. risk factor.
• B. necessary cause.
• C. sufficient cause.
• D. contributory cause.

Correct answer: B

Rationale: The correct answer is B: 'necessary cause.' A necessary cause must be present for a disorder to occur. In the context of developing chicken pox, being exposed to the virus is a necessary condition for contracting the disease. Choices A, C, and D are incorrect. A 'risk factor' increases the probability of developing a disease but is not essential for its occurrence. A 'sufficient cause' can produce the outcome on its own, which is not the case with exposure to the chicken pox virus. A 'contributory cause' adds to other causes to produce an effect, but in this scenario, exposure to the virus is crucial by itself.

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