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. Rita shows better control over her eating habits at 2.5 years than her brother Richard did at the same age. Why?

• A. Girls are naturally smarter than boys.
• B. Second-born children learn faster.
• C. Girls have better fine motor skills.
• D. Boys have better gross motor skills.

Correct answer: D

Rationale: The correct answer is D because boys typically develop gross motor skills, like running and jumping, more quickly than girls. This can explain why Richard may have had less control over his eating habits compared to Rita at the same age. Choices A, B, and C are incorrect because they do not address the specific developmental aspect related to eating habits control mentioned in the question.

3. When Ryan was born, the hospital assessed his health with the Apgar scale, and the score was 5. What does this mean with respect to his breathing pattern?

• A. He was not in danger
• B. He needed help in establishing a breathing pattern
• C. He was in excellent condition
• D. He was in critical condition

Correct answer: B

Rationale: An Apgar score of 5 suggests that Ryan needed help establishing a regular breathing pattern after birth. Choice A is incorrect because a score of 5 indicates the need for assistance. Choice C is incorrect as an Apgar score of 5 does not reflect excellent condition. Choice D is incorrect as it signifies a critical condition, which is not the case with an Apgar score of 5.

4. A lack of social skills, poor school performance, and moodiness have all been associated with which of the following parenting styles?

• A. Authoritarian
• B. Permissive/indulgent
• C. Authoritative
• D. Neglectful/uninvolved

Correct answer: D

Rationale: The correct answer is D, Neglectful/uninvolved. This parenting style is associated with a lack of social skills, poor school performance, and moodiness due to the lack of parental involvement and emotional support. Authoritarian parenting (choice A) is characterized by strict rules and high demands, not necessarily linked to these issues. Permissive/indulgent parenting (choice B) involves few rules and high responsiveness, which may not directly lead to these problems. Authoritative parenting (choice C) combines high demands with emotional support and is actually linked to positive outcomes such as good school performance and social skills.

5. When examining heredity, mental disorders are almost always ________

• A. influenced by one particular gene.
• B. influenced by multiple genes.
• C. influenced by recessive genes.
• D. not influenced by genes.

Correct answer: B

Rationale: When examining heredity, mental disorders are influenced by multiple genes. Mental disorders are complex conditions that typically result from a combination of genetic, environmental, and other factors. While genetics play a significant role in predisposing individuals to mental disorders, it is rare for a single gene to be solely responsible for a mental disorder. Therefore, choice B is correct. Choices A, C, and D are incorrect because mental disorders are not usually influenced by one particular gene, recessive genes specifically, or not influenced by genes at all.

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