Nursing Elites

1. Down syndrome is caused by ________

• A. a chemical imbalance.
• B. a gene on the X chromosome.
• C. possessing an extra X chromosome.
• D. possessing an extra chromosome in chromosome 21.

Correct answer: D

Rationale: Down syndrome is caused by possessing an extra chromosome in chromosome 21, not a chemical imbalance (choice A), a gene on the X chromosome (choice B), or possessing an extra X chromosome (choice C). The presence of an extra copy of chromosome 21, also known as trisomy 21, leads to the characteristic features and health problems associated with Down syndrome.

2. What is a person's total genetic endowment?

• A. Phenotype
• B. Genotype
• C. Chromosomes
• D. DNA

Correct answer: B

Rationale: The correct answer is B: Genotype. A genotype refers to a person's total genetic endowment, representing the specific genetic makeup inherited from their parents. This includes all the genes and genetic information contained in an individual's DNA. Choices A, C, and D are incorrect because: A) Phenotype refers to the observable characteristics resulting from the interaction of genetics and the environment; C) Chromosomes are physical structures that contain genes, not the total genetic endowment itself; D) DNA carries genetic information but is just one component of an individual's total genetic endowment.

3. Which of the following perspectives focuses on social determinants of behavior?

• A. The attachment perspective
• B. The interpersonal perspective
• C. The humanistic perspective
• D. The existential perspective

Correct answer: B

Rationale: The interpersonal perspective focuses on social determinants of behavior, emphasizing the impact of social interactions, relationships, and communication on an individual's behavior. This perspective looks at how people's behavior is influenced by their interactions with others and the social environment. Choices A, C, and D are incorrect because they do not primarily focus on social determinants of behavior. The attachment perspective is concerned with emotional bonds between individuals, the humanistic perspective emphasizes personal growth and self-fulfillment, and the existential perspective focuses on individual freedom and responsibility in creating meaning in life.

4. Define resilience and explain its significance in mental health.

• A. Resilience refers to the ability to avoid all mental health issues despite severe stress.
• B. Resilience is the ability to adapt successfully to even very difficult circumstances.
• C. Resilience is the tendency to be unaffected by any form of stress or adversity.
• D. Resilience is the ability to avoid stress by avoiding challenges.

Correct answer: B

Rationale: The correct definition of resilience is the ability to adapt successfully to difficult circumstances, not avoiding stress entirely. Resilience is significant in mental health as it helps individuals overcome adversity rather than avoiding it. Choice A is incorrect as resilience doesn't mean avoiding all mental health issues but rather dealing with stress effectively. Choice C is incorrect as resilience involves facing and overcoming stress, not being unaffected by it. Choice D is incorrect as resilience involves facing challenges and stress, not avoiding them altogether.

5. Why is it discouraged to use terms such as 'schizophrenic', 'autistic', and 'retarded' when referring to people with mental illness?

• A. These terms are no longer in the DSM
• B. There are only a small number of people diagnosed with these terms
• C. There is nothing wrong in using these terms
• D. Because people with mental illness are not defined by their condition

Correct answer: D

Rationale: It is discouraged to use terms like 'schizophrenic', 'autistic', and 'retarded' when referring to people with mental illness because people with mental illness should not be defined solely by their condition. Using such labels can reduce individuals to just their diagnosis, overlooking their individuality and other aspects of their identity. It is essential to treat individuals with mental illness with respect and dignity, focusing on their humanity rather than reducing them to a label. Choices A, B, and C are incorrect because the main reason for discouraging these terms lies in not defining individuals by their conditions, rather than the terms being in or out of the DSM, the number of diagnosed individuals, or the perception of whether there is anything wrong with using such terms.

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