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. According to Freud, a person who does not appropriately resolve each psychosexual stage would be _________ at that stage.

• A. defended
• B. fixated
• C. repressed
• D. displaced

Correct answer: B

Rationale: According to Freud's theory of psychosexual development, if a person does not resolve a particular stage successfully, they become fixated at that stage. This fixation can lead to behavior patterns characteristic of that stage in later life. In this context, 'defended' is incorrect because it does not align with Freud's theory of fixation. 'Repressed' is not the correct choice as it refers to the unconscious suppression of thoughts or desires. 'Displaced' involves redirecting emotions from their original source to a substitute target, which is not the concept Freud associated with unresolved psychosexual stages.

3. While having a gene for Parkinson's disease guarantees that Parkinson's disease will develop, this is not the only factor that can lead to Parkinson's disease. In other words, the presence of the gene is a ________, but not a ________.

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

Correct answer: B

Rationale: The correct answer is B: 'sufficient cause; necessary cause.' A sufficient cause will inevitably produce the disorder, but it is not the only factor. In this case, having the gene for Parkinson's disease is a sufficient cause, meaning it alone can lead to the development of the disease. However, it is not a necessary cause because Parkinson's disease can still develop without the presence of this gene. Choices A, C, and D are incorrect because they do not accurately describe the relationship between the gene and the development of Parkinson's disease as depicted in the question.

4. Freud's psychosexual stage that occurs between the ages of 3 and 5 is the ________ stage.

• A. oral
• B. anal
• C. phallic
• D. genital

Correct answer: C

Rationale: Freud's psychosexual stage that occurs between the ages of 3 and 5 is the phallic stage. During this stage, children focus on the genitals and start to identify with the same-sex parent while developing the superego. Choice A, the oral stage, occurs during infancy (0-1 year), where gratification is centered around the mouth. Choice B, the anal stage, occurs between the ages of 1 and 3, focusing on toilet training. Choice D, the genital stage, is the final stage in Freud's theory, occurring from puberty onwards, where the focus is on mature sexual relationships.

5. If having a gene for Parkinson's disease guarantees that Parkinson's disease will develop, the gene 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 is an essential factor for the disorder to occur. In this scenario, if having a gene for Parkinson's disease guarantees the development of the disease, then the gene is a necessary cause. Choice A, 'risk factor,' implies an increased likelihood of developing the disease but does not indicate certainty. Choice C, 'sufficient cause,' indicates that the gene alone can bring about the disease, which is not necessarily true in this context. Choice D, 'contributory cause,' suggests that the gene plays a part in causing the disease but is not essential for its development.

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