Nursing Elites

1. Franklin wakes up in a homeless shelter in another town. He doesn't know where he is or how he got there, and he's confused when people say he has been calling himself Anthony. This is most likely an episode of dissociative?

• A. Amnesia
• B. Dissociative fugue
• C. Wandering
• D. Flight of ideas

Correct answer: B

Rationale: The correct answer is B, Dissociative fugue. In the scenario described, Franklin experiencing memory loss, travel to another town, assuming a new identity (calling himself Anthony) aligns with dissociative fugue. Amnesia (Choice A) involves memory loss without the additional aspects of travel and assuming a new identity. Wandering (Choice C) is vague and does not encompass the complete set of symptoms described. Flight of ideas (Choice D) is a symptom of conditions like mania, not dissociative disorders.

2. Sandy took part in the April 2013 Boston Marathon, where two bombs were detonated near the finish line, killing three spectators. For approximately 2 weeks after the marathon, Sandy was unable to sleep or concentrate and often found herself reliving the moment she heard the bombs explode. What disorder might Sandy be diagnosed with?

• A. Posttraumatic stress disorder
• B. Phobic disorder
• C. Panic disorder
• D. Acute stress disorder

Correct answer: A

Rationale: Sandy might be diagnosed with posttraumatic stress disorder (PTSD). PTSD typically develops after exposure to a traumatic event and is characterized by symptoms such as re-experiencing the event, avoidance of reminders of the event, negative changes in thoughts and mood, and heightened reactivity. While acute stress disorder can occur shortly after a traumatic event, the duration of symptoms in the scenario suggests a more prolonged impact, aligning with PTSD. Phobic disorder and panic disorder are not as closely related to the described symptoms as PTSD.

3. Michael, age 16, has recently gained a considerable amount of weight but has not grown any taller. His father experienced a similar pattern of growth when he was a teenager. Theorists who suggest that Michael’s growth pattern was inherited from his father emphasize the ________ side of the nature-nurture debate?

• A. Nature
• B. Nurture
• C. Environmental
• D. Experiential

Correct answer: A

Rationale: The correct answer is 'A: Nature.' In this scenario, the emphasis is on the genetic inheritance of the growth pattern from father to son, highlighting the role of nature in determining physical characteristics. Choice B, 'Nurture,' focuses on environmental influences, which are not the primary factor in this case. Choice C, 'Environmental,' is similar to 'Nurture' and does not address the genetic aspect mentioned. Choice D, 'Experiential,' pertains more to the learning and experiential aspects rather than genetic inheritance, making it an incorrect choice.

4. 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.

5. In schizophrenia, what is the term used to describe the symptom where individuals exhibit peculiar hand and limb movements or adopt unusual postures for long periods of time?

• A. Catatonia
• B. Loose association
• C. Disorganized speech
• D. Blunted affect

Correct answer: A

Rationale: The correct answer is A: Catatonia. Catatonia is a symptom seen in some cases of schizophrenia, characterized by motor abnormalities such as peculiar hand and limb movements or adopting unusual postures for extended periods. Choice B, Loose association, refers to a thought disorder where ideas shift from one subject to another in an unrelated way. Choice C, Disorganized speech, is characterized by incoherent or incomprehensible speech patterns. Choice D, Blunted affect, describes a reduction in the intensity of emotional expression.

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