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. Alicia, 5 years old, knows that she will take a bath at 6:05, change clothes at 6:15, eat breakfast at 6:20, commute to school at 6:40, and join the assembly at 7:00. A child's awareness of his or her scripts or daily routine is classified under which type of memory?

• A. Semantic memory
• B. Nondeclarative memory
• C. Generic memory
• D. Autobiographical memory

Correct answer: D

Rationale: The correct answer is D, Autobiographical memory. Autobiographical memory refers to the memory of a person's life events, such as daily routines and personal experiences. In this scenario, Alicia's awareness of her daily routine falls under autobiographical memory as she remembers specific events related to her own life. Choices A, B, and C are incorrect. Semantic memory is related to general knowledge about the world, nondeclarative memory involves memories that are not consciously recalled, and generic memory is not a recognized memory classification.

3. A baby throws its arms out and then inward (as if embracing) in response to loud noise or when its head falls. Which reflex is this?

• A. Babinski
• B. Palmar
• C. Darwinian
• D. Moro

Correct answer: D

Rationale: The correct answer is D, Moro. The Moro reflex is an instinctual response seen in infants when they experience a sudden loss of support or loud noise. The baby will throw their arms out and then bring them back in, resembling an embrace. This reflex is important for survival as it helps the infant react to potential dangers. Choice A, Babinski, refers to the reflex where a baby's toes spread apart when the sole of the foot is stimulated. Choice B, Palmar, is related to the reflex where a baby's fingers close tightly around an object placed in their palm. Choice C, Darwinian, is not a recognized reflex in this context.

4. 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.

5. Which of the following statements is true?

• A. Most behavioral disorders are determined exclusively by genes.
• B. Genes play a role in most mental disorders.
• C. Genes do not affect biochemical processes.
• D. The genes that will be expressed in an individual are not affected by experience.

Correct answer: B

Rationale: The correct answer is B: 'Genes play a role in most mental disorders.' This statement is true as genes do play a significant role in the development of various mental disorders. Choice A is incorrect because most behavioral disorders are influenced by a combination of genetic, environmental, and other factors, not exclusively genes. Choice C is incorrect as genes do affect biochemical processes. Choice D is incorrect because the expression of genes in an individual can be influenced by experiences and environmental factors, a concept known as gene-environment interaction.

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