Nursing Elites

1. If a pair of monozygotic twins raised in the same environment end up being different from one another (e.g., interests, hobbies, etc.), it is highly likely due to:

• A. Cephalocaudal pattern
• B. Proximodistal pattern
• C. Cephamodistal pattern
• D. Gene-environment correlation

Correct answer: B

Rationale: The correct answer is B: Proximodistal pattern. Differences between monozygotic twins raised in the same environment are likely due to non-shared environmental influences, which lead to differences in interests, hobbies, and other individual characteristics. Choices A, C, and D are incorrect. Cephalocaudal pattern refers to the principle of development from head to toe, not relevant in explaining differences between twins. Cephamodistal pattern is not a recognized developmental term. Gene-environment correlation does not directly explain the differences between identical twins raised in the same environment.

2. Dr. Haldol has several patients with schizophrenia who appear to exhibit excessive or distorted characteristics in relation to what one might consider normal functioning. Specific symptoms include varied hallucinations and multiple delusions. According to the DSM-5, these are referred to as?

• A. Flat affect
• B. Positive symptoms
• C. Negative symptoms
• D. Catatonia

Correct answer: B

Rationale: The correct answer is B: Positive symptoms. Positive symptoms in schizophrenia are behaviors or experiences that are added to normal functioning, such as hallucinations and delusions. These symptoms are considered 'positive' because they represent an excess or distortion of normal functions. Choices A, C, and D are incorrect. Flat affect refers to a reduction in emotional expression, negative symptoms involve deficits in normal functioning such as reduced emotional expression or motivation, and catatonia is a state of unresponsiveness.

3. Colleen found herself attracted to her psychology instructor. She would frequently go by his office just to be near him. When he didn't respond to her advances, Colleen eventually told him that she had thoughts of killing herself so that he would spend time trying to counsel her. What personality disorder best describes Colleen's thinking and behavior?

• A. Borderline personality disorder
• B. Schizoid personality disorder
• C. Schizotypal personality disorder
• D. Antisocial personality disorder

Correct answer: A

Rationale: Colleen's behavior of seeking attention and manipulating others by threatening self-harm to elicit a response from her psychology instructor aligns with the characteristics of borderline personality disorder. This disorder is characterized by unstable relationships, impulsive actions, and efforts to avoid real or imagined abandonment. Choices B, C, and D are incorrect because they do not match Colleen's behavior as described in the scenario. Schizoid personality disorder is characterized by a lack of interest in social relationships, Schizotypal personality disorder involves social anxiety and odd behavior, and Antisocial personality disorder is characterized by a disregard for others' feelings and violating their rights.

4. 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.

5. What would a humanist most likely say about Manny's passivity?

• A. Manny will find it difficult to change because he probably has deep-seated feelings of inferiority.
• B. Manny can become more assertive once he begins to feel better about himself and recognizes that he has the ability to fulfill his potential.
• C. Manny simply needs to take an assertiveness training class in which he can learn and practice assertive behaviors.
• D. Manny should undergo analysis so that he can begin to resolve whatever unconscious conflict is at the root of his passivity.

Correct answer: B

Rationale: Humanists believe in the inherent goodness and potential of individuals. They would most likely say that Manny can become more assertive by improving his self-esteem and recognizing his abilities. Choice A is incorrect because humanists focus on self-actualization rather than deep-seated feelings of inferiority. Choice C is incorrect as it oversimplifies the issue by suggesting a training class can solve the problem without addressing underlying beliefs. Choice D is incorrect as it suggests a psychoanalytic approach, while humanists usually emphasize personal growth and self-improvement.

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