Nursing Elites

1. 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.

2. There is experimental evidence showing that consistently being discriminated against may cause a person to ________.

• A. be happy.
• B. be more conscious.
• C. have cardiovascular reactivity.
• D. have greater intelligence and wisdom.

Correct answer: C

Rationale: The correct answer is C: 'have cardiovascular reactivity.' Consistent discrimination can lead to increased cardiovascular reactivity, impacting heart health. Choice A ('be happy') is incorrect because discrimination typically causes distress and negative emotions. Choice B ('be more conscious') is not directly related to the impact of discrimination. Choice D ('have greater intelligence and wisdom') is also unrelated to the physiological response of cardiovascular reactivity caused by discrimination.

3. Biological discoveries ________.

• A. have lessened the subjectivity of definitions of abnormality.
• B. demonstrate that the environment plays only a minimal role in the development of psychopathology.
• C. make it clear that mental disorders are diseases and should be dealt with by the medical profession.
• D. have led to a recognition of the role that genetic factors and other biological influences play in the development of many disorders.

Correct answer: D

Rationale: Biological discoveries have indeed led to a recognition of the role that genetic factors and other biological influences play in the development of many disorders. This understanding has shifted the focus from purely environmental explanations to acknowledging the significant impact of genetics and biology on mental health. Choices A, B, and C are incorrect because biological discoveries have not specifically addressed the subjectivity of definitions of abnormality, minimized the role of the environment in psychopathology, or definitively classified mental disorders as diseases that should only be handled by the medical profession.

4. The understanding of genetic influences on behavior may never be fully achieved due to ________.

• A. the ease of researching to differentiate between the effects of the environment and genes.
• B. the likelihood that most behaviors are determined by the interaction of many genes and the environment.
• C. the reliance on twin studies in genetic research.
• D. our significant understanding of how genes impact brain chemistry.

Correct answer: B

Rationale: The correct answer is B because most behaviors are influenced by the interaction of multiple genes and the environment. Choice A is incorrect because it suggests that researching the effects of the environment and genes is easy, which is not the case. Choice C is incorrect as it focuses on a specific method (twin studies) rather than the broader concept of gene-environment interaction. Choice D is incorrect as the statement implies a high level of understanding that contradicts the idea that genetic influences on behavior may never be fully understood.

5. Charles has suffered from schizophrenia for many years and now resides in a group treatment facility. One day a nurse approaches him and quietly tells him that his sister, who has been fighting cancer for many months, died that morning. Charles has no appreciable facial reaction and in a very monotone voice says, 'okay.' The nurse is not surprised by Charles's lack of response to the awful news because she knows that _________ is one symptom often seen in those suffering from schizophrenia?

• A. Clang associations
• B. Echolalia
• C. Blunted affect
• D. Perseveration

Correct answer: C

Rationale: In individuals with schizophrenia, blunted affect, or reduced emotional expression, is a common symptom. In this scenario, Charles's lack of emotional response upon hearing about his sister's death aligns with the characteristic of blunted affect. This symptom can manifest as a limited range of facial expressions, monotone voice, and reduced display of emotions. Choice A, 'Clang associations,' refers to a thought disorder characterized by the use of words that sound alike but are not logically connected. Choice B, 'Echolalia,' is the repetition of words spoken by others. Choice D, 'Perseveration,' is the persistent repetition of a response or behavior even when it is no longer appropriate.

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