Nursing Elites

1. Normal human cells have ________

• A. twenty-two chromosome pairs and one pair of sex chromosomes.
• B. twenty-one trisomy chromosome pairs, one autosomal pair, and one pair of sex chromosomes.
• C. twenty-one chromosome pairs and two trisomy chromosome pairs.
• D. twenty-three chromosome pairs.

Correct answer: A

Rationale: Normal human cells have twenty-two chromosome pairs and one pair of sex chromosomes. This is the correct answer as it accurately describes the typical chromosome count in human cells. Choice B is incorrect because it mentions 'twenty-one trisomy chromosome pairs,' which is not characteristic of normal cells. Choice C is incorrect as it suggests having 'two trisomy chromosome pairs,' which is abnormal. Choice D is incorrect as it states 'twenty-three chromosome pairs,' which is not the standard count in normal human cells.

2. Roger has suffered a major brain injury. As a result, he is unable to speak fluently, tends to mispronounce words, and speaks haltingly. For instance, he says 'wat' instead of 'watch' and 'tot' instead of 'talk.' What is the diagnosis?

• A. Agnosia
• B. Spatial neglect
• C. Broca's aphasia
• D. Prosopagnosia

Correct answer: C

Rationale: The correct diagnosis for Roger's condition is Broca's aphasia. Broca's aphasia is characterized by difficulty in speaking fluently and accurately, often due to brain injury. In this case, Roger's symptoms of being unable to speak fluently, mispronouncing words, and speaking haltingly align with the characteristics of Broca's aphasia. Agnosia refers to the inability to recognize or interpret sensory information, spatial neglect is the lack of awareness of one side of the body or space, and prosopagnosia is the inability to recognize faces, none of which match Roger's symptoms.

3. 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.

4. How is binge-eating disorder different from bulimia?

• A. Typically eat much smaller portions before purging the food.
• B. Do not typically purge the food they eat.
• C. Only purge their food after several binge sessions.
• D. Often resort to anorexic methods to rid themselves of the food they have eaten.

Correct answer: B

Rationale: The correct answer is B because individuals with binge-eating disorder do not typically engage in purging behavior, unlike those with bulimia. Choice A is incorrect as individuals with binge-eating disorder do not purge the food they eat, so they do not eat smaller portions before doing so. Choice C is incorrect as they do not purge their food after several binge sessions. Choice D is incorrect as individuals with binge-eating disorder do not resort to anorexic methods to rid themselves of the food they have eaten.

5. What term describes exceptional mental abilities such as mental math, memorization, musical, and artistic ability found among individuals with autism?

• A. Savant skills
• B. Theory of mind
• C. Echolalia
• D. Self-stimulatory behaviors

Correct answer: A

Rationale: The correct answer is A: Savant skills. Savant skills refer to exceptional abilities commonly observed in individuals with autism. These skills can include remarkable talents in areas such as mental math, memorization, music, and art. Choice B, Theory of mind, is the ability to attribute mental states to oneself and others, which is a different concept. Choice C, Echolalia, is the repetition of words or phrases, not related to exceptional abilities. Choice D, Self-stimulatory behaviors, involves repetitive body movements or sounds often seen in individuals with autism but is not directly related to exceptional mental abilities.

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