Nursing Elites

1. How is pruning best defined?

• A. The process of eliminating unused synapses
• B. The process of synapse development
• C. The connection between neurons
• D. Fatty sheath that wraps around neurons and enables them to transmit information more rapidly

Correct answer: A

Rationale: Pruning is the process of eliminating unused synapses in the brain. This process helps the brain to become more efficient by strengthening important connections and eliminating unnecessary ones. Choice B is incorrect because pruning is about eliminating synapses, not developing them. Choice C is incorrect as it refers to the general concept of connections between neurons, not specifically about pruning. Choice D is incorrect as it describes the myelin sheath, which is responsible for rapid transmission of information along neurons, not pruning.

2. What are substances, such as viruses and drugs, that can cause birth defects?

• A. Teratogens
• B. Placenta
• C. Parturition
• D. Androgens

Correct answer: A

Rationale: Teratogens are substances that can cause birth defects, especially if exposure occurs during critical periods of development. In this context, teratogens refer to external agents that can interfere with the development of the embryo or fetus, leading to structural or functional abnormalities. Choice B, Placenta, is incorrect as it is an organ that develops during pregnancy to provide nutrients and oxygen to the fetus and remove waste products. Choice C, Parturition, refers to the process of giving birth and is not related to substances that cause birth defects. Choice D, Androgens, are male sex hormones and are not associated with causing birth defects.

3. How does abuse and maltreatment tend to affect a child's ability to relate to others?

• A. It leads to the development of strong, healthy relationships.
• B. It results in difficulty forming healthy relationships later in life.
• C. It has little to no impact on a child's social development.
• D. It promotes independence in forming new relationships.

Correct answer: B

Rationale: The correct answer is B. Abuse and maltreatment tend to result in difficulties in forming healthy relationships and may lead to a disorganized and disoriented attachment style. Choice A is incorrect because abuse and maltreatment usually hinder the development of strong and healthy relationships. Choice C is incorrect as abuse and maltreatment significantly impact a child's social development. Choice D is incorrect because abuse and maltreatment do not promote independence in forming new relationships but rather create barriers to forming healthy connections.

4. 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.

5. The child might see an orange and say 'apple' because both objects are round. This is known as ____?

• A. Accommodation
• B. Assimilation
• C. A detailed description of a single culture or context
• D. A study that tests a causal hypothesis

Correct answer: B

Rationale: The correct answer is B: Assimilation. Assimilation occurs when a child applies an existing schema (like 'apple' for round objects) to new objects. In this scenario, the child sees the round orange and calls it an 'apple' because they are both round. Choice A, Accommodation, involves modifying an existing schema to fit a new object or situation, which is not the case in the given scenario. Choices C and D are unrelated to the concept being tested in this question.

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