Nursing Elites

1. 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.

2. The baby coos and the mom smiles, so the baby coos again to get mom to smile again. Piaget would say that this action is an example of?

• A. Reflexes
• B. Primary circular reactions
• C. Secondary circular reactions
• D. Tertiary circular reactions

Correct answer: C

Rationale: The correct answer is C: Secondary circular reactions. Secondary circular reactions are repeated actions that infants engage in to trigger a response from the environment, such as the baby cooing to make the mom smile. This behavior is characterized by a focus on the external environment and the repetition of actions to achieve a desired response. Choices A, B, and D are incorrect. Reflexes (choice A) are automatic, involuntary responses to a stimulus, while primary circular reactions (choice B) involve the repetition of actions primarily for the infant's own enjoyment rather than to elicit a response from the environment. Tertiary circular reactions (choice D) refer to the experimentation with new behaviors and variations in the way the infant interacts with the environment.

3. The ability to adapt successfully to even very difficult circumstances is called ________.

• A. resilience
• B. hardiness
• C. perseverance
• D. a challenge orientation

Correct answer: A

Rationale: Resilience is indeed the correct term for the ability to adapt successfully to difficult circumstances. Resilience involves bouncing back from setbacks, handling stress, and persevering in the face of adversity. Choice B, 'hardiness,' refers more to toughness or durability rather than adapting to difficult circumstances. Choice C, 'perseverance,' is about persistence and determination rather than adaptability. Choice D, 'a challenge orientation,' does not directly relate to the ability to adapt to difficult circumstances, making it an incorrect choice.

4. In the 5th substage of sensorimotor development, what does Piaget refer to as 'experimentation,' where the infant tries out new ways of playing with or manipulating objects?

• A. Short-term memory
• B. Working memory
• C. Core memories
• D. Long-term memory

Correct answer: D

Rationale: The correct answer is D, 'Long-term memory.' In the 5th substage of sensorimotor development, Piaget refers to 'experimentation' as tertiary circular reactions, where the infant tries out new ways of playing with or manipulating objects. This stage involves exploring and testing different ways of interacting with the world to understand cause and effect relationships. Choices A, B, and C are incorrect as they do not align with Piaget's concept of tertiary circular reactions and experimentation in the sensorimotor stage of development.

5. To overcome her fear of balloons due to the loud sound they might make when popping, Bella must sit in a room filled with balloons while the therapist pops each one. After a while, Bella realizes that her fear is unjustified and even begins to pop balloons herself. This technique is known as?

• A. Systematic desensitization
• B. Aversion therapy
• C. Flooding
• D. Extinction

Correct answer: C

Rationale: The correct answer is C, Flooding. Flooding is an exposure therapy technique where a person is exposed to their fear at full intensity until the fear subsides. In this scenario, Bella is exposed to her fear of balloons in a controlled environment until she realizes her fear is unjustified. Choice A, Systematic desensitization, involves gradual exposure to the fear stimulus paired with relaxation techniques. Choice B, Aversion therapy, aims to create a negative association with a stimulus to reduce unwanted behavior. Choice D, Extinction, refers to the gradual decrease in the strength or frequency of a conditioned response.

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