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. How does parenting style influence child development?

• A. Authoritative parenting is associated with the best outcomes.
• B. Permissive parenting leads to the best outcomes.
• C. Neglectful parenting is associated with the best outcomes.
• D. Authoritarian parenting is the most effective in child development.

Correct answer: A

Rationale: Authoritative parenting, which balances warmth and control, is associated with the best outcomes in child development. It fosters independence, self-regulation, and social competence in children. Choice B is incorrect because permissive parenting, which is characterized by low demands and high responsiveness, may lead to issues like lack of self-discipline. Choice C is incorrect as neglectful parenting, characterized by low demands and low responsiveness, can result in various negative outcomes for the child. Choice D is incorrect because authoritarian parenting, which is high on control but low on warmth, may lead to obedience but can also stifle a child's independence and creativity.

3. Kai and Ken received their Christmas gifts from their parents. Although their gifts vary in many characteristics, the two compared their gifts based on size. This tendency among children is known as:

• A. Semiotic
• B. Abstraction
• C. Preoperational
• D. Overextension

Correct answer: D

Rationale: The correct answer is D, Overextension. Overextension happens when children compare objects or experiences based on one characteristic, such as size. Choices A, B, and C are incorrect. Semiotic refers to the study of signs and symbols; Abstraction is the process of thinking about something as a general concept rather than a specific example; Preoperational is a stage in Piaget's theory of cognitive development, not related to comparing gifts based on size.

4. Freud's psychosexual stage that occurs between the ages of 3 and 5 and includes the Oedipal period is the ________ stage.

• A. genital
• B. oral
• C. phallic
• D. latency

Correct answer: C

Rationale: Freud's psychosexual stage that occurs between the ages of 3 and 5, including the Oedipal period, is the phallic stage. During this stage, children experience the Oedipus or Electra complex, where they develop unconscious sexual desires for the opposite-sex parent and see the same-sex parent as a rival. The genital stage (Choice A) is the final stage where mature sexual interests emerge, oral (Choice B) and anal stages precede the phallic stage, and latency (Choice D) is a stage following the phallic stage characterized by a focus on developing social and cognitive skills.

5. Which neurotransmitter is reduced in both the manic and depressive phases of bipolar disorder?

• A. Acetylcholine
• B. Dopamine
• C. Norepinephrine
• D. Serotonin

Correct answer: D

Rationale: The correct answer is D, Serotonin. Serotonin levels are reduced during both the manic and depressive phases of bipolar disorder. Acetylcholine (choice A) is not typically linked to bipolar disorder. Dopamine (choice B) and norepinephrine (choice C) are more commonly associated with conditions like schizophrenia and depression, respectively, rather than bipolar disorder. Therefore, they are not the neurotransmitters reduced in both manic and depressive phases of bipolar disorder.

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