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. Which of the following explanations for the relationship between SES and abnormal behavior is not supported by the existing data?

• A. Low SES may cause abnormal behavior.
• B. Abnormal behavior is more likely to go untreated in those of low SES.
• C. Recovery from loss of a job may be more difficult for those exhibiting signs of mental illness.
• D. High SES may cause abnormal behavior.

Correct answer: D

Rationale: The correct answer is D because high SES as a cause for abnormal behavior is not supported by existing data. Abnormal behavior is often associated with factors like stress, trauma, genetics, or environmental influences. High SES is not a known cause of abnormal behavior. Choices A, B, and C are more plausible explanations: Low SES may lead to limited access to mental health care, untreated abnormal behavior due to financial constraints, and difficulties in coping with mental health issues after job loss, respectively.

3. During which period of psychosexual development does a child become preoccupied with the development of skills and activities?

• A. Genital
• B. Phallic
• C. Latency
• D. Pubertal

Correct answer: C

Rationale: The correct answer is C, Latency. In the Latency stage of psychosexual development, which occurs from around age 6 to puberty, children are focused on developing skills and engaging in activities rather than exploring sexuality. This period is characterized by the suppression of sexual impulses and the emphasis on social and intellectual pursuits. Choice A, Genital, refers to the final stage of psychosexual development in Freud's theory where individuals reach sexual maturity. Choice B, Phallic, pertains to the stage where children become aware of anatomical differences between boys and girls and develop unconscious sexual desires for the opposite-sex parent. Choice D, Pubertal, is not a recognized stage in Freud's psychosexual development theory.

4. Which of the following did Freud believe played a causal role in the development of most forms of psychopathology?

• A. Anxiety
• B. Depression
• C. Unresolved conflicts between the ego and the superego
• D. Fixation in the oral stage

Correct answer: A

Rationale: Freud believed that anxiety was a primary causal factor in the development of most forms of psychopathology. Anxiety, according to Freud, arises from conflicts within the mind, particularly conflicts between the id, ego, and superego. This unresolved conflict can lead to various psychological issues. While depression can be a symptom of psychopathology, Freud emphasized anxiety as a more foundational element. Unresolved conflicts between the ego and the superego are related to Freud's structural model of the mind but are not the primary causal factor in psychopathology. Fixation in the oral stage is a concept from Freud's psychosexual stages of development and is not directly linked to the causal role in the development of most forms of psychopathology.

5. What are genes made of?

• A. Trisomes
• B. Chromosomes
• C. DNA
• D. Proteins

Correct answer: C

Rationale: Genes are made of DNA, which is the genetic material that carries the instructions for the development, functioning, growth, and reproduction of organisms. While chromosomes contain genes, they are not what genes themselves are made of. Proteins are involved in gene expression and regulation, but they are not the primary material genes consist of. Trisomes is an incorrect term in this context and does not relate to the composition of genes.

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