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. 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.

3. While the term psychology has existed since at least the early 1700s, psychology did not come to be considered a science until?

• A. The 1750s.
• B. The early 1800s.
• C. The late 1800s.
• D. The 1940s.

Correct answer: C

Rationale: Psychology became recognized as a science in the late 1800s, aligning with broader trends in scientific inquiry during that period. This marked the establishment of psychology as a distinct field of study based on empirical research and experimentation. Choices A, B, and D are incorrect because psychology's formal recognition as a science occurred later, specifically in the late 1800s.

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 interpersonal perspective ________.

• A. arose as a reaction against the unscientific methods of psychoanalysis.
• B. was introduced by Erik Erikson.
• C. emphasizes social rather than inner determinants of behavior.
• D. is the most influential humanistic perspective today.

Correct answer: C

Rationale: The interpersonal perspective emphasizes social rather than inner determinants of behavior. Choice A is incorrect as the interpersonal perspective focuses on social interactions rather than being a reaction against psychoanalysis. Choice B is incorrect as the interpersonal perspective is not specifically attributed to Erik Erikson. Choice D is incorrect as the most influential humanistic perspective today would be humanistic psychology, not the interpersonal perspective.

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