Nursing Elites

1. Sandy took part in the April 2013 Boston Marathon, where two bombs were detonated near the finish line, killing three spectators. For approximately 2 weeks after the marathon, Sandy was unable to sleep or concentrate and often found herself reliving the moment she heard the bombs explode. What disorder might Sandy be diagnosed with?

• A. Posttraumatic stress disorder
• B. Phobic disorder
• C. Panic disorder
• D. Acute stress disorder

Correct answer: A

Rationale: Sandy might be diagnosed with posttraumatic stress disorder (PTSD). PTSD typically develops after exposure to a traumatic event and is characterized by symptoms such as re-experiencing the event, avoidance of reminders of the event, negative changes in thoughts and mood, and heightened reactivity. While acute stress disorder can occur shortly after a traumatic event, the duration of symptoms in the scenario suggests a more prolonged impact, aligning with PTSD. Phobic disorder and panic disorder are not as closely related to the described symptoms as PTSD.

2. When Ryan was born, the hospital assessed his health with the Apgar scale, and the score was 5. What does this mean with respect to his breathing pattern?

• A. He was not in danger
• B. He needed help in establishing a breathing pattern
• C. He was in excellent condition
• D. He was in critical condition

Correct answer: B

Rationale: An Apgar score of 5 suggests that Ryan needed help establishing a regular breathing pattern after birth. Choice A is incorrect because a score of 5 indicates the need for assistance. Choice C is incorrect as an Apgar score of 5 does not reflect excellent condition. Choice D is incorrect as it signifies a critical condition, which is not the case with an Apgar score of 5.

3. Normal human cells have ________

• A. twenty-two chromosome pairs and one pair of sex chromosomes.
• B. twenty-one trisomy chromosome pairs, one autosomal pair, and one pair of sex chromosomes.
• C. twenty-one chromosome pairs and two trisomy chromosome pairs.
• D. twenty-three chromosome pairs.

Correct answer: A

Rationale: Normal human cells have twenty-two chromosome pairs and one pair of sex chromosomes. This is the correct answer as it accurately describes the typical chromosome count in human cells. Choice B is incorrect because it mentions 'twenty-one trisomy chromosome pairs,' which is not characteristic of normal cells. Choice C is incorrect as it suggests having 'two trisomy chromosome pairs,' which is abnormal. Choice D is incorrect as it states 'twenty-three chromosome pairs,' which is not the standard count in normal human cells.

4. A predisposition toward developing a disorder is termed a __________ .

• A. Diathesis
• B. Risk factor
• C. Sufficient cause
• D. Diathesis

Correct answer: A

Rationale: A predisposition toward developing a disorder is termed a diathesis. In this context, diathesis refers to an individual's susceptibility or predisposition to developing a disorder. A diathesis is not the same as a risk factor or a sufficient cause. A risk factor is a variable that increases the likelihood of developing a disorder but is not a predisposition itself. A sufficient cause is a factor that can produce the disorder on its own, not just a predisposition.

5. Defense mechanisms ________.

• A. make a person feel more anxious and have more problems, as they begin to act defensively.
• B. are strategies the id uses to try to achieve its desires.
• C. are conscious, intentional attempts to cope effectively with an anxiety-producing event.
• D. help a person feel less anxious, but because they usually work by distorting reality, they are not always adaptive.

Correct answer: D

Rationale: The correct answer is D because defense mechanisms aim to reduce anxiety but can lead to distortion of reality, making them not always beneficial. Choice A is incorrect as defense mechanisms are meant to reduce anxiety, not increase it. Choice B is incorrect because defense mechanisms are not strategies of the id specifically. Choice C is incorrect as defense mechanisms are often unconscious and not always intentional.

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