Nursing Elites

1. Which of the following statements is not true about selective mutism?

• A. The disturbance is often marked by high social anxiety
• B. It can be diagnosed alongside social anxiety disorder
• C. The person is capable of speaking in some situations
• D. It may lead to academic impairment

Correct answer: B

Rationale: Selective mutism can coexist with social anxiety disorder. The correct answer is B because it is incorrect to say that selective mutism cannot be diagnosed alongside social anxiety disorder. Statement A is true as selective mutism is often associated with high social anxiety. Statement C is true as individuals with selective mutism can speak in some situations. Statement D is true as selective mutism may lead to academic impairment due to difficulties in communication.

2. Biological discoveries ________.

• A. have lessened the subjectivity of definitions of abnormality.
• B. demonstrate that the environment plays only a minimal role in the development of psychopathology.
• C. make it clear that mental disorders are diseases and should be dealt with by the medical profession.
• D. have led to a recognition of the role that genetic factors and other biological influences play in the development of many disorders.

Correct answer: D

Rationale: Biological discoveries have indeed led to a recognition of the role that genetic factors and other biological influences play in the development of many disorders. This understanding has shifted the focus from purely environmental explanations to acknowledging the significant impact of genetics and biology on mental health. Choices A, B, and C are incorrect because biological discoveries have not specifically addressed the subjectivity of definitions of abnormality, minimized the role of the environment in psychopathology, or definitively classified mental disorders as diseases that should only be handled by the medical profession.

3. In schizophrenia, what is the term used to describe the symptom where individuals exhibit peculiar hand and limb movements or adopt unusual postures for long periods of time?

• A. Catatonia
• B. Loose association
• C. Disorganized speech
• D. Blunted affect

Correct answer: A

Rationale: The correct answer is A: Catatonia. Catatonia is a symptom seen in some cases of schizophrenia, characterized by motor abnormalities such as peculiar hand and limb movements or adopting unusual postures for extended periods. Choice B, Loose association, refers to a thought disorder where ideas shift from one subject to another in an unrelated way. Choice C, Disorganized speech, is characterized by incoherent or incomprehensible speech patterns. Choice D, Blunted affect, describes a reduction in the intensity of emotional expression.

4. Studies on the cultural differences in parental tolerance of under- or over-controlled behavior suggest that ________.

• A. These different styles can produce different rates of problem behaviors in different cultures.
• B. Parental styles make no difference in rates of different behavior problems; they seem to be primarily genetic.
• C. Parental styles make no difference in rates of different behavior problems; they seem to be independent of culture.
• D. All cultures feel the same about bringing their children for treatment, regardless of the type of behavior problem.

Correct answer: A

Rationale: Studies on the cultural differences in parental tolerance of under- or over-controlled behavior suggest that these different styles can produce different rates of problem behaviors in different cultures. This is because cultural norms and expectations influence how parental tolerance and responses to behavior are shaped. Choice B is incorrect because parental styles do play a role in behavior problems, influenced by cultural factors. Choice C is incorrect as parental styles can vary across cultures and impact behavior problems differently. Choice D is incorrect because cultural attitudes towards seeking treatment for behavior problems can vary significantly.

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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