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. Dr. Haldol has several patients with schizophrenia who appear to exhibit excessive or distorted characteristics in relation to what one might consider normal functioning. Specific symptoms include varied hallucinations and multiple delusions. According to the DSM-5, these are referred to as?

• A. Flat affect
• B. Positive symptoms
• C. Negative symptoms
• D. Catatonia

Correct answer: B

Rationale: The correct answer is B: Positive symptoms. Positive symptoms in schizophrenia are behaviors or experiences that are added to normal functioning, such as hallucinations and delusions. These symptoms are considered 'positive' because they represent an excess or distortion of normal functions. Choices A, C, and D are incorrect. Flat affect refers to a reduction in emotional expression, negative symptoms involve deficits in normal functioning such as reduced emotional expression or motivation, and catatonia is a state of unresponsiveness.

3. 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.

4. How does abuse and maltreatment tend to affect a child's ability to relate to others?

• A. It leads to the development of strong, healthy relationships.
• B. It results in difficulty forming healthy relationships later in life.
• C. It has little to no impact on a child's social development.
• D. It promotes independence in forming new relationships.

Correct answer: B

Rationale: The correct answer is B. Abuse and maltreatment tend to result in difficulties in forming healthy relationships and may lead to a disorganized and disoriented attachment style. Choice A is incorrect because abuse and maltreatment usually hinder the development of strong and healthy relationships. Choice C is incorrect as abuse and maltreatment significantly impact a child's social development. Choice D is incorrect because abuse and maltreatment do not promote independence in forming new relationships but rather create barriers to forming healthy connections.

5. In defining a mental disorder, deviance refers to?

• A. Amount of suffering the individual is experiencing due to the mental disorder
• B. Inability of an individual to fulfill a certain role (e.g., work or family obligation)
• C. The capacity of the individual to cause harm to the people around them
• D. The tendency of an individual to display behaviors that are culturally unexpected

Correct answer: D

Rationale: In defining a mental disorder, deviance refers to behavior that is culturally unexpected or violates social norms. This means that the individual displays behaviors that are not typical or acceptable within their specific culture or society. Choices A, B, and C are incorrect because they do not directly relate to the concept of deviance in the context of defining a mental disorder. The amount of suffering, inability to fulfill a role, or capacity to cause harm are important considerations in understanding mental disorders but are not specifically related to deviance.

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