Nursing Elites

1. What is the traditional cutoff in diagnosing intellectual disability?

• A. IQ score below 80
• B. IQ score below 70
• C. IQ score below 60
• D. IQ score below 50

Correct answer: B

Rationale: The traditional cutoff for diagnosing intellectual disability is an IQ score below 70. An IQ score below 70 is generally considered as the threshold for diagnosing intellectual disability. Choices A, C, and D are incorrect as they do not reflect the commonly accepted cutoff point for diagnosing intellectual disability.

2. 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.

3. John Bowlby's attachment theory emphasized ________.

• A. the social environment in forming attachments.
• B. the quality of parental care in forming attachments.
• C. the quality of early reinforcers and stimulation in forming attachments.
• D. the necessity of independence from parental figures in forming attachments.

Correct answer: B

Rationale: John Bowlby's attachment theory emphasized the quality of parental care in forming attachments. This is because Bowlby believed that a child's early experiences with their primary caregiver, especially the quality of care and responsiveness received, significantly influence the child's ability to form secure attachments. Choice A is incorrect because while the social environment plays a role, Bowlby's theory focused more on the caregiver-child relationship. Choice C is incorrect as it does not capture the central role of parental care highlighted in Bowlby's theory. Choice D is also incorrect as Bowlby's theory actually emphasized the importance of a secure attachment to parental figures for healthy emotional development.

4. How does the concept of neural plasticity relate to recovery from brain injuries?

• A. Neural plasticity means the brain cannot recover from injuries.
• B. Neural plasticity allows the brain to recover and reorganize after injuries.
• C. Neural plasticity refers to the brain's inability to change after injury.
• D. Neural plasticity is a myth.

Correct answer: B

Rationale: Neural plasticity allows the brain to recover and reorganize after injuries. It is the brain's ability to adapt and change, forming new connections or reorganizing existing ones to compensate for damage. Choice A is incorrect as neural plasticity enables recovery. Choice C is incorrect as neural plasticity involves the brain's capacity to change. Choice D is incorrect as neural plasticity is a well-established phenomenon in neuroscience.

5. How do defense mechanisms contribute to psychopathology?

• A. They do not contribute to psychopathology as they are healthy coping mechanisms.
• B. They contribute to psychopathology by allowing individuals to avoid confronting painful realities.
• C. Defense mechanisms have no connection to psychopathology.
• D. Defense mechanisms are unconscious strategies that can lead to the development of psychopathology.

Correct answer: B

Rationale: The correct answer is B. Defense mechanisms contribute to psychopathology by allowing individuals to avoid confronting painful realities. This avoidance can prevent individuals from dealing with underlying issues, leading to the development or exacerbation of psychopathological conditions. Choice A is incorrect because while defense mechanisms may serve as coping mechanisms, they can also contribute to psychopathology when used excessively or inappropriately. Choice C is incorrect as defense mechanisms are indeed connected to psychopathology. Choice D is incorrect because defense mechanisms, when maladaptive, can contribute to psychopathology rather than being considered healthy coping strategies.

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