Nursing Elites

1. Which of the following best describes a securely attached child in Japanese culture?

• A. A child who is dependent, emotionally restrained, and can express his feelings only in an indirect manner.
• B. A child who is independent, emotionally expressive, and can communicate well.
• C. A child who is dependent, emotionally labile, and can express his feelings only in an aggressive manner.
• D. A child who is independent, emotionally restrained, and can communicate well.

Correct answer: A

Rationale: In Japanese culture, a securely attached child is described as dependent and emotionally restrained. This means that the child relies on their caregiver for support and is able to control their emotions, expressing their feelings in a more subtle and indirect manner. Choice B is incorrect as it describes independence, which is not characteristic of a securely attached child in Japanese culture. Choice C is also incorrect as it describes emotional lability and expressing feelings aggressively, which are not typical of securely attached children. Choice D is incorrect as it combines independence with emotional restraint, which does not align with the characteristics of a securely attached child in Japanese culture.

2. 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.

3. 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.

4. What does ethnography refer to?

• A. A detailed description of a single culture or context
• B. Corrupted by original sin
• C. The product of evolution
• D. A blank slate

Correct answer: A

Rationale: Ethnography refers to a detailed description of a single culture or context. It involves the systematic study and recording of human cultures, including customs, behaviors, and social structures. Choice B, 'Corrupted by original sin,' is incorrect as it does not relate to ethnography. Choice C, 'The product of evolution,' is incorrect as it does not define ethnography. Choice D, 'A blank slate,' is incorrect as it does not describe the practice of ethnography.

5. What neurotransmitter was first believed to be the cause of schizophrenia?

• A. GABA
• B. Serotonin
• C. Epinephrine
• D. Dopamine

Correct answer: D

Rationale: The correct answer is Dopamine. Dopamine was initially thought to be the primary cause of schizophrenia. This neurotransmitter hypothesis was based on the observation that drugs that increase dopamine activity can worsen symptoms of schizophrenia, while drugs that decrease dopamine activity can improve symptoms. Choices A, B, and C are incorrect because GABA, serotonin, and epinephrine were not the neurotransmitters initially believed to be the cause of schizophrenia.

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