Nursing Elites

1. Which of the following is true about subjective distress?

• A. All individuals with mental illness experience some degree of distress
• B. Distress is the only criterion in diagnosing abnormality
• C. Its presence is enough for a clinician to determine if someone has a mental illness
• D. Some individuals with a mental disorder may not experience subjective distress

Correct answer: D

Rationale: Subjective distress is not universal among individuals with a mental disorder. Choice A is incorrect as not all individuals with mental illness experience distress. Choice B is incorrect because distress is just one of the criteria used in diagnosing abnormality, not the only one. Choice C is incorrect because the presence of subjective distress alone is not sufficient for a clinician to determine if someone has a mental illness.

2. A male college student begins feeling sad and lonely. Although still able to go to classes and work at his job, he finds himself feeling down much of the time and worrying about what is happening to him. Which part of the definition of abnormality applies to his situation?

• A. Personal distress
• B. Cultural factors
• C. Impaired functioning
• D. Violation of societal norms

Correct answer: A

Rationale: The correct answer is A: Personal distress. In this scenario, the student is experiencing personal distress as he feels sad and lonely, despite being able to function in his daily life. Personal distress is a key criterion for determining abnormality as it signifies significant emotional discomfort. Choices B, C, and D are incorrect as cultural factors, impaired functioning, and violation of societal norms are not the primary factors highlighted in the student's situation.

3. Franklin wakes up in a homeless shelter in another town. He doesn't know where he is or how he got there, and he's confused when people say he has been calling himself Anthony. This is most likely an episode of dissociative?

• A. Amnesia
• B. Dissociative fugue
• C. Wandering
• D. Flight of ideas

Correct answer: B

Rationale: The correct answer is B, Dissociative fugue. In the scenario described, Franklin experiencing memory loss, travel to another town, assuming a new identity (calling himself Anthony) aligns with dissociative fugue. Amnesia (Choice A) involves memory loss without the additional aspects of travel and assuming a new identity. Wandering (Choice C) is vague and does not encompass the complete set of symptoms described. Flight of ideas (Choice D) is a symptom of conditions like mania, not dissociative disorders.

4. Kai and Ken received their Christmas gifts from their parents. Although their gifts vary in many characteristics, the two compared their gifts based on size. This tendency among children is known as:

• A. Semiotic
• B. Abstraction
• C. Preoperational
• D. Overextension

Correct answer: D

Rationale: The correct answer is D, Overextension. Overextension happens when children compare objects or experiences based on one characteristic, such as size. Choices A, B, and C are incorrect. Semiotic refers to the study of signs and symbols; Abstraction is the process of thinking about something as a general concept rather than a specific example; Preoperational is a stage in Piaget's theory of cognitive development, not related to comparing gifts based on size.

5. The site of chemical communication in the brain is the ________.

• A. neuron
• B. synapse
• C. axon
• D. dendrite

Correct answer: B

Rationale: The synapse is the correct answer. It is the site where communication between neurons occurs through the release and reception of neurotransmitters. Choice A, neuron, is incorrect as it is the cell itself rather than a specific site of communication. Choice C, axon, is also incorrect as it is a part of the neuron that transmits signals away from the cell body. Choice D, dendrite, is not the correct answer either, as dendrites receive signals from other neurons but do not release neurotransmitters for communication.

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