Nursing Elites

1. 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.

2. Normal human cells have ________

• A. twenty-two chromosome pairs and one pair of sex chromosomes.
• B. twenty-one trisomy chromosome pairs, one autosomal pair, and one pair of sex chromosomes.
• C. twenty-one chromosome pairs and two trisomy chromosome pairs.
• D. twenty-three chromosome pairs.

Correct answer: A

Rationale: Normal human cells have twenty-two chromosome pairs and one pair of sex chromosomes. This is the correct answer as it accurately describes the typical chromosome count in human cells. Choice B is incorrect because it mentions 'twenty-one trisomy chromosome pairs,' which is not characteristic of normal cells. Choice C is incorrect as it suggests having 'two trisomy chromosome pairs,' which is abnormal. Choice D is incorrect as it states 'twenty-three chromosome pairs,' which is not the standard count in normal human cells.

3. Which of the following is an appropriate description of a child with conduct disorder?

• A. They may argue repeatedly with adults, ignore adult rules and requests, deliberately annoy other people, and feel much anger and resentment
• B. They have great difficulty attending to tasks, or behave overactively and impulsively, or both
• C. Marked by extreme unresponsiveness to other people, severe communication deficits, and highly rigid and repetitive behaviors, interests, and activities
• D. They are often aggressive, deliberately destroy other people's property, steal or lie, skip school, or run away from home

Correct answer: A

Rationale: The correct answer is A. Children with conduct disorder often exhibit behaviors such as arguing with adults, ignoring rules, deliberately annoying others, and displaying anger and resentment. Choice B describes symptoms more characteristic of ADHD (Attention-Deficit/Hyperactivity Disorder). Choice C describes symptoms commonly seen in individuals with autism spectrum disorders. Choice D outlines behaviors associated with oppositional defiant disorder rather than conduct disorder.

4. Which of the following is not a common method for studying genetic influences?

• A. The study of specific gene defects
• B. Twin studies
• C. Adoption studies
• D. Family history (pedigree) studies

Correct answer: A

Rationale: The correct answer is A. Studying specific gene defects is not a common method for investigating genetic influences. Choices B, C, and D are common methods used in genetic research. Twin studies help determine the heritability of traits, adoption studies compare similarities between adopted individuals and their adoptive families versus biological families, and family history studies track the inheritance patterns of traits within families.

5. Sigmund Freud developed an innovative procedure for treating people with psychological problems, which he called?

• A. Behavior modification.
• B. Primal therapy.
• C. Psychoanalysis.
• D. Rational-emotive therapy.

Correct answer: C

Rationale: Sigmund Freud developed psychoanalysis, not behavior modification, primal therapy, or rational-emotive therapy, as an innovative method for treating psychological problems. Psychoanalysis focuses on exploring unconscious motivations to understand and address psychological disorders, making it the correct answer. Behavior modification involves changing behavior through conditioning techniques, primal therapy emphasizes expressing repressed emotions, and rational-emotive therapy aims to identify and change irrational beliefs.

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