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. Unlike other types of anxiety disorders, this one is not triggered by anything specific, hence the name free-floating anxiety.

• A. Social anxiety disorder
• B. Generalized anxiety disorder
• C. Panic disorder
• D. Specific phobia

Correct answer: B

Rationale: The correct answer is B, Generalized anxiety disorder. Generalized anxiety disorder is characterized by persistent and excessive worry or anxiety that is not triggered by specific situations or objects, hence the term 'free-floating anxiety.' Social anxiety disorder (A) is characterized by fear and anxiety about social situations, panic disorder (C) involves recurrent unexpected panic attacks, and specific phobia (D) is an intense fear of a specific object or situation. Therefore, B is the most appropriate choice in the context of anxiety not being triggered by specific stimuli.

3. In __, the individual can't recall everything about a certain period of time.

• A. Systematized amnesia
• B. Selective amnesia
• C. Collective amnesia
• D. Localized amnesia

Correct answer: D

Rationale: Localized amnesia refers to the inability to recall all events during a specific period of time. This type of amnesia is characterized by the loss of memories related to a particular incident or period, while other memories remain intact. Choices A, B, and C are incorrect because they refer to different types of amnesia. Systematized amnesia is a term used to describe a selective loss of memory related to a specific category of information or knowledge. Selective amnesia involves the conscious or unconscious blocking out of specific memories, often due to psychological reasons. Collective amnesia pertains to a lack of shared memory or historical awareness within a group or society.

4. From the cognitive-behavioral perspective, an important limitation with the behavioral perspective is that ________.

• A. Behaviorists went too far in attacking the psychoanalytic perspective.
• B. Behaviorists failed to attend to the importance of mental processes.
• C. Behaviorists were too focused on explaining how abnormal behavior is acquired.
• D. Behaviorists underestimated the role of reinforcement.

Correct answer: B

Rationale: The correct answer is B because behaviorists, from the cognitive-behavioral perspective, are criticized for not considering the significance of mental processes. This limitation is a key point in the cognitive-behavioral perspective, which emphasizes the interplay between thoughts, feelings, and behaviors. Choices A, C, and D are incorrect because they do not directly address the specific limitation of failing to account for mental processes in the behavioral perspective.

5. The interpersonal perspective ________.

• A. arose as a reaction against the unscientific methods of psychoanalysis.
• B. was introduced by Erik Erikson.
• C. emphasizes social rather than inner determinants of behavior.
• D. is the most influential humanistic perspective today.

Correct answer: C

Rationale: The interpersonal perspective emphasizes social rather than inner determinants of behavior. Choice A is incorrect as the interpersonal perspective focuses on social interactions rather than being a reaction against psychoanalysis. Choice B is incorrect as the interpersonal perspective is not specifically attributed to Erik Erikson. Choice D is incorrect as the most influential humanistic perspective today would be humanistic psychology, not the interpersonal perspective.

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