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. Children raised in orphanages tend to have ________.

• A. more cortical gray matter than those raised by their parents.
• B. less cortical gray matter than those raised by their parents.
• C. more friendships than those raised by their parents.
• D. fewer friendships than those raised by their parents.

Correct answer: B

Rationale: The correct answer is B: 'less cortical gray matter than those raised by their parents.' Studies have shown that children raised in orphanages tend to have less cortical gray matter compared to those raised by their parents. This is due to the lack of individualized care, attention, and stimulation that can negatively impact brain development. Choices A, C, and D are incorrect because there is no direct correlation between cortical gray matter and the number of friendships when comparing children raised in orphanages and those raised by their parents.

3. What are substances, such as viruses and drugs, that can cause birth defects?

• A. Teratogens
• B. Placenta
• C. Parturition
• D. Androgens

Correct answer: A

Rationale: Teratogens are substances that can cause birth defects, especially if exposure occurs during critical periods of development. In this context, teratogens refer to external agents that can interfere with the development of the embryo or fetus, leading to structural or functional abnormalities. Choice B, Placenta, is incorrect as it is an organ that develops during pregnancy to provide nutrients and oxygen to the fetus and remove waste products. Choice C, Parturition, refers to the process of giving birth and is not related to substances that cause birth defects. Choice D, Androgens, are male sex hormones and are not associated with causing birth defects.

4. Where is the site of chemical communication in the brain?

• A. Neuron
• B. Synapse
• C. Axon
• D. Dendrite

Correct answer: B

Rationale: The correct answer is B: Synapse. The synapse is the site where chemical communication occurs between neurons. Neurotransmitters are released from the axon terminal of one neuron, cross the synaptic cleft, and bind to receptors on the dendrites of the next neuron. Choice A, Neuron, is incorrect as it refers to the entire nerve cell. Choices C and D, Axon and Dendrite, are also incorrect as they are specific parts of a neuron and not the primary site of chemical communication.

5. Why does the selection of a theoretical perspective of mental disorders matter?

• A. Because it determines how data is interpreted, and influences treatment approaches.
• B. It matters because different perspectives offer different insights into the causes and treatments of mental disorders.
• C. The selection of a theoretical perspective is not important as all perspectives lead to the same treatment outcomes.
• D. Theoretical perspectives are only relevant for academic research, not for clinical practice.

Correct answer: A

Rationale: The selection of a theoretical perspective matters because it determines how data is interpreted and influences the treatment approaches that are considered appropriate. Choice B is incorrect because different perspectives may lead to different interpretations and treatment strategies. Choice C is incorrect because different theoretical perspectives can result in varied treatment outcomes. Choice D is incorrect because theoretical perspectives play a crucial role in both academic research and clinical practice.

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