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. Who proposed that the study of consciousness should be replaced by the study of behavior?

• A. John Watson
• B. Abraham Maslow
• C. G. Stanley Hall
• D. Sigmund Freud

Correct answer: A

Rationale: The correct answer is John Watson. Watson, a key figure in behaviorism, believed that psychology should focus on observable behavior rather than consciousness. Abraham Maslow is known for his hierarchy of needs theory and humanistic psychology, not for advocating the study of behavior over consciousness. G. Stanley Hall was a pioneer in psychology but did not propose replacing the study of consciousness with behavior. Sigmund Freud, a prominent figure in psychoanalysis, focused on the unconscious mind rather than behavior.

3. How do socioeconomic factors influence mental health?

• A. Socioeconomic factors have no impact on mental health.
• B. Socioeconomic factors are the primary determinants of mental health.
• C. Socioeconomic factors are irrelevant to mental health.
• D. Socioeconomic factors can exacerbate but not cause mental health issues.

Correct answer: B

Rationale: Socioeconomic factors are indeed primary determinants of mental health. These factors influence mental health by impacting access to resources, stress levels, and overall well-being. Choice A is incorrect as socioeconomic factors do have a significant impact on mental health. Choice C is incorrect as socioeconomic factors play a crucial role in mental health outcomes. Choice D is incorrect as socioeconomic factors can both exacerbate and cause mental health issues.

4. Which neurotransmitter is reduced in both the manic and depressive phases of bipolar disorder?

• A. Acetylcholine
• B. Dopamine
• C. Norepinephrine
• D. Serotonin

Correct answer: D

Rationale: The correct answer is D, Serotonin. Serotonin levels are reduced during both the manic and depressive phases of bipolar disorder. Acetylcholine (choice A) is not typically linked to bipolar disorder. Dopamine (choice B) and norepinephrine (choice C) are more commonly associated with conditions like schizophrenia and depression, respectively, rather than bipolar disorder. Therefore, they are not the neurotransmitters reduced in both manic and depressive phases of bipolar disorder.

5. 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.

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