Nursing Elites

1. Which term describes a combination of economic and social factors detailing an individual or family's position, including income, education, and occupation?

• A. Culture
• B. Socioeconomic status
• C. Risk factors
• D. Ethnic gloss

Correct answer: B

Rationale: The correct answer is B: Socioeconomic status. Socioeconomic status (SES) is a term used to combine economic and social factors to describe an individual's or family's position in society. Choice A, Culture, refers to the beliefs, customs, and practices of a specific group of people. Choice C, Risk factors, are characteristics or exposures that increase the likelihood of developing a disease or injury. Choice D, Ethnic gloss, is not a term related to the description of an individual or family's economic and social position.

2. 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.

3. Why is it discouraged to use terms such as 'schizophrenic', 'autistic', and 'retarded' when referring to people with mental illness?

• A. These terms are no longer in the DSM
• B. There are only a small number of people diagnosed with these terms
• C. There is nothing wrong in using these terms
• D. Because people with mental illness are not defined by their condition

Correct answer: D

Rationale: It is discouraged to use terms like 'schizophrenic', 'autistic', and 'retarded' when referring to people with mental illness because people with mental illness should not be defined solely by their condition. Using such labels can reduce individuals to just their diagnosis, overlooking their individuality and other aspects of their identity. It is essential to treat individuals with mental illness with respect and dignity, focusing on their humanity rather than reducing them to a label. Choices A, B, and C are incorrect because the main reason for discouraging these terms lies in not defining individuals by their conditions, rather than the terms being in or out of the DSM, the number of diagnosed individuals, or the perception of whether there is anything wrong with using such terms.

4. You are taking part in a survey that asks about your attitudes toward physical punishment of children. Even though you believe that spanking is sometimes necessary, you answer that you are opposed to any sort of physical punishment. Which of the following terms best describes why you answered the way you did?

• A. Random responding
• B. Faking bad
• C. Placebo effect
• D. Social desirability

Correct answer: D

Rationale: The correct answer is D, social desirability. Social desirability bias occurs when respondents answer questions in a way they think will be viewed favorably by others, rather than according to their true beliefs. In this scenario, the respondent may feel pressured to provide an answer that aligns with societal norms or expectations, even if it contradicts their personal beliefs. Choices A, B, and C are incorrect. Random responding refers to answering survey questions haphazardly, without consideration. Faking bad is intentionally providing extreme or negative responses. The placebo effect is a phenomenon where a person's belief in a treatment's effectiveness produces a positive outcome, unrelated to the treatment's actual effects.

5. Which of the following is NOT a culture-bound syndrome?

• A. Hikikomori
• B. Zar
• C. Hoopa
• D. Koro

Correct answer: C

Rationale: The correct answer is C, 'Hoopa,' as it is not recognized as a culture-bound syndrome. A culture-bound syndrome refers to a cluster of symptoms that are recognized and named within a specific cultural group but may not be recognized universally. Hikikomori is a culture-bound syndrome in Japan where individuals isolate themselves from social interactions. Zar is a culture-bound syndrome found in Africa and the Middle East characterized by episodes of laughing, crying, and singing. Koro is a culture-bound syndrome, primarily documented in Asian cultures, where individuals have an intense fear of genital retraction.

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