Nursing Elites

1. Down syndrome is caused by ________

• A. a chemical imbalance.
• B. a gene on the X chromosome.
• C. possessing an extra X chromosome.
• D. possessing an extra chromosome in chromosome 21.

Correct answer: D

Rationale: Down syndrome is caused by possessing an extra chromosome in chromosome 21, not a chemical imbalance (choice A), a gene on the X chromosome (choice B), or possessing an extra X chromosome (choice C). The presence of an extra copy of chromosome 21, also known as trisomy 21, leads to the characteristic features and health problems associated with Down syndrome.

2. A major factor associated with a child's rejection by peers is ________.

• A. Overly aggressive behavior.
• B. Being too intelligent.
• C. Socioeconomic background.
• D. A lack of empathy.

Correct answer: A

Rationale: Overly aggressive behavior is often a major factor in a child's rejection by peers. Children who display overly aggressive behavior may intimidate or harm their peers, leading to social rejection. Being too intelligent or having a different socioeconomic background are not typically primary reasons for peer rejection. While empathy is important for healthy social interactions, a lack of empathy, on its own, is less likely to be a primary factor in peer rejection compared to overly aggressive behavior.

3. A psychological disorder is said to have an acute onset if the symptoms develop ______, while it has an insidious onset if the symptoms develop ______.

• A. Suddenly;gradually
• B. Suddenly;atypically
• C. Gradually;atypically
• D. Atypically;suddenly

Correct answer: A

Rationale: An acute onset refers to the sudden development of symptoms, whereas an insidious onset indicates a gradual progression of symptoms. Therefore, the correct answer is 'Suddenly;gradually.' The other choices are incorrect because 'atypically' does not accurately describe the onset of symptoms in this context.

4. During which period of psychosexual development does a child become preoccupied with the development of skills and activities?

• A. Genital
• B. Phallic
• C. Latency
• D. Pubertal

Correct answer: C

Rationale: The correct answer is C, Latency. In the Latency stage of psychosexual development, which occurs from around age 6 to puberty, children are focused on developing skills and engaging in activities rather than exploring sexuality. This period is characterized by the suppression of sexual impulses and the emphasis on social and intellectual pursuits. Choice A, Genital, refers to the final stage of psychosexual development in Freud's theory where individuals reach sexual maturity. Choice B, Phallic, pertains to the stage where children become aware of anatomical differences between boys and girls and develop unconscious sexual desires for the opposite-sex parent. Choice D, Pubertal, is not a recognized stage in Freud's psychosexual development theory.

5. Which disorder is characterized by a pattern of behavior that involves culturally inappropriate, overly familiar behavior with relative strangers?

• A. Schizoid personality disorder
• B. Autism spectrum disorder
• C. Reactive attachment disorder
• D. Disinhibited social engagement disorder

Correct answer: D

Rationale: Disinhibited social engagement disorder is the correct answer because it is characterized by a pattern of behavior involving culturally inappropriate and overly familiar behavior with relative strangers. This disorder is marked by a lack of social boundaries and caution when interacting with unfamiliar individuals. Schizoid personality disorder (Choice A) is characterized by a lack of interest in social relationships, Autism spectrum disorder (Choice B) involves challenges with social interactions and communication, and Reactive attachment disorder (Choice C) is typically associated with difficulty forming emotional bonds with caregivers, not with overly familiar behavior with strangers.

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