Nursing Elites

1. Dr. Haldol has several patients with schizophrenia who appear to exhibit excessive or distorted characteristics in relation to what one might consider normal functioning. Specific symptoms include varied hallucinations and multiple delusions. According to the DSM-5, these are referred to as?

• A. Flat affect
• B. Positive symptoms
• C. Negative symptoms
• D. Catatonia

Correct answer: B

Rationale: The correct answer is B: Positive symptoms. Positive symptoms in schizophrenia are behaviors or experiences that are added to normal functioning, such as hallucinations and delusions. These symptoms are considered 'positive' because they represent an excess or distortion of normal functions. Choices A, C, and D are incorrect. Flat affect refers to a reduction in emotional expression, negative symptoms involve deficits in normal functioning such as reduced emotional expression or motivation, and catatonia is a state of unresponsiveness.

2. Which perspective or viewpoint focuses on intrapsychic conflicts as the cause of psychopathology?

• A. Biological
• B. Behavioral
• C. Psychodynamic
• D. Sociocultural

Correct answer: C

Rationale: The correct answer is C: Psychodynamic. The psychodynamic perspective emphasizes the role of intrapsychic conflicts, often related to unconscious processes, in the development of psychopathology. This perspective, founded by Sigmund Freud, suggests that unresolved conflicts from early childhood experiences can manifest as mental health issues. Choice A, Biological, focuses on the physiological aspects of psychopathology, such as genetics and neurobiology. Choice B, Behavioral, looks at how behavior is learned and reinforced. Choice D, Sociocultural, considers the influence of social and cultural factors on mental health.

3. Normal human cells have ________

• A. twenty-two chromosome pairs and one pair of sex chromosomes.
• B. twenty-one trisomy chromosome pairs, one autosomal pair, and one pair of sex chromosomes.
• C. twenty-one chromosome pairs and two trisomy chromosome pairs.
• D. twenty-three chromosome pairs.

Correct answer: A

Rationale: Normal human cells have twenty-two chromosome pairs and one pair of sex chromosomes. This is the correct answer as it accurately describes the typical chromosome count in human cells. Choice B is incorrect because it mentions 'twenty-one trisomy chromosome pairs,' which is not characteristic of normal cells. Choice C is incorrect as it suggests having 'two trisomy chromosome pairs,' which is abnormal. Choice D is incorrect as it states 'twenty-three chromosome pairs,' which is not the standard count in normal human cells.

4. Gabriel is depressed as he has been looking for a job for the past year without success. Today, his best friend tried to give him two books on job interviews, but he turned down the offer. What concept best explains his reaction?

• A. Observational learning
• B. Insight learning
• C. Learned helplessness
• D. Modeling

Correct answer: C

Rationale: Gabriel's reaction of turning down the offer of job interview books from his friend despite being depressed and unsuccessful in job hunting best fits the concept of learned helplessness. Learned helplessness occurs when individuals believe they have no control over their situation, leading to passivity and feelings of helplessness. In this case, Gabriel's refusal of the books indicates a sense of resignation and belief that his efforts in finding a job will not be successful, reflecting learned helplessness. Observational learning, insight learning, and modeling do not directly align with Gabriel's reaction in this context.

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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