Nursing Elites

1. Nearly all adults who were children living in Saigon when the U.S. armed forces left Vietnam in 1975 report that their lives were changed by those events. This exemplifies which of the following?

• A. Normative age-graded influence
• B. Social clock
• C. Critical period
• D. Sensitive period

Correct answer: C

Rationale: The correct answer is C. This scenario exemplifies a critical period in development. Critical periods are specific times in an individual's life when certain events have a profound impact on their development. In this case, the events surrounding the departure of the U.S. armed forces from Saigon in 1975 had a lasting influence on the children living there at that time. Choices A, B, and D are incorrect. Normative age-graded influence refers to events that are common to people of a particular age group, the social clock relates to the culturally preferred timing of social events, and a sensitive period is a time when an individual is more susceptible to environmental influences but does not result in lifelong consequences as with critical periods.

2. Roger has suffered a major brain injury. As a result, he is unable to speak fluently, tends to mispronounce words, and speaks haltingly. For instance, he says 'wat' instead of 'watch' and 'tot' instead of 'talk.' What is the diagnosis?

• A. Agnosia
• B. Spatial neglect
• C. Broca's aphasia
• D. Prosopagnosia

Correct answer: C

Rationale: The correct diagnosis for Roger's condition is Broca's aphasia. Broca's aphasia is characterized by difficulty in speaking fluently and accurately, often due to brain injury. In this case, Roger's symptoms of being unable to speak fluently, mispronouncing words, and speaking haltingly align with the characteristics of Broca's aphasia. Agnosia refers to the inability to recognize or interpret sensory information, spatial neglect is the lack of awareness of one side of the body or space, and prosopagnosia is the inability to recognize faces, none of which match Roger's symptoms.

3. Latresha is not hungry, is extremely tired, and doesn't feel like doing much of anything. She often feels that life is just hopeless. These symptoms have been going on for 2 months now. She probably is suffering from which mood disorder?

• A. Generalized anxiety disorder
• B. Bipolar disorder
• C. Major depressive disorder
• D. Obsessive-compulsive disorder

Correct answer: C

Rationale: The correct answer is C, Major Depressive Disorder. Latresha's symptoms of prolonged sadness, fatigue, and lack of interest in activities lasting for 2 months indicate a major depressive episode. Generalized anxiety disorder (A) is characterized by excessive worry and anxiety, not necessarily prolonged sadness. Bipolar disorder (B) involves episodes of both mania and depression, not solely prolonged sadness. Obsessive-compulsive disorder (D) is characterized by obsessions and compulsions, not the symptoms described in the scenario.

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 psychosexual stage focuses on castration anxiety?

• A. Genital
• B. Oral
• C. Anal
• D. Phallic

Correct answer: D

Rationale: Castration anxiety is a concept from Freudian psychoanalytic theory that occurs during the Phallic stage. This stage occurs between 3 to 6 years of age and is when children experience conflicts related to the Oedipus complex (boys) and Electra complex (girls). During this stage, children may fear castration (in boys) or penis envy (in girls), which are crucial components of castration anxiety. Therefore, the correct answer is Phallic. The other options (A: Genital, B: Oral, C: Anal) are incorrect as they do not specifically involve castration anxiety but rather represent different stages in Freud's psychosexual development theory.

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