Nursing Elites

1. 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.

2. How does the environment interact with genetic predispositions to influence mental health?

• A. The environment has no influence on mental health.
• B. The environment interacts with genetic predispositions to either enhance or mitigate mental health risks.
• C. The environment can only influence physical health, not mental health.
• D. The environment has a minimal effect on mental health outcomes.

Correct answer: B

Rationale: The correct answer is B. The environment interacts with genetic predispositions to either enhance or mitigate mental health risks. This highlights the intricate relationship between one's genetic makeup and the environmental factors they are exposed to, both contributing significantly to mental health outcomes. Choice A is incorrect as numerous studies show that the environment plays a crucial role in mental health. Choice C is incorrect as the environment can influence both physical and mental health. Choice D is incorrect as research indicates that the environment can have a substantial impact on mental health outcomes.

3. Colleen found herself attracted to her psychology instructor. She would frequently go by his office just to be near him. When he didn't respond to her advances, Colleen eventually told him that she had thoughts of killing herself so that he would spend time trying to counsel her. What personality disorder best describes Colleen's thinking and behavior?

• A. Borderline personality disorder
• B. Schizoid personality disorder
• C. Schizotypal personality disorder
• D. Antisocial personality disorder

Correct answer: A

Rationale: Colleen's behavior of seeking attention and manipulating others by threatening self-harm to elicit a response from her psychology instructor aligns with the characteristics of borderline personality disorder. This disorder is characterized by unstable relationships, impulsive actions, and efforts to avoid real or imagined abandonment. Choices B, C, and D are incorrect because they do not match Colleen's behavior as described in the scenario. Schizoid personality disorder is characterized by a lack of interest in social relationships, Schizotypal personality disorder involves social anxiety and odd behavior, and Antisocial personality disorder is characterized by a disregard for others' feelings and violating their rights.

4. What is the result when a single zygote separates into two parts, each developing into a separate individual?

• A. Dizygotic twin
• B. Monozygotic twin
• C. Fraternal twin
• D. Nonidentical twin

Correct answer: B

Rationale: The correct answer is B, Monozygotic twin. A monozygotic twin, also known as an identical twin, is the result when a single zygote splits into two parts, leading to the development of two genetically identical individuals. Choices A, C, and D are incorrect because they do not accurately describe the scenario where a single zygote splits into two parts to form identical twins. Dizygotic twin (Choice A) refers to fraternal twins, which result from two separate eggs fertilized by two different sperm cells. Fraternal twin (Choice C) is another term for dizygotic twins, arising from two separate zygotes. Nonidentical twin (Choice D) is a synonymous term for dizygotic or fraternal twins, indicating that they are not genetically identical.

5. How does abuse and maltreatment tend to affect a child's ability to relate to others?

• A. It leads to the development of strong, healthy relationships.
• B. It results in difficulty forming healthy relationships later in life.
• C. It has little to no impact on a child's social development.
• D. It promotes independence in forming new relationships.

Correct answer: B

Rationale: The correct answer is B. Abuse and maltreatment tend to result in difficulties in forming healthy relationships and may lead to a disorganized and disoriented attachment style. Choice A is incorrect because abuse and maltreatment usually hinder the development of strong and healthy relationships. Choice C is incorrect as abuse and maltreatment significantly impact a child's social development. Choice D is incorrect because abuse and maltreatment do not promote independence in forming new relationships but rather create barriers to forming healthy connections.

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