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 is pruning best defined?

• A. The process of eliminating unused synapses
• B. The process of synapse development
• C. The connection between neurons
• D. Fatty sheath that wraps around neurons and enables them to transmit information more rapidly

Correct answer: A

Rationale: Pruning is the process of eliminating unused synapses in the brain. This process helps the brain to become more efficient by strengthening important connections and eliminating unnecessary ones. Choice B is incorrect because pruning is about eliminating synapses, not developing them. Choice C is incorrect as it refers to the general concept of connections between neurons, not specifically about pruning. Choice D is incorrect as it describes the myelin sheath, which is responsible for rapid transmission of information along neurons, not pruning.

3. What is the sequence in which growth starts at the center of the body and moves toward the extremities?

• A. Cephalocaudal pattern
• B. Proximodistal pattern
• C. Cephamodistal pattern
• D. Gene-environment correlation

Correct answer: B

Rationale: The correct answer is B: Proximodistal pattern. This pattern describes growth starting at the center of the body and moving towards the extremities. Choice A, Cephalocaudal pattern, refers to growth starting from the head and moving downwards, which is not the sequence described in the question. Choice D, Gene-environment correlation, does not relate to the sequential pattern of growth described in the question, making it incorrect.

4. The baby coos and the mom smiles, so the baby coos again to get mom to smile again. Piaget would say that this action is an example of?

• A. Reflexes
• B. Primary circular reactions
• C. Secondary circular reactions
• D. Tertiary circular reactions

Correct answer: C

Rationale: The correct answer is C: Secondary circular reactions. Secondary circular reactions are repeated actions that infants engage in to trigger a response from the environment, such as the baby cooing to make the mom smile. This behavior is characterized by a focus on the external environment and the repetition of actions to achieve a desired response. Choices A, B, and D are incorrect. Reflexes (choice A) are automatic, involuntary responses to a stimulus, while primary circular reactions (choice B) involve the repetition of actions primarily for the infant's own enjoyment rather than to elicit a response from the environment. Tertiary circular reactions (choice D) refer to the experimentation with new behaviors and variations in the way the infant interacts with the environment.

5. When interviewing a new member of the psychology department for the university newspaper, the faculty member states, 'Internal states undoubtedly exist, but it is not necessary to draw inferences about unobservable states in order to understand behavior.' This faculty member's views are most similar to the views held by?

• A. William James.
• B. F. Skinner.
• C. Sigmund Freud.
• D. Carl Rogers.

Correct answer: B

Rationale: F. Skinner's views emphasized the importance of observable behavior and dismissed the need to infer unobservable mental states. This aligns with the faculty member's statement that internal states exist but are not essential for understanding behavior. William James, known for his work in functionalism, did consider internal mental states important. Sigmund Freud focused on unconscious motives and internal conflicts. Carl Rogers emphasized the importance of subjective experiences and personal growth, which differs from the faculty member's perspective.

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