Nursing Elites

1. Which of the following statements about brain dysfunction and psychiatric disorders is correct?

• A. Identifiable brain damage is often the cause of psychiatric disorders.
• B. Brain damage may decrease the risk of developing a psychiatric condition.
• C. Changes in brain function appear to play a role in many psychiatric disorders.
• D. Brain development can be altered by experience, always leading to changes in the brain that decrease the risk of developing a psychiatric condition.

Correct answer: C

Rationale: The correct statement is C: 'Changes in brain function appear to play a role in many psychiatric disorders.' This statement is accurate as research suggests that alterations in brain function are associated with various psychiatric disorders. Option A is incorrect because while brain damage can contribute to some psychiatric conditions, it is not always the primary cause. Option B is incorrect as brain damage typically increases the risk of developing psychiatric disorders. Option D is incorrect because while brain development can be influenced by experiences, it does not always decrease the risk of psychiatric conditions.

2. Which of the following statements is not true about selective mutism?

• A. The disturbance is often marked by high social anxiety
• B. It can be diagnosed alongside social anxiety disorder
• C. The person is capable of speaking in some situations
• D. It may lead to academic impairment

Correct answer: B

Rationale: Selective mutism can coexist with social anxiety disorder. The correct answer is B because it is incorrect to say that selective mutism cannot be diagnosed alongside social anxiety disorder. Statement A is true as selective mutism is often associated with high social anxiety. Statement C is true as individuals with selective mutism can speak in some situations. Statement D is true as selective mutism may lead to academic impairment due to difficulties in communication.

3. 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.

4. The humanistic perspective focuses primarily upon the capacity of the individual to ________.

• A. confront the dilemma of our deaths.
• B. be driven by unconscious motives.
• C. rationally explain our behavior.
• D. engage in positive self-growth.

Correct answer: D

Rationale: The humanistic perspective, as highlighted by proponents like Carl Rogers and Abraham Maslow, emphasizes the inherent drive of individuals to achieve self-actualization and positive self-growth. It focuses on the individual's potential for growth, self-improvement, and fulfilling their highest capabilities. Choice A is incorrect as the humanistic perspective is more concerned with personal growth than with addressing the fear of death. Choice B is associated with the psychodynamic perspective, which focuses on unconscious motives. Choice C is related to cognitive-behavioral approaches that emphasize the rational understanding of behavior.

5. Why is it discouraged to use terms such as 'schizophrenic', 'autistic', and 'retarded' when referring to people with mental illness?

• A. These terms are no longer in the DSM
• B. There are only a small number of people diagnosed with these terms
• C. There is nothing wrong in using these terms
• D. Because people with mental illness are not defined by their condition

Correct answer: D

Rationale: It is discouraged to use terms like 'schizophrenic', 'autistic', and 'retarded' when referring to people with mental illness because people with mental illness should not be defined solely by their condition. Using such labels can reduce individuals to just their diagnosis, overlooking their individuality and other aspects of their identity. It is essential to treat individuals with mental illness with respect and dignity, focusing on their humanity rather than reducing them to a label. Choices A, B, and C are incorrect because the main reason for discouraging these terms lies in not defining individuals by their conditions, rather than the terms being in or out of the DSM, the number of diagnosed individuals, or the perception of whether there is anything wrong with using such terms.

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