Nursing Elites

1. Which part of your brain is active when you get cues about being hungry, thirsty, or sleepy?

• A. Hippocampus
• B. Thalamus
• C. Hypothalamus
• D. Amygdala

Correct answer: C

Rationale: The correct answer is the Hypothalamus (Choice C). The hypothalamus plays a crucial role in regulating basic bodily functions such as hunger, thirst, and sleep. It receives cues related to these needs and helps to maintain homeostasis in the body. The Hippocampus (Choice A) is primarily involved in memory formation and spatial navigation, not in regulating physiological needs. The Thalamus (Choice B) acts as a relay station for sensory information but is not the main center for hunger, thirst, or sleep regulation. The Amygdala (Choice D) is more associated with emotions, particularly fear and pleasure, rather than physiological needs like hunger, thirst, or sleep.

2. What does incidence refer to?

• A. How many new cases of a disorder occur during a given period of time
• B. How many people have recovered from a disorder in a given period of time
• C. The percentage of males and females who have a disorder
• D. How many people in the population as a whole have a disorder

Correct answer: A

Rationale: The correct answer is A: 'How many new cases of a disorder occur during a given period of time.' Incidence specifically measures the rate of occurrence of new cases of a particular condition within a defined population and time frame. This distinguishes it from prevalence, which includes both new and existing cases. Choices B, C, and D are incorrect because they do not accurately define the term 'incidence.' Choice B refers to recovery, choice C mentions gender distribution, and choice D relates to the total population affected by a disorder, which are not reflective of the concept of incidence.

3. How do socioeconomic factors influence mental health?

• A. Socioeconomic factors have no impact on mental health.
• B. Socioeconomic factors are the primary determinants of mental health.
• C. Socioeconomic factors are irrelevant to mental health.
• D. Socioeconomic factors can exacerbate but not cause mental health issues.

Correct answer: B

Rationale: Socioeconomic factors are indeed primary determinants of mental health. These factors influence mental health by impacting access to resources, stress levels, and overall well-being. Choice A is incorrect as socioeconomic factors do have a significant impact on mental health. Choice C is incorrect as socioeconomic factors play a crucial role in mental health outcomes. Choice D is incorrect as socioeconomic factors can both exacerbate and cause mental health issues.

4. Charles has suffered from schizophrenia for many years and now resides in a group treatment facility. One day a nurse approaches him and quietly tells him that his sister, who has been fighting cancer for many months, died that morning. Charles has no appreciable facial reaction and in a very monotone voice says, 'okay.' The nurse is not surprised by Charles's lack of response to the awful news because she knows that _________ is one symptom often seen in those suffering from schizophrenia?

• A. Clang associations
• B. Echolalia
• C. Blunted affect
• D. Perseveration

Correct answer: C

Rationale: In individuals with schizophrenia, blunted affect, or reduced emotional expression, is a common symptom. In this scenario, Charles's lack of emotional response upon hearing about his sister's death aligns with the characteristic of blunted affect. This symptom can manifest as a limited range of facial expressions, monotone voice, and reduced display of emotions. Choice A, 'Clang associations,' refers to a thought disorder characterized by the use of words that sound alike but are not logically connected. Choice B, 'Echolalia,' is the repetition of words spoken by others. Choice D, 'Perseveration,' is the persistent repetition of a response or behavior even when it is no longer appropriate.

5. An elementary school principal wants to know the best predictors of juvenile delinquency and dropping out of school in high school so she can provide preventive interventions. Your best advice is ________.

• A. Look for kids who are very popular because they are class clowns.
• B. Silent, depressed, loners tend to be dropouts because they are often depressed.
• C. There is no way to predict juvenile delinquency as early as elementary school.
• D. The best predictor is aggression toward peers, which leads to peer rejection.

Correct answer: D

Rationale: The best advice is to look for aggression toward peers as the best predictor of juvenile delinquency and dropping out of school. Option A is incorrect because being popular or a class clown doesn't necessarily indicate delinquency. Option B is incorrect as not all silent, depressed loners end up as dropouts. Option C is incorrect as research shows that early signs of aggression can predict future delinquent behavior and school dropout rates, making it feasible to intervene early.

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