Final answer:
Sandra's ability to touch parts of her face with her eyes closed is attributed to the sense of proprioception, which is part of the five basic senses that include hearing, sight, taste, touch, and smell.
Explanation:
Sandra's accuracy in touching her mouth, nose, and chin with her eyes closed illustrates the importance of the proprioceptive sense. This is one of the five natural powers through which we receive information about the world around us, namely hearing, sight, taste, touch, and smell. Proprioception, also known as the sense of body position and movement, allows us to perceive the location and movement of our bodies, even when we're not looking at them, enabling us to perform actions like touching our face accurately without visual guidance.
While performing the overhead squat assessment, the personal trainer observes a client demonstrating a low back arch movement dysfunction. Which of the following muscles is probably overactive?
Latissimus dorsi
Answer:
Latissimus dorsi
Explanation:
Latissimus dorsi -
It refers to the flat muscle which is located on the sides of the arms and covers the midline of the back .
Latissimus dorsi is the largest muscle present in the upper body of the human being .
The function of this muscle is adduction , extension, transverse extension or horizontal abduction .
It plans an important role in the lateral flexion of the lumbar spine .
Hence , from the given question ,
The correct answer is Latissimus dorsi .
Guillermo was finding it difficult to walk up the steps to his family's apartment. His doctor thinks that his cells might not be getting enough oxygen or glucose. Why does having low levels of glucose or oxygen in his cells make it difficult for Guillermo to walk up steps? Which body systems should the doctor test in order to find out whether Guillermo's cells are getting enough oxygen and glucose and why?
Answer:
Because oxygen is the combustion fuel and glucose is the substrate needed for synthesis of energy as ATPs during cellular respiration.Therefore Guillermo lacks enough energy as ATPs in her body cells, especially skeletal muscles cells to complete the task of ascending the s steps.
For all the mitochondrial in cells(sites of energy production) to receive needed glucose,and other metabolites needed for energy synthesis; an efficient transport system is needed, so that these materials are available immediately, in required amount. This system is called circulatory system.
And for the the supply of combustion fuel (oxygen) needed for the completion of the ATP synthesis mechanisms; respiratory systems which convey oxygen from the external environments to the circulatory system through breathing mechanisms, for distribution is needed.
Therefore in order for the available glucose, oxygen , co-factors, and enzymes, needed for complete synthesis of ATPs to be used efficiently for energy synthesis, a step-wise , metabolic reactions is needed in the cells called cellular respiration( respiratory system).
Thus the doctor needs to test both the circulatory and respiratory systems.
Explanation:
Respiration is defined as the breakdown of molecules in the presence of oxygen to get energy. The breakdown of the larger molecule into a smaller molecule is called digestion and that molecule is used to get the energy.
The molecule which is used to obtain the energy is:-
ATPThe human body performs aerobic respiration. It uses oxygen to oxidize the substrate and get energy. Oxygen helps to breakdowns the molecule and form ATP the energy currency.
Guillermo cell does not use enough oxygen to break down the molecule and hence the ATP formed is very less.
The doctor needs to check the digestive system of the Guillermo and the respiratory tract.
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A woman is in active labor. As labor progresses, she becomes irritable and complains of feeling increasingly uncomfortable. She is 8 cm dilated. Which of these actions should the nurse take first?
a. Contact the physician
b. Coach the patient in proper breathing and relaxation techniques
c. Administer an analgesic
d. Remove the fetal monitor to allow the client to move around
Answer:
a. Contact the physician
Blushing is an example of a physical ______?
A) attachment
B) Cope
C) Frief
D) Relief
F) Stress response
Answer:
attachment
Explanation:
it signifies attraction to the same and/or the opposite gender/sex
A 50-year old teacher presents to the urgent care clinic for evaluation of paralysis in her face. She has a history of upper respiratory infection 2 weeks before the onset of these symptoms. She states that her face is dropping and that she is unable to close her eye. on physical examination, you note that her forehead is smooth on the right side, her palpebral fissure appears widened, and her nasolabial fold appears flattened, and she is drooling. Based on this information, what is the most likely diagnosis?
The most likely diagnosis for the teacher's symptoms is Bell's palsy.
Bell's palsy is an acute, unilateral, peripheral facial nerve paralysis that is idiopathic in nature. The presentation of facial drooping, inability to close the eye, a smooth forehead on the affected side, widened palpebral fissure, flattened nasolabial fold, and drooling are all consistent with this condition. The history of an upper respiratory infection two weeks prior to the onset of facial paralysis is also a common preceding event for Bell's palsy, suggesting a possible viral etiology or reactivation of a latent infection affecting the facial nerve. The physical examination findings of unilateral facial weakness involving both the upper and lower face, without other neurological deficits, further support the diagnosis of Bell's palsy In summary, the constellation of symptoms including unilateral facial weakness, a history of recent upper respiratory infection, and the specific physical examination findings in the absence of other neurological signs point to Bell's palsy as the most likely diagnosis.
The maternal mortality ratio is: a. The number of pregnant women who die per 100,000 in a given year b. The number of women who die as a result of pregnancy and childbirth complications per 100,000 women in a given year c. The number of pregnant women who die per 10,000 live births in a given year d. The number of women who die as a result of pregnancy and childbirth complications per 100,000 live births in a given year
Answer:
D. The number of women who die as a result of pregnancy and childbirth complications per 100,000 live births in a given year
Explanation:
This encompasses the number of women who die as a result of pregnancy and other child birth complication per 100,000 live births in a given year.
Every death and complications associated with pregnancy and child birth all fall under this.
After surgery for removal of cataract, a client is being discharged, and the nurse has completed discharge instruction. Which client statement indicates that the outcome of the teaching plan has been met?
Answer:
The client should be aware of not to lift or pull and push the weight more than 15 pounds which may apply force on the impacted surgical area of eyes.
Explanation:
Cataract surgery is a kind of eye surgery in which the opacified lens which became cloudy and has made the vision blur and distorted, would be removed and an artificial lens (IOL which is called an intraocular lens ) will be replaced with the original one.
After surgery, the client needs to wear glasses while going outside and wear a metal shield at night time.
The client should inform to doctor if they face irritation in vision and any disorder after surgery.
A large health care system in the U.S. has established a program of tracking, evaluating, addressing, and preventing medical errors by its providers. This measure is most directly related to improving which aspect of the health care system?
An executive busy at work receives a phone call from a friend relating bad news. The executive makes a conscious effort to put this information out of mind and continues to work at the task at hand. The next day executive remembers that the friend telephoned but is unable to recall the message. Which defense mechanism does this behavior represent
Answer:
The correct answer is - suppression.
Explanation:
Suppression is the voluntary exclusion or disassociation from any feeling that might cause anxiety causing situations, or feelings. In this type of defense mechanism the brain voluntary exclude itself from the situations that can make an individual unnecessarily anxious.
In the given case the particular executive get a negative information which might lead him to cause anxiety so the his brain follows the suppression to avoid the situation.
Thus, the correct answer is - suppression.
Our ____ is determined by how we feel about our ____.
Self-esteem / self-image
Self-image / self- esteem
Self-image / self-perception
Self-perception / self-esteem
Our self-esteem is determined by our self-image, which is part of our self-concept interrelated with the beliefs we hold about our own control over outcomes and the congruency between our real and ideal selves.
Explanation:Our self-esteem is determined by how we feel about our self-image. This statement reflects the interconnection between self-esteem, which encompasses our overall sense of self-worth or personal value, and self-image, which is the mental picture we hold of ourselves. This mental picture includes our perceptions and attitudes towards our abilities, appearance, and behaviors. When we have a positive self-image, we are more likely to have higher self-esteem because we believe that we control our own outcomes. However, this can be affected by our locus of control, which is a belief that we either do control (internal locus of control) or do not control (external locus of control) the outcomes in our lives. Building a positive self-concept is imperative, and according to humanistic theorist Carl Rogers, it involves achieving congruence between our real self and our ideal self. As we experience more congruence, our self-esteem can increase, leading to a more fulfilled life.
For the past 9 months, your client has been taking a conventional antipsychotic drug to treat symptoms associated with her diagnosis of schizophrenia. Although she has fewer auditory hallucinations, your client now experiences muscle tremors and rigidity to the point where she can no longer dress herself. It is likely that she is experiencing:_____________.
Answer:
Akathisia
Explanation:
Akathisia is the most common side effect of conventional antipsychotic drugs. Antipsychotic drugs causes extra-pyramidal symptoms which akathisia, acute dystonia and tardive dyskinesia. Akathisia is a severe form of motor restlessness which manifest as tremors of the limbs. It is usually associated with use of conventional antipsychotic like phenothiazines, thioxantines etc at a high dose for long. Akathisia is also thought to be poor antipsychotic drug response. Some patient may have severe akathisia that they feel anxious or irritable and some can even lead to aggressive or suicidal act. About 25-75% of patients treated with a high potency dopamine receptor antagonist experience akathisia. Treatment is with dosage adjustment, beta adrenergic receptor antagonist or an anticholinergic drug may produce relief.
_________________ is a neurocognitive disorder marked by neural plaques, often with onset after age 80, and entailing progressive decline in memory an other cognitive abilities.
Answer:
Alzheimer's disease is a neurocognitive disorder marked by neural plaques, often with onset after age 80, and entailing progressive decline in memory an other cognitive abilities.
Explanation:
Alzheimer's disease is a progressive, degenerative and incurable neurological brain disease that causes deterioration of brain nerve cells and ultimately death resulting in entailing progressive decline in memory and other cognitive abilities.
The deterioration is caused especially after the age of 80 by a buildup of abnormal substances called amyloid plaques (an insoluble protien deposit) and neurofibrillary tangles.
Hence, the answer is Alzheimer's disease.
Answer:
ALZHEIMER'S
Explanation:
Alzheimer's is a disorder or disease that causes the brain cells to waste and die away and it is the most common cause of dementia that affect the brain and cause a continuous decline in thinking, reasoning skills, behavioral and social skills that affect a person's ability to perform independently and the symptoms usually develop slowly and get worse over time, becoming severe enough to affect with the person daily life due to memory loss. And the most common early sign is lack of the person in remembering recent events that happen and it mostly occurs at age 80 due to old age.
In a nut shell ALZHEIMER'S is a neurocognitive disorder marked by neural plaques, often with onset after age 80, and entailing progressive decline in memory an other cognitive abilities of the person.
Recent research has indicated that sustainable weight loss is generally a result not of self-deprivation or adopting an extreme diet, but a healthy lifestyle that integrates a balanced diet, regular exercise, and a long-term approach. a. self-deprivation or adopting an extreme diet, but.
b. self-deprivation or the adoption of an extreme diet, but of.
c. self-deprivation or the adoption of an extreme diet, but.
d. depriving oneself or adopting an extreme diet, but.
e. depriving oneself or adopting an extreme diet, but that of.
Adopting a healthy lifestyle that integrates a balanced diet, regular exercise, and a long-term approach helps to sustainable weight loss is a true statement.
Explanation:
Sustainable weight loss is the key to a lifelong healthy body and mind. Adopting self-deprivation or following an extreme diet regime can provide temporary weight loss but only at the cost of the health. Such severe practices leads to nutritional imbalance and disorders like anorexia nervosa, anemia etc which might further deteriorate both the physical and mental health.
By following a healthy well-balanced diet which provides all the essential nutrients and having light but frequent meals is a healthy way of eating rather than extreme diets or self-deprivation.
Following a regular exercise practice is prime important for a health body as it will help to oxidize the excess fat in the body and burn the extra calories.
Adopting a healthy lifestyle by following both healthy eating and regular exercises on a long-term approach to attain sustainable healthier weight loss.
in 1973, Lepper and colleagues conducted an experiment in which children did drawings. Some of the children were promised a reward while others received a surprise reward. The researchers found that the children who received the expected reward for drawing _____.
Answer:
were unlikely to draw independently at a later time
Complex carbohydrates: a. are small molecules containing six carbon atoms b. are long chains of sugar units arranged to form starch or fiber c. include both single sugar units and linked pairs of sugar units
Answer:
b. are long chains of sugar units arranged to form starch or fiber
Explanation:
Complex carbohydrates are carbohydrates that are made up several sugar molecules that link together to form a long chain. Complex molecules provide a more lasting energy to the body as a result of their long chains which takes time to be broken down as they are converted to glucose in the blood. Examples of food that contain complex molecules include, beans, Fiber-rich vegetables, Fiber-rich fruits, whole grains, peas.
Final answer:
Complex carbohydrates, or polysaccharides, include starch, glycogen, cellulose, and chitin, serving as energy stores or structural materials in organisms.
Explanation:
Complex carbohydrates, also known as polysaccharides, are large carbohydrates that consist of long chains of monosaccharides (simple sugars). These chains may be unbranched or branched and can include hundreds to thousands of sugar units. Complex carbohydrates include starch, glycogen, cellulose, and chitin. Starch is produced by plants for energy storage, while glycogen serves the same purpose in animals and fungi. Cellulose is a major component of plant cell walls, providing structural support. Lastly, chitin is found in the exoskeleton of arthropods and cell walls of fungi. Complex carbohydrates play critical roles in energy storage and structural integrity within living organisms.
Read the scenario and answer the question that follows.
Elaine has just been hired to work in the maintenance department of a hospital, providing maintenance support services.
What are some of the responsibilities that Elaine can expect to have in this new position?
a. cleaning, housekeeping, and taking inventory of supplies
b. scheduling the doctors’ appointments with patients
c. resolving conflict among staff members
d. maintaining the safety of medical machinery
Answer:
d. maintaining the safety of medical machinery
Explanation:
A maintenance technician is responsible for conducting general maintenance and repairs on facility equipment and property structures. They ensure that heating and plumbing systems perform at optimum functionality, the installations HVAC and, the upkeep of the landscape.
Answer:
It's A, cleaning, housekeeping, and taking inventory of supplies
Explanation:
Miguel woke up one morning in a strange hotel in detroit. he has no memory of how he got there and cannot remember his name or where he is actually from. based on this, miguel is most likely experiencing dissociative a. amnesia. b. personality disorder. c. identity disorder. d. fugue.
Answer:
he definitely has amnesia
Explanation:
the other ones just don't make sense
Answer:
A. Amnesia
Explanation:
Dissociative amnesia occurs when a person blocks out and he's unable to remember important events and this can be due to an overwhelming traumatic event. Miguel went through a traumatic event at the hotel and hus brain dissociated it (blocked completely) leaving him to remember nothing.
What is it called when someone gets sick from eating food contaminated with germs or toxins? A. Time/temperature control for safety/potentially hazardous foods B. Ptomaine poisoning C. Foodborne illness D. Raw food
Answer:
C. Foodborne illness
Explanation:
Foodborne illness is an illness caused by germs or toxins in food. This can happen because the food was prepared with dirty hands, not cleaned properly.
Some of its symptoms are nausea, diarrhea, cramps and vomits. Foodborne illness is another name for food poisoning.
Therefore, when someone gets sick from eating food contaminated with germs or toxins it is called Foodborne illness.
Answer:
C- Foodborne illness
Explanation:
Foodborne illness is a disease that affect someone that eat food which has been contaminated with bacteria, viruses and parasites and the symptoms include vomiting, nausea and cramping.
Foodborne illness can irritate the gastrointestinal tract due to the intake of food that is harmful to the body.
Foodborne illness can sometimes be severe if left untreated because any food we eat that is contaminated is simply food poison which is why we have to keep our environment clean, by ensuring that the food are properly preserved and the water are very clean before consuming or drinking it in order to avoid FOODBORNE ILLNESS.
The nurse is providing prenatal education to a group of pregnant teenagers. One of the group members asks about how the baby develops soon after birth. An accurate statement from the nurse about neonatal development would be which of the following
Answer:
what are the answer choices???
Explanation:
________ is a relatively mild disorder in which children have relatively good verbal language, milder nonverbal language problems, and a restricted range of interests and relationships.
Answer:
Asperger's Syndrome
Explanation:
Asperger's Syndrome is a syndrome that affect a person ability to socialize and communicate leading to development disorder of the person.
Asperger syndrome is a form of autism because of the inability or difficulty of the person to socialize and communicate effectively by interacting with others.
Therefore ASPERGER'S SYNDROME is a relatively mild disorder in which children have relatively good verbal language, milder nonverbal language problems, and a restricted range of interests and relationships
What actions do you think are most successful in preventing dropouts? Why? Write at least one paragraph.
Answer: There are several reasons why people, especially those in the category of students, drop out. But some actions can be done to reduce this event.
Explanation:
People for various reasons are prone to leave, especially those in the educational field. When a person begins his studies he has strong motivations that allow him to stay, but then some situations and eventualities can lead to someone leaving. The reasons why a student leaves are diverse such as illness, economic problems, poor motivation towards studying, not having chosen the right career, among others.
Some of how you can decrease and prevent a student from dropping out is aimed at giving clear information. A student who chooses a career does it because of the ideal he has and how his whole process will be when he sees that things are not going as he imagined he can be frustrated so it is important to express clearly about the career of its choice. That the student understands the pace of studies that career has and the commitment it entails will help it be more prepared to face what is coming. Another action that can be taken to prevent abandonment is to offer support. When a person is going through a difficult situation, the first thing they think about is abandoning their studies because they do not have the concentration to focus on it, support is vital so that the student knows that it is not alone and that there are other alternatives to look for a solution.
Manuel was born with male genitalia but deep down has felt like a female since he was in grade school. Sometimes he wears women's outfits and it just makes him feel happy and whole - and people who meet him like this even think he is a woman. What is Manuel feeling?Gender dysphoria
Manuel's feelings can be understood as gender dysphoria, a condition where one's gender identity does not align with their assigned biological sex, often leading to psychological distress. People with gender dysphoria may identify as transgender and seek to transition through medical interventions and by adopting the social roles of their identified gender.
Manuel's experience of feeling like a female despite being born with male genitalia is an example of gender dysphoria. This is a condition that involves a conflict between a person's physical or assigned gender and the gender with which they identify. Individuals who have a strong psychological and emotional identification with a gender that is different from their biological sex are often referred to as transgender.
Gender dysphoria is recognized in the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), requiring a persistent identification with a different gender and the presence of significant distress or impairment in social, occupational, or other important areas of functioning. For individuals like Manuel who experience gender dysphoria, they may seek to transition, which can involve medical interventions such as hormone replacement therapy and surgeries, as well as adopting the dress and social roles of the gender with which they identify.
Transgender individuals may undergo these changes as a means to align their physical appearance with their gender identity, thereby reducing the psychological distress they experience. The process of transitioning, however, is about more than just the physical alterations; it involves embracing one's gender identity and finding a comfortable expression of self that may challenge conventional gender norms and stereotypes.
Match the terms to their definition. 1. duration the outward roll of the foot during normal motion 2. foot strike the way your foot hits the ground when running 3. frequency maximum heart rate; the greatest number of times the heart can beat during one minute of exercise 4. heart rate monitor rotation of the foot inward so that the arch of the foot absorbs the majority of the body's weight. 5. intensity how hard one exercises 6. MHR a device that measures the heart rate of the person wearing it 7. pronation how long one exercises 8. supination how often one exercises 9. training zones levels of training intensity based on a percentage of MHR
Answer:
1. supination; the outward roll of the foot during normal motion
2. foot strike; the way your foot hits the ground when running
3. MHR; maximum heart rate; the greatest number of times the heart can beat during one minute of exercise
4. pronation; rotation of the foot inward so that the arch of the foot absorbs the majority of the body's weight.
5. intensity; how hard one exercises
6. heart rate monitor; a device that measures the heart rate of the person wearing it
7. duration; how long one exercises
8. frequency; how often one exercises
9. training zones; levels of training intensity based on a percentage of MHR
Explanation:
Andrew went in his backyard at night, in the dark, to bring some firewood in the house. He heard the sharp crack of a twig breaking in the darkness and froze in fear, his heart thumping loudly in his chest. Andrew's reaction is consistent with the _____ theory of emotion.
Final answer:
Andrew's fearful reaction to the sound of a twig snapping, causing his heart to thump, aligns with the James-Lange theory of emotion, which states that emotions are the result of physiological arousal.
Explanation:
Andrew's reaction to hearing the sharp crack of a twig in the darkness is consistent with the James-Lange theory of emotion. This theory posits that emotions arise from physiological arousal. When Andrew heard the twig snap, his sympathetic nervous system likely kicked in, causing his heart to thump loudly, leading to his feeling of fear. According to the theory, the physiological arousal comes first, followed by the emotional experience.
Unlike the James-Lange theory, others like the Cannon-Bard theory of emotion suggest that emotional experiences occur simultaneously with physiological arousal, rather than one after the other.
It's Andrew's physiological response—the loud thumping of his heart and the accompanying surge of adrenaline—that the James-Lange theory would identify as the precursor to Andrew's emotion of fear.
Select the correct answer from each drop-down menu.
What are the components of planning and organizing?
Planning includes ( assigning tasks, defining tasks, recruiting) __________ , whereas organizing includes ( identifying alternatives, assigning responsibilities, monitoring progress ) __________.
Answer:
give you a sense of direction & providing time to think about your topic
The components of planning and organizing as Planning includes defining tasks whereas organizing includes assigning responsibilities.
Why is planning and organizing important?Planning and organizing help you finish your work accurately and avoid costly errors. Arranging your work and preparing assists you with being more proficient and useful.
Examples of how to improve or demonstrate one's ability to plan and organize. managing your personal workload and setting priorities (time management). putting on sporting, social, or charity events. organizing travel plans.
Organize the tasks in a logical way. Using a methodical approach, prioritize tasks according to importance, importance, and urgency. Note action plans, deadlines, and other details with a "to do" list, task plan, or other similar planning tool.
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In order to improve the condition of your muscular system, you could participate in aerobic activities at least ________
Answer: 30 minutes, 3times a week.
Explanation:
Aerobic activity or Exercise which include: brisk walking, dancing, cycling, jogging, swimming and playing basketball are also
Muscle-strengthening activites. They increase the strength of the bones and muscles. Furthermore Muscular fitness activities which should work all the major muscle groups of your body, that includes the legs, the hips, the waist, the chest doing exercises like push ups, pull ups,sit ups and squats
Helps tune out muscles and fitness.
To gain the most from Exercises, one should at least do these activities 30 minutes 3 times weekly.
Answer:tt
30 minutes and 3 times a week
Explanation:
In order to improve the condition of the muscular system, the person should participate in aerobic activities at least 30 minutes in a day and should be done at least 3 times in a week.
The muscular system is made up of the muscles of the body.
A person can improve the condition of the muscular system through diet, intake of lots of water, by stretching and aerobic activities which can help repair and condition the entire muscular system and help to regulate the circulation of the blood.
During assessment for cranial nerve functions, the client closes the eyes and begins to fall to one side. Which cranial nerve alteration causes this response?
Answer:
Vestibulocochlear nerve or VIII cranial nerve
Explanation:
The VIII cranial is one of the 12 cranial nerves present in the body. The VIII cranial is also known as the vestibulocochlear nerve as it comprises of two types of nerves which are: the vestibular nerves and the cochlear nerves.
The vestibular nerves are responsible for the body posture balance and the movements of the eye or the cochlear nerve send the auditory signals. So during the assessment of cranial nerves if the eyes and body posture changes then the cranial nerves responsible for this is the VIII cranial nerve.
Thus, the VIII cranial nerve is correct.
The paralyzing effect of curare is caused by its ability to block the action of acetylcholine at neuron-muscle synapses. create an imbalance in the sodium content in the dendrite. produce an overproduction of acetylcholine in the neural soma. produce a disintegration at the synapse.
Answer:
The paralyzing effect of curare is caused by its ability to block the action of acetylcholine at neuron-muscle synapses.
Explanation:
Curare -used by South American Indians to attack their enemies and hunting- is considered a poison, that really is a chemical agent with paralyzing, neurotoxic, activity on skeletal muscle.
Curare is extracted from various plants -including Strychnos toxifera and Anomospermum grandiflora- or synthesized as D-tubocurarine.
The effect of curare is on the nicotinic receptors found in the neuromotor plate.
Acetylcholine binds to its receptor at the neuromuscular synapse to promote the opening of the sodium channels required by the muscle fiber to contract. The neurotoxin blocks the receptors, preventing the action of the neurotransmitter acetylcholine, which induces muscle paralysis.High doses of the neurotoxin can cause death from respiratory paralysis.
Learn more:
Mechanism of action of curare https://brainly.com/question/6987263
An athlete is used to performing high-intensity aerobic exercise; however, she will now be changing to longer-duration, submaximal exercise on a regular basis. This change in training strategy will typically result in what changes concerning energy supply?
Answer: This change in training strategy will typically result in
transition from almost exclusively carbohydrate to mostly fat.
Depression is more likely to be a shared tendency between identical twins than between fraternal twins. This most clearly supports explanations of this mood disorder from a ________ perspective.
Answer:
Genetical perspective
Explanation:
There's high heritability of mood disorder in identical twins and it's due to the fact high concordance of the disease in monozygotic than dizygotic twins.