A 4-year-old child grabs toys from siblings, saying. "I want that toy now!" The siblings cry, and the child's parent becomes upset with the behavior. Using the Freudian theory, a nurse can interpret the child's behavior as a product of impulses originating in the:
id
ego
superego
preconscious
The Correct Answer is A
A. id: According to Freudian theory, the id is the part of the psyche that contains primal and instinctual drives, such as the desire for immediate gratification and pleasure without considering consequences or societal norms. The id operates based on the pleasure principle, seeking to fulfill desires and needs without delay. In the scenario described, the 4-year-old child's behavior of grabbing toys and expressing immediate desires ("I want that toy now!") without considering others' feelings or waiting can be interpreted as impulsive behavior driven by the id's desire for immediate gratification.
B. ego: The ego, in Freudian theory, is the part of the psyche that mediates between the demands of the id, superego, and reality. It operates based on the reality principle, seeking to satisfy the id's desires in a socially acceptable and realistic manner. The ego considers consequences and social norms when making decisions. However, in the scenario provided, the child's behavior appears more impulsive and driven by immediate desires rather than being mediated by the ego's considerations.
C. superego: The superego represents the internalized moral standards and ideals learned from society, parents, and cultural influences. It functions to enforce moral and ethical behavior by instilling guilt, shame, or pride based on adherence or deviation from these standards. While the superego plays a role in shaping behavior and impulse control, the child's impulsive behavior in the scenario is more reflective of id-driven impulses rather than superego influences.
D. preconscious: The preconscious, in Freudian theory, contains thoughts, memories, and information that are not currently in awareness but can be easily accessed and brought into consciousness. It serves as a reservoir of information that can influence conscious thoughts and behaviors. However, the child's impulsive behavior in the scenario is not directly related to preconscious processes but rather to immediate desires and impulses associated with the id.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Adult homeless woman with acute mania engaging in unsafe behaviors: Psychiatric transitional care services are typically designed to provide a bridge between acute hospital care and community-based care for individuals with mental health disorders. Clients who are experiencing acute symptoms or unsafe behaviors, such as the adult homeless woman with acute mania engaging in unsafe behaviors, may benefit from more intensive and structured care settings initially, such as inpatient psychiatric care, before transitioning to transitional care services.
B. Adolescent with conduct disorder who took an overdose of a benzodiazepine: Given the severity of the overdose and the presence of conduct disorder, this adolescent may require acute inpatient psychiatric care initially for stabilization and safety monitoring. Transitional care services may be considered after the acute phase has been addressed and the client's condition has stabilized.
C. Paralyzed veteran experiencing increased respiratory problems and infections: Transitional care services are not typically designed to address medical or physical health needs such as respiratory problems and infections. This client may require specialized medical care and rehabilitation services rather than psychiatric transitional care services.
D. Adult male being discharged from the hospital with chronic symptoms of schizophrenia: Clients with chronic mental health conditions such as schizophrenia who are being discharged from the hospital may benefit from psychiatric transitional care services. These services can help ensure continuity of care, medication management, psychoeducation, and support for community integration and daily living skills.
Correct Answer is D
Explanation
A. Objectivity:
Objectivity refers to the ability to remain impartial and unbiased when assessing and interacting with clients. While objectivity is important in maintaining professional standards and making objective clinical judgments, it is not the most critical skill in the therapeutic nurse-client relationship in a mental health facility. Empathy, which involves understanding and sharing the client's feelings and experiences, is often considered more crucial in building trust and rapport.
B. Approachability:
Approachability refers to being accessible, open, and welcoming to clients, allowing them to feel comfortable and encouraged to communicate with the nurse. Approachability is indeed an important quality that facilitates communication and relationship-building. However, it is not the most critical skill compared to empathy, which involves deeper emotional understanding and connection with the client's experiences.
C. Interest:
Interest refers to genuine curiosity and concern for the client's well-being, including their thoughts, feelings, and needs. Showing interest in the client's life and experiences is essential for building rapport and trust. However, interest alone may not be sufficient without empathy, which involves actively understanding and validating the client's emotions and perspectives.
D. Empathy:
Empathy is the ability to understand and share the feelings, thoughts, and experiences of another person, including clients in a mental health facility. Empathy is considered the most important skill in the therapeutic nurse-client relationship because it fosters a deep emotional connection, promotes trust and understanding, and validates the client's experiences and feelings. It helps create a supportive and therapeutic environment where clients feel heard, valued, and empowered to work towards their mental health goals.While objectivity, approachability, and interest are valuable skills for a nurse, empathy is considered the most crucial skill in the therapeutic nurse-client relationship in a mental health facility.
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