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 A
Explanation
A. Funding for community programs has been inadequate.
In recent years, inadequate funding for community programs has been a significant factor influencing the current trend in treatment settings for mental healthcare. Insufficient funding can lead to limited resources, reduced access to services, longer wait times for treatment, and challenges in providing comprehensive and effective care in community settings. The nurse is likely emphasizing this point to highlight the importance of sufficient funding for community-based mental health programs to improve access, quality of care, and outcomes for pediatric clients and their families.
B. Community programs have been fully developed to meet treatment needs.
While the development of community programs is essential for improving mental healthcare accessibility and effectiveness, it is unlikely that all community programs have been fully developed to meet all treatment needs. Mental healthcare needs are diverse and evolving, requiring ongoing development, evaluation, and enhancement of community programs to address various issues and support individuals with different mental health conditions.
C. State hospitals have expanded to meet the demand.
The expansion of state hospitals may address some aspects of mental healthcare demand, but it is not typically the primary trend in modern mental healthcare settings. The focus has shifted towards community-based care, early intervention, outpatient services, and integrated care models to provide holistic and patient-centered treatment while reducing reliance on institutional settings like state hospitals.
D. Laws have enabled more people to be committed to treatment.
Laws related to mental health commitment may impact access to treatment for individuals with severe mental illness, but they are not the primary factor influencing the current trend in treatment settings discussed by the nurse. The emphasis in modern mental healthcare is on voluntary participation, patient autonomy, community-based care, and comprehensive treatment approaches that prioritize individual needs and preferences.
Correct Answer is D
Explanation
A. "The focus is on solving the patient's problems. Problems are discussed by the nurse and patient, and solutions are given by the nurse." This explanation highlights the nurse's role in problem-solving and providing solutions, which is characteristic of a therapeutic nurse-patient relationship where the nurse takes an active role in addressing the patient's needs and challenges.
B. "The focus of the relationship is socialization. Mutual needs are met, and feelings are openly shared." This explanation describes more of a social relationship where mutual needs are met, and feelings are shared openly, rather than focusing on problem-solving and addressing the patient's specific issues.
C. "The focus is the creation of a partnership in which each member is concerned with the growth and satisfaction of the other." While this explanation emphasizes a partnership and mutual concern for growth and satisfaction, it does not specifically highlight the nurse's role in problem-solving and providing solutions for the patient's problems.
D. "The focus is on the patient. Problems are discussed by the nurse and patient, but solutions are implemented by the patient." This explanation captures the essence of a therapeutic nurse-patient relationship, where the focus is on the patient's needs, and while problems are discussed collaboratively, the patient takes an active role in implementing solutions.
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