A nurse observes a hospitalized client grabbing snacks from other patients' trays, despite being told not to. When confronted, the client says, "I was hungry, so I took it." Based on Freud's psychoanalytic theory, which part of the personality is most likely influencing the client's behavior?
Id
Ego
Superego
Conscious mind
The Correct Answer is A
Choice A reason: The id represents instinctual drives and seeks immediate gratification without considering consequences or rules. The client’s impulsive action of taking food despite prohibitions reflects id dominance.
Choice B reason: The ego mediates between the id and reality, considering consequences before acting. If the ego were driving the behavior, the client would have sought food in a more socially acceptable way.
Choice C reason: The superego governs moral standards and conscience. If this were guiding behavior, the client would have restrained themselves from taking others’ food.
Choice D reason: The conscious mind represents awareness of current thoughts and actions, not instinctual drives. The described behavior is better explained by the unconscious id.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Telling the patient to stop thinking a certain way invalidates their feelings and is not therapeutic.
Choice B reason: Offering presence and calm support provides safety and helps reduce anxiety. It is the most therapeutic intervention for severe anxiety.
Choice C reason: Telling the patient not to worry may feel dismissive, and in severe anxiety the patient may not be able to process reassurance.
Choice D reason: Asking "why" is not effective when the patient is overwhelmed by severe anxiety, as they cannot engage in rational discussion at that moment.
Correct Answer is A
Explanation
Choice A reason: This response acknowledges the client’s experience without reinforcing the hallucination. It demonstrates empathy, maintains reality orientation, and builds trust, which are crucial therapeutic approaches.
Choice B reason: Challenging hallucinations with logic is not effective and can increase client defensiveness or distress. It may also escalate paranoia rather than reduce it.
Choice C reason: Avoiding the client ignores their distress and can increase isolation. Engagement is necessary to provide reassurance and therapeutic support.
Choice D reason: Directly denying the hallucination can invalidate the client’s experience, leading to mistrust and further paranoia. A more supportive acknowledgment is preferred.
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