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 ["C","E"]
Explanation
Choice A reason: Propranolol is a beta-blocker primarily used for performance-related anxiety and physical symptoms like tremors or palpitations. It is not considered first-line or standard treatment for panic disorder.
Choice B reason: Clonidine is an alpha-2 adrenergic agonist used more often for hypertension, withdrawal syndromes, and sometimes ADHD. It is not a recommended pharmacologic option for panic disorder.
Choice C reason: Alprazolam, a benzodiazepine, is effective for acute management of panic attacks by rapidly reducing anxiety. However, it is generally used short-term due to risks of tolerance, dependence, and withdrawal.
Choice D reason: Buspirone is an anxiolytic used mainly for generalized anxiety disorder. It lacks efficacy in panic disorder and is not typically prescribed for it.
Choice E reason: Clonazepam, another benzodiazepine, is often used to manage panic disorder due to its longer half-life compared to alprazolam, making it effective in reducing frequency and severity of panic attacks.
Correct Answer is B
Explanation
Choice A reason: Redirecting the sibling’s concern to the patient minimizes and dismisses the sibling’s anxiety. This is not therapeutic.
Choice B reason: Schizophrenia has a genetic component, especially in identical twins, but environment and other factors also play roles. This response provides accurate information while reducing unnecessary fear.
Choice C reason: Offering referral may be helpful later, but it does not immediately address the sibling’s expressed concern or provide reassurance.
Choice D reason: Saying there is a 50-50 chance is inaccurate and unnecessarily alarming. The risk is higher in identical twins but not absolute.
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