A 4-year-old child seen at the well-child clinic is noted to grab ...

[09madisonrousseau09]

A 4-year-old child seen at the well-child clinic is noted to grab toys from his sibling, saying, I want
  that toy, now The sibling usually cries, and the child's mother becomes upset with the behavior.
 
  By using Freudian theory the nurse can interpret this behavior to the mother as being as a product of
  impulses originating in the
  a. id.
  b. ego.
  c. superego.
  d. preconscious.

Question 2

To provide culturally competent care after becoming familiar with the way of life of individuals of a
  particular culture, the nurse will
 
  a. accurately interpret the thinking of individual clients.
  b. anticipate how a client will perceive treatment interventions.
  c. need to identify strategies that fit within the cultural context of the clients.
  d. find it possible to devise interventions to reduce the client's ethnocentrism.

[aburgess]

Answer to Question 1

ANS: A
The id operates on the pleasure principle, seeking immediate gratification of impulses. Option B:
The ego acts as a mediator of behavior and would weigh the consequences of the action, perhaps
determining that taking the toy is not worth the mother's wrath. Option C: The superego would
oppose the impulsive behavior as not nice.. Option D: The preconscious is a level of awareness.

Answer to Question 2

ANS: C
Cultural competence is a continual process of becoming as opposed to a state that is arrived at and
maintained without ongoing effort. Culture is dynamic, diversified, and changing. The nurse must be
prepared to gain cultural knowledge and then determine the nursing care measures that clients find
acceptable and helpful. Option A: Interpreting the thinking of individual clients cannot be done
simply by having knowledge of the culture. Option B: This may be true to some extent: however,
because of individual thinking, it cannot be a certainty. Option D: Reducing a client's ethnocentrism
may not be a desired outcome.

[09madisonrousseau09]

Thanks for the timely response, appreciate it

[bulacsom]

Excellent