According to Freud, an individual who experiences problems during ...

[madam-professor]

According to Freud, an individual who experiences problems during the phallic stage of devel-opment may have a poorly developed superego. This construct is most relevant to planning care for a client who has the DSM-IV-TR diagnosis of:
 
  1. Obsessive-compulsive personality disorder
  2. Schizoid personality
  3. Borderline personality disorder
  4. Antisocial personality disorder

Question 2

A client who is diagnosed with schizoid personality disorder is isolative, does not speak to her peers, and sits through the community meeting without speaking. Her mother describes her as shy and having few friends.
 
  Which would be an appropriate nursing diagnosis for this client?
  1. Anxiety related to a new environment as evidenced by isolation and not talking with peers
  2. Impaired social interaction related to unfamiliar environment as evidenced by iso-lation and not talking with peers
  3. Ineffective coping related to new environment as evidenced by isolation and minimal interaction with others
  4. Disturbed thought processes related to a new environment as evidenced by isola-tion and minimal interactions with others

[flannelavenger]

Answer to Question 1

ANS: 4
Individuals with poorly developed superegos do not experience a sense of guilt. Lack of guilt is a major feature of antisocial personality disorder. Option 1: Guilt may be excessive in clients with this disorder. Options 2 and 3: Guilt or lack thereof is not a particular feature of either disorder.

Answer to Question 2

ANS: 2
This nursing diagnosis relates directly to her symptoms and their underlying pathology. Data are not present to support the other options.

[madam-professor]

Thanks for the timely response, appreciate it

[atrochim]

Gracias!