Author Question: A client has been diagnosed as having blindness related to conversion disorder. She displays ... (Read 33 times)

Lisaclaire · **on:** Jul 19, 2018

A client has been diagnosed as having blindness related to conversion disorder. She displays
indifference regarding the conversion symptom. The nurse states I can't understand why the client
doesn't seem more anxious about her symptom.

. The understanding that should guide planning is
that the
a. client is suppressing her true feelings.
b. client's anxiety has been relieved through the physical symptom.
c. client's needs are met during hospitalization, so she has no need to be anxious.
d. client does not wish to display her actual fear.

Question 2

The mother of a 4-year-old child rewards and praises the child for helping his younger brother and
for being polite and using good manners.

The nurse supports the use of praise because the qualities
of politeness and helpfulness will likely be internalized and become part of the child's
a. id.
b. ego.
c. superego.
d. preconscious.

softEldritch · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

ANS: B
Psychoanalytical theory suggests conversion reduces anxiety through production of a physical
symptom that is symbolically linked to an underlying conflict. Option A: Conversion, not
suppression, is the operative defense mechanism in this disorder. Option C: This explanation
oversimplifies the dynamics, suggesting that only dependency needs are of concern. Option D: This
option suggests conscious motivation, but conversion operates unconsciously.

Answer to Question 2

ANS: C
The superego contains the thou shalts, or moral standards internalized from interactions with
significant others. Praise fosters internalization of desirable behaviors. Option A: The id is the center
of basic instinctual drives, and the ego is the mediator. Option B: The ego is the problem-solving
and reality-testing portion of the personality that negotiates solutions with the outside world. Option
D: The preconscious is a level of awareness from which material can be retrieved rather easily with
conscious effort.