Which defense mechanism does the nurse recognize as commonly demonstrated by a client experiencing a myocardial infarction?
Which defense mechanism does the nurse recognize as commonly demonstrated by a client experiencing a myocardial infarction?
A. projection
[10%]
B. regression
[13%]
C. denial
[65%]
D. sublimation
[11%]
Statistics
Subject/Lesson
Subject
Mental Health
Lesson
Mental Health
Client Need
Test Plan
Psychosocial Integrity
Related Topic
Coping Mechanisms
Item Type
Item Type
Knowledge/Comprehension
Explanation
Choice C is correct. Denial is a common defense mechanism observed in clients experiencing a myocardial infarction (MI). In denial, the individual refuses to accept the reality of their condition, which can manifest as downplaying symptoms, attributing chest pain to indigestion or stress, or delaying seeking medical attention. The denial the client exhibits can delay lifesaving care.
Choice A is incorrect. Projection involves attributing one's own unacceptable thoughts, feelings, or impulses to someone else. Clients experiencing an MI are more likely to struggle with accepting the reality of the situation rather than displacing their feelings onto others.
Choice B is incorrect. Regression is reverting to behaviors typical of an earlier developmental stage when faced with stress or trauma. While regression can occur in response to severe stress, it is less commonly seen in acute medical emergencies like an MI. Denial is a more immediate response to the shock of a life-threatening event.
Choice D is incorrect. Sublimation involves channeling unacceptable impulses into socially acceptable or productive activities. Sublimation is typically a long-term coping strategy, not an immediate reaction to acute physical illness or trauma. It is less likely to be observed during the acute phase of a myocardial infarction.
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2 Key Topics
Defense Mechanisms in Mental Health
32.2 Psychological Concepts & Safety
Additional Info
✓ Denial is a more immediate and common defense mechanism during acute medical crises. When someone is having a heart attack, they may minimize or ignore symptoms due to fear, anxiety, or disbelief.
✓ Denial may delay necessary medical care, causing a negative outcome.
