The nurse is caring for a client who has recently arrived at the emergency department after experiencing a very traumatic event. The client appears calm and in control. The nurse assesses this behavior as which of the following defense mechanisms?
The nurse is caring for a client who has recently arrived at the emergency department after experiencing a very traumatic event. The client appears calm and in control. The nurse assesses this behavior as which of the following defense mechanisms?
A. Projection
[7%]
B. Denial
[53%]
C. Rationalization
[22%]
D. Regression
[17%]
Statistics
Subject/Lesson
Subject
Mental Health
Lesson
Mental Health
Client Need
Test Plan
Psychosocial Integrity
Related Topic
Coping Mechanisms
Item Type
Item Type
Analysis
Explanation
Choice B is correct. Based on the available information this client is likely experiencing denial. Denial involves refusing to accept reality or acknowledge the existence of a problem or traumatic event. In this scenario, the client's calm and controlled demeanor immediately after experiencing a traumatic event may indicate they are in denial. The client may be attempting to block out or minimize the impact of the trauma by appearing calm and composed, even though they may be struggling internally. Denial allows the individual to temporarily avoid confronting the full emotional weight of the traumatic experience, providing a sense of psychological protection in the face of overwhelming distress.
Choice A is incorrect. Projection is a defense mechanism where the client takes their personal feelings and places them onto someone else, believing the other person is experiencing the undesired feelings.
Choice C is incorrect. In rationalization, individuals acknowledge the reality of the situation but provide themselves with rational explanations or justifications for their behavior or emotions. They make an effort to make their actions or feelings seem reasonable or acceptable to themselves or others.
Choice D is incorrect. Regression is a coping mechanism where a client behaves in a manner reminiscent of an earlier, safe time in their life. While regression could occur later as a coping mechanism, the immediate response described in the scenario does not align with a regressive state.
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2 Key Topics
Defense Mechanisms in Mental Health
32.2 Psychological Concepts & Safety
Additional Info
