NCLEX-PN® ExaminationPsychosocial IntegrityMedium
A client with a history of alcohol use disorder is admitted for pancreatitis. The client states, "I only drink socially, it's not a problem." The practical nurse recognizes this statement as an example of which defense mechanism?
- AProjection
- BDenial
- CRationalization
- DSublimation
Show answer & explanationAnswer & explanation
Correct answer: B. Denial
Denial is a defense mechanism where an individual refuses to accept the reality of a situation, often minimizing the severity or impact. In this case, the client is refusing to acknowledge their alcohol problem despite evidence of its effects (pancreatitis).
Why the other options are wrong
- A. Projection involves attributing one's own unacceptable thoughts or feelings to another person.
- C. Rationalization involves creating logical but false reasons for unacceptable behavior.
- D. Sublimation involves channeling unacceptable impulses into socially acceptable behaviors.
Defense Mechanism: Denial
Denial is a common defense mechanism where an individual consciously or unconsciously refuses to acknowledge a painful reality or truth.
- Often seen in addiction, grief, and serious illness.
- Protects the ego from anxiety or overwhelming information.
- Can hinder treatment and recovery if persistent.
Memory trick: DR. P. S. R. I. D. D. C. - Denial, Repression, Projection, Sublimation, Rationalization, Isolation, Displacement, Dissociation, Compensation.