NCLEX-PN

Category - Psychosocial Integrity

A male client who works as a corporate lawyer is admitted to the facility for the treatment of alcohol dependence. On assessment, the client tells the nurse that he is drinking alcohol only when he is stressed out. Based on the client’s statement, which of the following defense mechanisms is he utilizing?
  1. Suppression
  2. Repression
  3. Denial
  4. Intellectualiztion
Explanation
Answer: C - Denial is the unconscious refusal to admit an unacceptable behavior, which is demonstrated by the client. Suppression is the voluntary exclusion from awareness of anxiety-stimulating feelings, whereas repression is unconscious or involuntary forgetting of painful conflicts and ideas. Intellectualization is using logical explanations without feelings.
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