Clinical Nurse Specialist CNS Adult Practice Test

Category - AACN Clinical Nurse Specialist Practice Test

Which of the following shows therapeutic use of a defense mechanism?
  1. A 25-year-old client with paranoid delusions
  2. A 38-year-old client who had a traumatic experience and developed amnesia
  3. A 15-year-old client dressing and talking like his attending physician
  4. A 27-year old client who suddenly experienced blindness after seeing her husband with another woman
Explanation
Answer: C - Depending on the use, a defense mechanism may be therapeutic or pathologic. One therapeutic defense mechanism is identification, the attempt to identify with another person’s traits to reach a certain goal or serve self-esteem. Pathologic defense mechanisms, including projection (option A), dissociation (option B), and conversion (option D), distort reality.
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