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    Mental Health Kentucky University Proctored Exam 3

    A 29-year-old married woman tells the PMHNP that she is not going to leave her abusive husband because he is really "a good man" deep down. "He was abused as a child and needs help. I just need to love him harder." This is an example of which defense mechanism?

    Explanation & Rationale

    Choice A reason: Projection involves attributing one’s own unacceptable thoughts or feelings to another person. For example, someone who is angry may accuse others of being hostile. This does not apply to the woman’s behavior, as she is not externalizing her own feelings. Choice B reason: Denial is the refusal to accept reality or facts, often to avoid emotional pain. In this case, the woman is denying the seriousness and danger of her abusive relationship. She minimizes the abuse and reframes her husband’s behavior as a result of his own trauma, thereby avoiding the painful truth of her situation. Choice C reason: Rationalization involves creating logical explanations to justify unacceptable behavior or feelings. While the woman’s statements may contain elements of rationalization, the dominant mechanism is denial—she is refusing to acknowledge the abuse as a threat to her safety. Choice D reason: Displacement involves redirecting emotions from a threatening target to a safer one. For example, someone angry at their boss might yell at their spouse. This mechanism is not evident in the woman’s response.

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