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    Ati pn mental health 2023 proctored exam

    A client tells a nurse, "After having a bad day at work, my partner yells more at our children." The nurse should identify that the client's partner is displaying which of the following defense mechanisms?

    Explanation & Rationale

    Introduction: Defense mechanisms are unconscious psychological strategies used to protect the ego from anxiety. Understanding these mechanisms helps nurses interpret client behaviors and family dynamics. Identifying maladaptive patterns allows for the development of interventions aimed at promoting healthier emotional expression and interpersonal communication within the family unit. A. Dissociation involves a breakdown of memory, perception, or identity to escape from stressful situations. It often manifests as "spacing out" or feeling detached from one's body. Yelling at children after a bad day at work involves an externalization of emotion toward a target, which does not fit the dissociative profile. B. Rationalization is the use of logical-sounding excuses to justify unacceptable behaviors or feelings. If the partner had said they yelled at the children "to teach them discipline" after a stressful day, that would be rationalization. Simply moving the anger from work to home without an excuse is a different mechanism. C. Displacement is the redirection of an emotional impulse from a threatening or unacceptable target (the boss at work) to a safer, less threatening target (the children). This allows the individual to release pent-up frustration without the negative consequences that would occur if they expressed that anger at the original source. D. Sublimation is a mature defense mechanism where socially unacceptable impulses are transformed into socially acceptable or productive actions. For example, if the partner went for a long run or engaged in a creative hobby to deal with work-related stress instead of yelling, they would be utilizing sublimation.

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