A newly graduated nurse is scheduled to take the NCLEX-RN® examination in three days. On awakening today, the graduate cannot see anything at all but tells fellow classmates, "Oh, don't worry; it will all work out." The nurse is aware that this statement results from:
Explanation & Rationale
Choice A reason: La belle indifference refers to a paradoxical lack of concern about significant symptoms, often seen in conversion disorder. The graduate’s calm acceptance of sudden blindness reflects this phenomenon, where the emotional response is disproportionately unconcerned compared to the severity of the symptom. Choice B reason: Malingering involves intentional production of symptoms for external gain, such as avoiding responsibilities or obtaining benefits. In this case, there is no evidence of intentional deception or external motivation, making this option incorrect. Choice C reason: Undoing is a defense mechanism where a person attempts to reverse or negate unacceptable thoughts or behaviors. It does not apply here, as the graduate is not attempting to counteract or "undo" anything but is instead indifferent to the symptom. Choice D reason: Regression involves reverting to earlier developmental behaviors when faced with stress. The graduate’s response does not demonstrate childlike or regressive behavior but rather indifference, making this option inaccurate.