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    Ati rn vati comprehensive predictor proctored exam

    A nurse is counseling a client whose partner has recently died. The client reports continuing to cook their partner's favorite meals. The nurse should identify that the client is using which of the following defense mechanisms?

    Explanation & Rationale

    A. Compensation: Compensation involves emphasizing a strength to make up for a perceived weakness or deficiency. Preparing a deceased partner’s favorite meals does not serve to offset a personal deficiency, so this is not the correct defense mechanism. B. Dissociation: Dissociation is the temporary detachment from reality or identity to cope with stress or trauma. Cooking familiar meals does not indicate a detachment from reality; the client is fully aware of their actions and circumstances. C. Rationalization: Rationalization involves creating logical explanations to justify unacceptable behaviors or feelings. Cooking meals for a deceased partner is not an attempt to justify behavior but a coping mechanism, so rationalization does not apply. D. Denial: Denial is a defense mechanism in which a person refuses to accept reality or facts to avoid emotional pain. Continuing to cook meals for a deceased partner reflects the client’s difficulty accepting the loss, making denial the most appropriate identification of their behavior.

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