A patient shows signs of scapegoating as a defense mechanism. What strategy should a nurse prioritize to assist in stress management?

Choice A reason: Avoidance of confrontation does not address the underlying defense mechanism. It may temporarily reduce stress but perpetuates maladaptive coping. Choice B reason: Exploring personal responsibility directly addresses scapegoating. It helps the patient recognize projection, fosters accountability, and promotes healthier coping strategies. This intervention aligns with therapeutic goals of insight and growth. Choice C reason: Mind-to-body strategies such as relaxation or mindfulness are helpful but do not specifically target scapegoating. They manage symptoms but not the root defense mechanism. Choice D reason: Pharmacologic intervention may reduce stress symptoms but is not the primary strategy for addressing scapegoating. Medication does not resolve maladaptive defense patterns and should be considered only if clinically indicated