A nurse is caring for a client who has post-traumatic stress disorder PTSD after being physically assaulted. The client is unable to recall any details of the event. which of the following defense mechanisms should the nurse recognize that the client is displaying? A. dissociation B. Rationalization C undoing D. reaction formation
The nurse caring for a client with post-traumatic stress disorder (PTSD) who is unable to recall any details of the traumatic event should recognize that the client is displaying the defense mechanism of dissociation.
Dissociation is a psychological defense mechanism that involves a disconnection between a person’s thoughts, identity, consciousness, or memory. It often occurs in response to severe trauma or overwhelming stress as a way for the individual to mentally distance themselves from the distressing experience. In the context of PTSD, dissociation can manifest as amnesia or the inability to remember important aspects of the traumatic event.
Rationalization is a defense mechanism where individuals provide logical or socially acceptable reasons to justify their behaviors or actions, often to avoid facing uncomfortable truths. It doesn’t apply to the situation described.
Undoing is a defense mechanism involving rituals or behaviors aimed at “undoing” a previous action, often seen after a person has acted inappropriately. It’s not relevant to the client’s inability to recall details of a traumatic event.
Reaction formation is a defense mechanism where individuals express the opposite of their true feelings or impulses. For example, someone who feels anger may display exaggerated friendliness. This isn’t the defense mechanism displayed when a client can’t recall traumatic events.
In summary, when a client with PTSD is unable to remember details of a traumatic event, the nurse should recognize that this is an example of **dissociation**, which is a common response to severe trauma.
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