Freud identified a number of defense mechanisms. It is evident ...

[jace]

Freud identified a number of defense mechanisms. It is evident that the nurse recognizes one of these common defense mechanisms for a client with dissociative identity disorder when the nurse charts that the client has used:
 
  1. Denial.
  2. Fixation.
  3. Repression.
  4. Rationalization.

Question 2

A woman has been living in a shelter with her children after escaping her abusive husband. Her move-out date is getting closer. She states, I'm afraid to leave here. I'm afraid for my safety and the safety of my children.
 
  Which response by the nurse most accurately conveys empathy? 1. Even though you are scared, it's the policy that you have to leave. It's unfortunate, but there's nothing I can do.
  2. We learned your husband has moved out of state. I don't think you have anything to worry about now.
  3. This is a difficult and scary transition. Let's work on developing a plan to keep you and your family safe.
  4. You've had a month to come up with a plan for keeping you and your family safe. Let's review your options.

[dawsa925]

Answer to Question 1

3
Rationale: Repression explains the loss of conscious awareness in dissociation. Fixation is not completing developmental tasks in earlier stages of development. Rationalization is making excuses. Denial is lack of acknowledging.

Answer to Question 2

3
Rationale: By responding to the client's feelings and offering assistance, the nurse demonstrates an understanding of the client's need for safety and security. Acknowledging the client's fear and then changing the focus to policy invalidates the client's experience. Telling the client that she has already had a month to work on a plan and offering to review the options conveys a judgmental attitude toward the client. Telling the client not to worry because her husband has left the state offers false reassurance and negates the client's feelings.