Question

Difficulty: MediumCoping Mechanisms

The nurse is observing various clients in an outpatient behavioral health clinic. Match each client behavior or statement to the specific defense mechanism it represents.

  • A client who is intensely angry at their employer for a recent demotion comes home and yells at their spouse.Displacement
  • A client who harbors deep resentment toward their sibling constantly showers the sibling with exaggerated affection and expensive gifts.Reaction Formation
  • A client consciously decides to stop worrying about a recent relationship breakup so they can focus entirely on studying for an upcoming final exam.Suppression
  • A client who loses their temper and verbally abuses the clinic receptionist later returns with a bouquet of flowers and excessive apologies.Undoing

Answer

The angry employee yelling at their spouse matches Displacement. The client showing exaggerated affection toward a resented sibling matches Reaction Formation. The client intentionally ignoring a breakup to study matches Suppression. The client bringing flowers after an outburst matches Undoing.
Each client behavior perfectly illustrates a classic presentation of psychological defense mechanisms used to protect the ego from anxiety. Correctly matching them requires understanding the subtle differences, such as directing feelings at a substitute (displacement) versus reversing the feeling entirely (reaction formation).

Step-by-Step Solution

1
Analyze the scenario of the client who is angry at their employer.
Matches with Displacement.
The client is shifting negative emotions from a dangerous or powerful figure (employer) to a less threatening target (spouse).
2
Analyze the scenario of the client resenting their sibling.
Matches with Reaction Formation.
The client is hiding their true, socially unacceptable feelings by acting out the extreme opposite emotion.
3
Analyze the scenario of the client focusing on the exam.
Matches with Suppression.
The client is making a deliberate, conscious choice to put aside a stressor to handle a more immediate task.
4
Analyze the scenario of the client yelling at the receptionist and bringing flowers.
Matches with Undoing.
The client is performing an action designed to symbolically cancel out or make amends for a previous inappropriate behavior.

Key Concept

Identifying ego defense mechanisms in clinical and daily scenarios
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