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Exam NCLEX-RN topic 5 question 56 discussion

Actual exam question from Test Prep's NCLEX-RN
Question #: 56
Topic #: 5
[All NCLEX-RN Questions]

A male client seeks counseling after his wife of 19 years threatened to divorce him. For most of their marriage, he has physically and verbally abused her. When asked about his behavior in the process of the nursing assessment, the client states, "I was mean to my wife because she insists on cooking meals and wearing clothes that I do not like." This defense mechanism is an example of:

  • A. Repression
  • B. Regression
  • C. Reaction formation
  • D. Rationalization
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Suggested Answer: D 🗳️
(A) Repression is blocking a desire from conscious expression. The client is conscious of his desires. (B) Regression is returning to an earlier form of expression, which is not demonstrated here. (C) Reaction formation is acting out the opposite of true feelings. The client felt anger concerning his wifes cooking and acted out his feelings. (D) Rationalization is unconsciously falsifying an experience by giving a "rational" explanation. The client is attempting to justify his behavior by giving an explanation.

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