A nurse in the emergency department is preparing to care for a female client who has just been sexually assaulted. Which of the following client behaviors would demonstrate denial?

1. The client is calm and quiet.
2. The client is blaming her sister for the incident.
3. The client is justifying unacceptable self-behaviors.
4. The client is verbalizing generalizations about the incident.


1

Rationale: Denial is a response by a victim of sexual abuse. It is described as an adaptive and protective reaction and may be identified by a calm and quiet behavior in the client. Projection is blaming, or "scapegoating." Rationalization is justifying the unacceptable attributes about self. Intellectualization is the excessive use of abstract thinking or generalizations to decrease painful thinking.

Nursing

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