A client, aged 30 years, tells his case manager "I do not have bipolar disorder anymore, so I do not

need the medicine and the blood tests. I was in the hospital twice for a few days a year or so ago.

Then you got into the act to get me a place to live and SSI checks. All that is wrong now is I am
bored and I do not have any friends." The nurse assesses the client as demonstrating
a. denial.
b. projection.
c. rationalization.
d. identification.


A
The client scenario describes denial. Many young clients with severe mental illness have limited
experience with hospital-based formal treatment programs. Short-term hospitalizations and
community follow-up contribute to these clients failing to see that they have a problem. Option B:
The client is not blaming another for a personal weakness. Option C: The client is not making
socially acceptable excuses. Option D: The client is not identifying with another.

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