An adult patient sustains third- and fourth-degree burns to more than 70% of her body related to a house fire
The patient begins a pattern of behavior similar to that of a young child, in which she repeatedly whines and throws "temper tantrums" in an attempt to keep her nurse at the bedside. The patient's coping mechanism is consistent with
a. regression.
b. identity disturbance.
c. denial.
d. trust.
A
Regression is a normal reaction to severe burns. The person may become childlike in interactions with staff. Behaviors such as whining, clinging to staff, and attempting to keep the nurse at the bedside constantly are not uncommon. A personal identity disturbance, as a type of altered self-concept, is defined as an inability of a person to differentiate the self as a unique and separate human being from others within a social environment.
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