A team meeting is scheduled to teach nurses about communicating with clients who are using defense mechanisms. The instructor understands that more teaching is needed when a nurse says which of the following?
1. "Defense mechanisms are not helpful and must be challenged."
2. "People use defense mechanisms every day, though they are not aware of it."
3. "Defense mechanisms are used when you feel threatened or anxious."
4. "Primitive and early-formed defenses would be stronger and more difficult to change."
1
Rationale: Defense mechanisms are helpful ways of reducing anxiety; challenging them would be more threatening to the client and would increase anxiety. Defense mechanisms are unconscious processes and protect people from feelings of anxiety. Habitual patterns of use can develop over time, making defensive behavior difficult to change.
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