A client who asked for and was refused a pass to leave the unit left the nurse's station and went to
his room, where he slammed his closet door several times while looking for a sweater.
A nurse came
into the room and remarked "You seem pretty angry.". The client replied that he was not the least bit
angry. In this instance the client is probably demonstrating
a. reaction formation.
b. rationalization.
c. compensation.
d. denial.
ANS: D
Denial involves an unconscious process of escaping an unpleasant reality by ignoring its existence;
in this case the client ignores his true feelings. Option A: Reaction formation is an unconscious
process that would call for displaying a feeling that is the opposite of anger. Option B:
Rationalization involves justifying illogical or unreasonable ides, actions, or feelings by developing
acceptable explanations that satisfy the listener and the self. Option C: Compensation requires
unconsciously making up for perceived deficits by excelling in another area to maintain self-esteem.
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Fill in the blank(s) with the appropriate word(s).