— 心理社會完整性 · MEDIUM · MCQ —
護理師照護一位經歷創傷性事件的病患。下列何種行為顯示病患正在使用「否認」的防衛機制？
A nurse is caring for a client who recently experienced a traumatic life event. Which behavior indicates the client is utilizing the defense mechanism of 'denial'?
- AThe client redirects their anger toward the nursing staff病人將憤怒轉移至護理人員
- BThe client blames others for the occurrence of the event病人將事件的發生歸咎於他人
- CThe client refuses to discuss the event and acts as if it did not happen✓ 正解病人拒絕討論該事件並假裝它沒有發生
- DThe client focuses exclusively on the technical details of the event病人完全專注於事件的技術細節
— Explanation · 中文詳解 —
否認是一種原始的防衛機制，個體透過拒絕承認現實來保護自我免受過大焦慮。當創傷過於沉重，病人可能假裝一切正常或拒絕討論該事件。其他選項如投射（責怪他人）、理智化（專注細節）、轉移（對醫護發怒）分別對應不同的心理防衛模式。
Denial is a defense mechanism where a client refuses to acknowledge the reality of a traumatic event to protect themselves from overwhelming anxiety. This behavior manifests as acting as if the event never occurred or avoiding discussion of it, distinguishing it from other mechanisms like displacement or intellectualization.
✦ 台美臨床差異
無明顯差異，心理衛生護理之防衛機制判斷標準全球一致。