A fourth-grade boy teases and makes jokes about a cute girl in his class. This behavior should be identified by a nurse as indicative of which defense mechanism?
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A
Displacement
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B
Projection
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C
Reaction formation
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D
Sublimation
The interpretation supported by the scenario is Reaction formation .
A. Displacement
This sounds reasonable when the idea in “Displacement” addresses a different mechanism or priority than the one emphasized by the stem The wording does not track the stem’s main cue, so selecting it would shift the nurse away from the most precise interpretation or priority.
B. Projection
This would apply in a different scenario where the idea in “Projection” addresses a different mechanism or priority than the one emphasized by the stem The wording does not track the stem’s main cue, so selecting it would shift the nurse away from the most precise interpretation or priority.
C. Reaction formation
This works since The nurse should identify that the boy is using reaction formation as a defense mechanism. Reaction formation is the attempt to prevent undesirable thoughts from being expressed by expressing opposite thoughts or behaviors. Displacement refers to transferring feelings from one target to another. Rationalization refers to making excuses to justify behavior. Projection refers to the attribution of unacceptable feelings or behaviors to another person. Sublimation refers to channeling unacceptable drives or impulses into more constructive, acceptable activities. Need: Psychosocial Integrity Ego defenses can reduce anxiety in the short term, but they become clinically relevant when they distort reality enough to interfere with insight, relationships, or treatment adherence. From a nursing standpoint, this selection guides assessment and interventions toward what is most clinically meaningful in the moment—risk reduction, safety, accurate appraisal, and support for adaptive coping.
D. Sublimation
This might be chosen when the idea in “Sublimation” addresses a different mechanism or priority than the one emphasized by the stem The wording does not track the stem’s main cue, so selecting it would shift the nurse away from the most precise interpretation or priority.
Conclusion
The scenario is best handled by identifying what the nurse must interpret or prioritize first and then choosing the statement that fits that requirement with the least distortion. The distractors have surface appeal, but they do not align as tightly with the clinical cue embedded in the stem.