AIIMS Raipur NO- 2019 (shift 3rd)
Mental Health Nursing (E5)
Easy
An alcohol patient blames his family members for his behavior. This is known as:
Appeared in: AIIMS Raipur NO- 2019 (shift 3rd)
Explanation
- Projection is an ego defense mechanism where an individual unconsciously attributes their own unacceptable thoughts, feelings, or impulses to another person.
- In this clinical scenario, the patient cannot accept the personal responsibility and guilt associated with his alcoholism.
- To protect his ego, he shifts the blame for his drinking behavior onto his family members, stating they are the cause of his actions.
- This act of blaming others for one's own problem is the hallmark of projection.
Why Other Options Were Wrong
- Option B: Regression involves reverting to an earlier, more childlike stage of development (e.g., thumb-sucking, temper tantrums) when faced with stress. The patient is blaming, not acting like a child.
- Option C: Suppression is the conscious, intentional decision to avoid thinking about something unpleasant. The patient is actively engaging with the problem by blaming others, not consciously pushing the thought away.
- Option D: Denial is the refusal to accept reality. While the patient is likely in denial about the severity of his problem, the specific action of blaming others is projection. Denial would be stating, 'I don't have a drinking problem.'.
Related Visual
Clinical Relevance
- Nursing practice connection: Use the key finding related to Psychological Defense Mechanisms to guide bedside assessment, documentation, and the next nursing action.
- Recognizing defense mechanisms is crucial for nurses to understand a patient's behavior and the underlying anxiety or conflict driving it.
- Identifying projection helps the nurse avoid getting into arguments about who is to blame and instead focus on helping the patient gain insight into their own behavior and feelings.
- A therapeutic approach involves gently confronting the patient's use of projection and guiding them toward accepting personal responsibility, which is a key step in recovery.
How to Approach the Question
- First, analyze the patient's specific action described in the stem: 'blames his family members for his behavior.'
- Next, define each of the four options, which are all psychological defense mechanisms.
- Compare the patient's action (blaming others) to the definition of each mechanism.
- Projection is defined as attributing one's own unacceptable feelings or actions to others. This directly matches the patient's behavior.
- Rule out the other options by noting the key differences: Regression is reverting to childlike behavior, Suppression is a conscious choice to ignore thoughts, and Denial is refusing to acknowledge reality.
Concept Tested & Keywords
- Concept Tested: Psychological Defense Mechanisms
- Stem keywords: alcohol patient, blames, family members, behavior
- Lead-in keywords: known as
- Clinical cues: The key action is 'blaming others' for one's own behavior, which is the definition of projection.
Question ID
QUWWMQiQWcn_th9gGt7LFi
Reference Book
E6 Robert Boland, Marcia L. Verduin - Kaplan and Sadock's Comprehensive Text of Psychiatry-Wolters Kluwer Health (2024) (pp 1-16525 of 16525) p. 2993-2995
E6 Kaplan Sadock's Synopsis of Psychiatry-2022 (pp 1-3768 of 3768) pp. 3344-3346, 3346-3348
Practise the full AIIMS Raipur NO- 2019 (shift 3rd)
Attempt every question from this paper in a timed mock, then review the full solution for each one.
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