AIIMS BHOPAL NO- 2018( Shift-2nd)
Psychology
Medium
The behavior of a diabetic person who eats sweets regularly is an indication of:
Appeared in: AIIMS BHOPAL NO- 2018( Shift-2nd)
Explanation
- Denial is an unconscious defense mechanism where a person refuses to accept a reality or fact that is too painful or threatening to acknowledge.
- In this case, the diabetic person is aware of their diagnosis but continues to eat sweets, a behavior that contradicts medical advice for managing their condition.
- This action demonstrates a refusal to accept the seriousness of their illness and the necessary lifestyle changes, which is a classic example of denial.
Why Other Options Were Wrong
- Option A: Dislocation is a physical injury where a bone is displaced from its joint. It is a term from orthopedics, not psychology.
- Option B: Fixation, in psychoanalytic theory, refers to a person being 'stuck' in an earlier stage of psychosexual development. It does not describe the act of ignoring a current medical diagnosis.
- Option C: Displacement involves redirecting strong emotions from their original source to a less threatening target. The person in the scenario is not shifting emotions; they are ignoring a fact.
Related Visual
Clinical Relevance
- Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Psychological Defense Mechanisms as background academic context rather than a clinical decision trigger.
- Nurses must be able to identify denial in patients with chronic illnesses like diabetes, as it is a major barrier to treatment adherence and self-management.
- Recognizing denial allows the nurse to implement therapeutic communication, patient education, and provide emotional support to help the patient move towards acceptance and better health outcomes.
- What if? If the patient had said, 'I deserve a treat now and then, and a little sugar won't hurt me,' the defense mechanism would be Rationalization, where the person justifies their behavior with seemingly logical but flawed reasoning.
How to Approach the Question
- First, analyze the patient's behavior described in the stem: A person with a known diagnosis (diabetes) is knowingly engaging in a harmful act (eating sweets).
- Recognize that the core of this behavior is ignoring or rejecting the reality of their illness.
- Next, review the definitions of the psychological terms provided in the options.
- Compare the patient's behavior to each definition. 'Denial' is the refusal to accept reality. 'Displacement' is shifting feelings. 'Fixation' is a developmental issue. 'Dislocation' is a physical injury.
- Conclude that the patient's act of ignoring their diagnosis directly matches the definition of denial.
Concept Tested & Keywords
- Concept Tested: Psychological Defense Mechanisms
- Stem keywords: diabetic person, eats sweets regularly, behavior
- Lead-in keywords: indication of
- Negative lead-in flag: false
Question ID
Qxj-_qWUrt_3qBMGhMX9lG
Reference Book
E6 Kaplan Sadock's Synopsis of Psychiatry-2022 (pp 1-3768 of 3768) pp. 3344-3346, 3347-3349
E6 Robert Boland, Marcia L. Verduin - Kaplan and Sadock's Comprehensive Text of Psychiatry-Wolters Kluwer Health (2024) (pp 1-16525 of 16525) p. 2994-2996
Practise the full AIIMS BHOPAL NO- 2018( Shift-2nd)
Attempt every question from this paper in a timed mock, then review the full solution for each one.
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