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Quick Reference

Defense mechanisms are psychological processes that help people cope with stress, anxiety, or difficult emotions.

MechanismDescriptionExample
DenialDifficulty acknowledging a distressing realityResident insists a serious diagnosis must be mistaken
ProjectionAttributing one’s own uncomfortable feelings to someone elseResident feeling angry accuses others of being hostile
RepressionUnconsciously keeping distressing thoughts or memories out of awarenessPerson has limited conscious recall of distressing experiences

Important Considerations

  • Defense mechanisms may occur during illness, grief, or major life changes.
  • Avoid labeling or confronting residents based on assumed psychological motives.
  • Respond with empathy, patience, and active listening.
  • Report concerning behavior changes or emotional distress.

Sources

  • CNA Module 3 — Interpersonal Skills

Flashcards

What is a psychological defense mechanism?01-foundations / reference-guidelines
Answer

An often unconscious strategy for coping with anxiety or distress.