NCLEX · Coping and Defense Mechanisms

A nurse identifies that a client is using denial as a coping mechanism after a serious diagnosis. How should the nurse initially respond?

Correct answer

Recognize that denial can be a temporary protective coping mechanism, provide support, and avoid forcing the client to accept reality prematurely

  1. A Withhold all information
  2. B Forcefully confront the denial and demand acceptance
  3. C Tell the client they are being unrealistic
  4. D Recognize that denial can be a temporary protective coping mechanism, provide support, and avoid forcing the client to accept reality prematurely

Why this is the answer

When a client uses DENIAL after a serious diagnosis, the nurse should RECOGNIZE that denial can be a TEMPORARY, PROTECTIVE coping mechanism that allows the client to gradually adjust to overwhelming news; provide SUPPORT, maintain a trusting relationship, and AVOID forcing premature acceptance. NCLEX-PN psychosocial/coping. Forcefully confronting or shaming the client can increase anxiety and damage trust. The nurse provides honest information when the client is ready, answers questions truthfully, and allows the client to process at their own pace — while monitoring that denial isn't preventing necessary care/treatment. Understanding defense mechanisms like denial and responding supportively (not confrontationally) is a tested psychosocial concept.
Source: NCLEX-PN Psychosocial — Coping/Defense Mechanisms

Practice more questions

This question is from our NCLEX Practice Tests practice test. Take the full practice test to test your knowledge across all Coping and Defense Mechanisms and other topics.

Take the PN: Psychosocial Integrity practice test →

About this topic: Coping and Defense Mechanisms

Coping and defense mechanism questions cover denial, projection, rationalisation, displacement, regression and the rest, recognising them in a scenario, and supporting adaptive coping. This is one of 10 PN: Psychosocial Integrity questions on coping and defense mechanisms, each with a full explanation on a single study page.

New to this exam? Our NCLEX exam guide explains the format, scoring, and how to prepare.

Related questions

State-specific guides

Need information for your state? Our state guides cover local requirements, fees, and what to expect on exam day.