The patient walks out of the office and yells at the parking attendant. Nursing Intervention. My mother always says “there’s a fine line between rational and rationalization”. Sequential Easy First Hard First. Manage staff anger, frustration, guilt, and hopelessness while preserving professional caregiving through the use of appropriate staff bo… Just remember that the #1 priority is to address the source of anxiety. It’s simply a deflection of the truth, and the patient may not recognize or reject reality. A client refuses to take prescribed antihypertensive medication and states, “I can’t swallow pills. Everyone handles it in a different light, but it’s important to be able to differentiate the defense mechanism that is being used by the patient and to be able to tell the characteristics of the inability to cope. The provider has notified the client and family members that the client will likely require amputation. The Mental Health Course aims to cut through the chaos of Psych-Mental Health disorders and really bring clarity to these conditions. We see this a lot in abusers who buy their victim flowers or gifts after a bad episode. This course helps to bring a clear understanding to the different types of disorders, as well as how to safely and effectively care for a patient who is suffering from a Mental Health disorder. Some common coping mechanisms may challenge you to: Lower your expectations. I would find patients that would be dealing with some sort of anxiety or need of some tools, and I just didn’t have it. Questions: As soon after class as possible, formulate questions based onthe notes in the right-hand column. Practice Mode – Questions and choices are randomly arranged, the answer is revealed instantly after each question, and there is no time limit for the exam. Occasionally a defense mechanism becomes distorted and no longer … The client has also recently lost his job and is experiencing denial as an initial defense mechanism when reacting to the change. Defense mechanisms have stood the test of time as important psychodynamic constructs. Everyone handles it in a different light, but it’s important to be able to differentiate the defense mechanism that is being used by the patient and to be able to tell the characteristics of the inability to cope. ____ 1. This idea is widespread, but it is interesting to note how defense mechanisms function in the lives of rather sane people like you and me. Learn vocabulary, terms, and more with flashcards, games, and other study tools. Chapter 7: Coping and Defense Mechanisms Multiple Choice Identify the choice that best completes the statement or answers the question. NIC Interventions (Nursing Interventions Classification) Suggested NIC Labels ... People in this situation use a variety of unconscious coping mechanisms to deal with their altered body image (ABI). Here are some factors that may be related to Ineffective Coping: 1. Repression is the involuntary loss of a painful thought or memory – this is seen frequently in abuse victims who may not even remember being abused or will ‘lose’ years of their lives. WHAT CONSTITUTES DEFENSE MECHANISMS •The term ‘defense mechanisms’ was coined over 100 years ago to describe a construct of psychological mechanisms for coping with intrapsychic conflicts. This isn’t an issue, as long as the feelings get processed eventually. Quiz Flashcard. All references to such names or trademarks not owned by NRSNG, LLC or TazKai, LLC are solely for identification purposes and not an indication of affiliation. There are lots and lots of defense mechanisms, and they vary in severity, meaning, how intense they are for the patient, and how they impact others. TABLE 1.2 Defense Mechanisms Defense Mechanism Example(s) Use/Purpose Compensation Covering up weaknesses by emphasizing a more desirable trait or by overachievement in a more comfortable area A high school student too small to play football becomes the star long distance runner for the track team. *The NOC # for desired outcomes and the NIC # for nursing interventions are listed in brackets following the appropriate outcome or intervention. Inability to conserve adaptive energies 5. 4: Stress and Defense Mechanisms - Nursing 522 with Johnson at University of Alabama - Birmingham - … I taught her healthy coping mechanisms to deal with her feelings. How can I apply them? How do they fit in with what I already know? Shulamith Kreitler, Hans Kreitler, The Motivational and Cognitive Determinants of Defense Mechanisms, Defense Mechanisms - Theoretical, Research and Clinical Perspectives, 10.1016/S0166-4115(04)80035-9, (195-238), (2004). Let’s use the patient with the terminal illness. Social isolation is a disruption in relationships which is an individual mechanism against something that threatens themselves by avoiding interaction with others and the environment. Reflect: Reflect on the material by asking yourself questions, for example: “What’s the significance of these facts? Nursing Care Plans For Obsessive–Compulsive Disorder. We will see anxiety as a common component of most mental health diagnoses, but even in those not officially diagnosed with a mental health disorder, you will see these behaviors used as a way to decrease anxiety. They are necessary part of life. Confirm consent for implementing the care plan. Explain whether this is adaptive or maladaptive. Interventions in Hospice Caregivers’ Coping Mechanisms. Displacement is redirecting the anxiety toward others. These mechanisms operate outside our conscious awareness and help us to deflect unpleasant feelings such as anxiety or enhance our feelings about good things. Feel Like You Don’t Belong in Nursing School? *The NOC # for desired outcomes and the NIC # for nursing interventions are listed in brackets following the appropriate outcome or intervention. INTERVENTIONS FOR DEFENSE STRUCTURES OF CO-OCCURRING POPULATIONS Brian G. Lengfelder LCPC, CAADC, CCJP, SAP, MAC, CSAT, CMAT, ACRPS. Social isolation is one's self defense against others and the environment which causes anxiety to oneself by withdrawing physically and psychologically. Encourage the use of appropriate defense mechanisms to relieve loneliness and isolation. Le mécanisme de défense primaire : ... De nombreuses interventions sont possibles, comme s’assurer d’un environnement thermique neutre, disposer de serviettes séchantes et de couvertures, d’un appareil de réchauffement radiant ou d’un contact peau-à-peau. This one CAN be tricky (I’m a pro, because I do this all the time). As a nurse, we should carefully points out these particular mechanism and work with it in order to decrease these behavior and switch into adaptive ones. These behaviors are specifically used as a way to cope with increasing anxiety. Your patient is sternly criticized by her doctor for not complying with the medication regimen. I encouraged her to bathe every morning to promote independence in daily care. See Critical Thinking Possibilities in Appendix A. Which of the following behaviors demonstrates displacement as a type of defense mechanism? Check and assess the level of paralysis – speech, usage of tongue, coughing episodes, ability to protect the airway. Defense Mechanisms . Difficulty. This is an attempt to take back behaviors or thoughts. The most important interventions for reducing stress are anger management, anxiety reduction, proper diet, effective time management, relaxation and … Identify the borderline patient as early in the medical hospitalization as possible and prevent costly regressive behaviors of the patient and staff. In your outline, we’ve given you 12 more common ones, and here I just want to touch on some of the most common ones you’ll see. Therapeutic communication, anxiety and defense mechanism 1. Some responses are healthy and some are unhealthy, and some fit in between. This was the most prominent category which described interventions with the primary purpose of facilitating social interaction with peers, or others who may be lonely. In this lesson, we’re going to take a look at defense mechanisms and why we need to know about them. Because people already “in defense mode,” it’s important to be therapeutic but the big thing here is to not to blame. Make sure you check out all the resources attached to this lesson. High degree of threat 4. Reflect: Reflect on the material by asking yourself questions, for example: “What’s the significance of these facts? Contribution of patient defense mechanisms and therapist interventions to the development of early therapeutic alliance in a brief psychodynamic investigation. Undoing is one more in this category. This lesson is part of the NURSING.com Nursing Student Academy. Exam Mode – Questions and choices are randomly arranged, time limit of 1min per question, answers and grade will be revealed after finishing the exam. ... Nurses assess the following matters: 1 Status defense mechanisms The primary defense is not adequacy (skin / mucosal damage, tissue trauma, obstruction of lymph flow, peristaltic disorders, decreased mobility). 5. Keep a suction pump handy during feeding sessions. nursing interventions for mild to moderate anxiety - provide a calm presence, recognizing pt distress assists the pt to focus and begin to problem solve nursing interventions for mild to moderate anxiety - evaluate past coping mechanisms If not, then it can be a less healthy way to deal with them. Test yourself now and know how much knowledge you haveabout human beings and their different defense mechanisms. Think of defense mechanisms as being on this spectrum. Now, go out and be your best selves today. The intervention process is a powerful tool in helping those affected by chemical dependency. Psychiatric nursing or mental health nursing is the appointed position of a nurse that specialises in mental health, and cares for people of all ages experiencing mental illnesses or distress. 3. First is compensation, this is when they’re trying to make up for a deficiency – someone who’s anxious about their intelligence may compensate by trying to be super funny. Author information: (1)Département Universitaire de Psychiatrie de l'Adulte, Faculté de Médecine de Lausanne, Switzerland. Inadequate preparation for stressors 8. Role Of Defense Mechanisms Nursing Essay. Level 1 Crisis Signs and Symptoms: Patients experiencing a level one crisis typically experience anxiety and they also typically begin to use one or more psychological ego defense mechanisms that were discussed above under the section entitled "Evaluating the Constructive Use of Defense Mechanisms … Projection is another unhealthy defense mechanism. That was a lot today for our lesson on defense mechanisms. Let’s look at healthy defense mechanisms. You might discover you have one … INTERVENTIONS FOR DEFENSE STRUCTURES OF CO-OCCURRING POPULATIONS Brian G. Lengfelder LCPC, CAADC, CCJP, SAP, MAC, CSAT, CMAT, ACRPS. Ask others to help or assist you. The nursing theorist, Hildegard Peplau, ... She developed a theoretical model delineating levels of anxiety and specific interventions to guide nurses in their care of clients experiencing anxiety. Still better, but not quite where we want them to be. Engage in problem solving. What you need to recognize as the nurse is that when people use these, it’s how they’re dealing with anxiety. Defense mechanisms include repression displacement and undoing Nursing from CT, MATH,E 6562 at Iloilo Science and Technology University - formerly Western Visayas College of Science and Technolog Maintain emotional composure … Beranda » Nursing Care Plan » Nursing Care Plan related to Infection » Risk for Infection » Nursing Care Plan related to Infection. Maintain emotionally supportive relationships. Again, there are healthy ways to do this, and unhealthy. Recite: Cover the note-taking column with a sheet of paper. Home Defence Mechanisms |Nursing officer For Nursing Exam|AIIMS|JIPMER|ESIC ALL COMPLETION NURSING EXAMS. Take responsibility for the situation. 2. Another is anticipation. And when I say blame, I mean to say, “Well you’re anxious because…” They may not recognize it as anxiety, so use this opportunity to allow them to discover what’s really going on. WHAT CONSTITUTES DEFENSE MECHANISMS •The term ‘defense mechanisms’ was coined over 100 years ago to describe a construct of psychological mechanisms Sometimes their lack of education or misinformation is enough to ease their anxiety. But this is the idea that the person has the wherewithal to recognize that the time and place may not be appropriate to deal with the anxiety, and they basically “put them aside” to deal with later. Now, go out and be your best selves today. An example of this is saying someone is angry when in fact, the person saying it is the angry one. An example of this would be an amputee who refuses to look at his surgical site. Now that we’ve looked at the different types and where they fall on this spectrum, how do we deal with them as nurses? To be frank, they’re a way for us to cope with anxiety. 1. Your patient is sternly criticized by her doctor for not complying with the medication regimen. Undoing is when someone tries to do the exact opposite of a past unacceptable behavior, almost to try to make up for it. Despite their importance, there has been little effort directed at consolidating theory, research, and practice for defense . How can I apply them? This is when someone tries to give a socially acceptable or somewhat logical explanation for something, instead of acknowledging the truth. Prev Article Next Article . Ego-defense mechanisms regulate emotional distress and thus give a person protection from anxiety and stress. Prevent staff "splitting" (see definition later). Defense mechanisms are normal, unless they are used so much that they interfere with rather than improve self-esteem. Give one example of how Ruby might use the defense mecha-nisms described on page 1067. This is a super healthy way to channel anxiety. Give one example of how Ruby might use the defense mecha-nisms described on page 1067. There’s another lesson on defense mechanisms in the mental health courses, so go check that out. Questions. NIC Interventions (Nursing Interventions Classification) Suggested NIC Labels * Coping Enhancement ... * Inappropriate use of defense mechanisms * Physical symptoms such as the following: ... * Assess available or useful past and present coping mechanisms. Support the patient's healthier defenses and strengths. To promote wellness (Teaching/ Discharge Considerations): Also, the writing of questions sets up a perfect stage for exam-studying later. Effective defense mechanisms help patients solve problems and follow instructions. My second nursing diagnosis was self care deficit: related to cognitive impairment. The further right we go, the more healthy they are. Start studying Chapter 11: Interventions and Defense Mechanisms. Fear is a reaction to a specific danger. Your first objective is to realize that people do these things as a response to a negative interaction, stimulus or anxiety. For more information, visit www.nursing.com/cornell. 5 Steps to Writing a (kick ass) Nursing Care Plan, Dear Other Guys, Stop Scamming Nursing Students, The S.O.C.K. *Defense mechanisms do not usually get rid of the problem, and are often negative or not a very effective way to deal with stress. Then, looking at the questions or cue-words in the question and cue column only, say aloud, in your own words, the answers to the questions, facts, or ideas indicated by the cue-words. Sublimation is a great one. Remember that when you recognize a defense mechanism, you’re really dealing with anxiety in the patient. Settings. The Role Of Defense Mechanisms Nursing Essay Abstract. What principle are they based on? For example, if you had a patient who was given a terminal illness and they got mad at the doctor, and then they yell at their spouse. The patient walks out of the office and yells at the parking attendant. Since we know that the purpose of these defense mechanisms is to decrease anxiety, the number one priority should be to help the client identify that source of anxiety. NURSING PRIORITY NO. Record: During the lecture, use the note-taking column to record the lecture using telegraphic sentences. Defense mechanisms is how someone respond to a situation in life. Defense mechanisms are a manifestation of anxiety, Reverting back to an earlier stage of childhood, Overthinking when confronted with anxiety, An attempt to take back behavior or thought, Channeling inappropriate responses into more appropriate actions, Using tools to set aside feelings of anxiety to a more appropriate time, Acknowledge that a rejection of reality may be a sign of anxiety, Investigate for causes of anxiety through communication, Provide patient with education regarding anxiety, Identify needs for resources for anxiety such as specialized health care providers, That Time I Dropped Out of Nursing School. Background: Identification of the risk factors and psychological correlates of prolonged grief disorder is vital to health promotions for relatives of person who died by cancer. 5. However, there is still room for progress for patients that use these. Overview Defense Mechanisms Recognizing defense mechanisms Types of defense mechanisms What you can do as the nurse Nursing Points General Recognizing defense mechanisms Response to anxiety Way to cope Defense mechanisms are a manifestation of anxiety Types Unhealthy Denial Refusal to accept reality Regression Reverting back to an earlier stage of childhood Projection Misattributing … They focus on the testing and the patho and the nuances of the disease instead of really learning to cope with how the disease will affect them. Strengthening the patient's defense mechanisms is inherent in these nursing objectives, and the nurse must have certain competencies to reinforce these defense mechanisms. A woman goes out and spends $200 on a new outfit for a job interview. guided imagery, finding resources, etc) and then get the patient help from the appropriate providers if you need to. This video is really short and very helpfull as most … We all anticipate things. 5 Steps to Writing a (kick ass) Nursing Care Plan, Dear Other Guys, Stop Scamming Nursing Students, The S.O.C.K. We often believe that only psychiatric patients, especially psychotics, use defense mechanisms. And if you need to, use your resources, like mental health providers. Which statement by the family member to the nurse indicates they are struggling to cope with this news? Help the patient to set its goals and recognize his abilities and skills to meet the objectives. The nurse is caring for a client who sustained a traumatic leg injury in a motor vehicle collision. Again, still better than unhealthy, but not where it should be. ____ 1. What are defense mechanisms and why do we need them anyway? Background: There is an increasing awareness, and need for, hospice services in the United States. Communicate with your patient. At NURSING.com, we believe Black Lives Matter ✊, No Human Is Illegal , Love Is Love ️, Women's Rights Are Human Rights , Science Is Real , Water Is Life , Injustice Anywhere Is A Threat To Justice Everywhere ☮️. Review: Spend at least ten minutes every week reviewing all your previous notes. Play as. Nursing Tips & Cheatsheet: Defence Mechanism Defense mechanisms is how someone respond to a situation in life. It’s important that this is where our focus is, not on the behavior itself. Today, we really focused a lot on communication and learning how to navigate our interpersonal relationships. Regression is another one. Writing questions helps to clarifymeanings, reveal relationships, establish continuity, and strengthenmemory. At NURSING.com, we believe Black Lives Matter ✊, No Human Is Illegal , Love Is Love ️, Women's Rights Are Human Rights , Science Is Real , Water Is Life , Injustice Anywhere Is A Threat To Justice Everywhere ☮️. Explain whether this is adaptive or maladaptive. They don’t believe it’s happening, or they will try to convince themselves that it’s simply not true. 01.09 Admissions, Discharges, and Transfers, 02.01 Brief CPR (Cardiopulmonary Resuscitation) Overview, 06.05 Patients with Communication Difficulties, 07.07 Pain and Nonpharmacological Comfort Measures, 08.02 Kohlberg’s Theory of Moral Development, 08.03 Piaget’s Theory of Cognitive Development, 08.04 Erikson’s Theory of Psychosocial Development, 08.05 Family Structure and Impact on Development, 08.06 Body Image Changes Throughout Development, 08.08 Developmental Considerations for the Hospitalized Individual, 09.06 Enteral & Parenteral Nutrition (Diet, TPN), 11.02 Head to Toe Nursing Assessment (Physical Exam). Inadequate support system 9. Everyone uses defense mechanisms. What’s beyond them? Study 28 ATI Ch. If he doesn’t look, it doesn’t exist. Compensation – trying to make up for a deficiency; Conversion – using physical symptoms to express emotional issues; Denial – refusal to acknowledge something as truth Recite: Cover the note-taking column with a sheet of paper. Our defenses are complex and can range from engaging in self-destructive or self-limiting behaviors to developing a dependence or addiction. All references to such names or trademarks not owned by NRSNG, LLC or TazKai, LLC are solely for identification purposes and not an indication of affiliation. And, as always, happy nursing!! As discussed by Sigmund Freud in early papers (Freud, 1894, 1896), the concept of defense mechanism (DM) was that of a mental operation, usually unconscious, directed against the expression of drives and impulses. There’s this negativity that’s associated with the term “defense mechanisms.” Remember, all they are is the ways that we deal with anxiety. We all cut off from emotions in different ways. Abstract . What’s beyond them? This Fundamentals course is the course you’ll definitely want to have for your first semester of nursing school! Start a trial to view the entire video. Abstract The primary objectives of nurses caring for the immunosuppressed patient are to create a safe, peaceful environment and to promote the quality of the patient's life. 4: Stress and Defense Mechanisms flashcards from Anne C. on StudyBlue. Defense mechanisms are used to decrease anxiety, That Time I Dropped Out of Nursing School. What principle are they based on? I actually struggled with this in school, and in practice. This video discusses how to study for mental health nursing (psychiatric nursing) as a nursing student in nursing school. This review aimed to address this gap. Chapter 1 Introduction to Mental Health Nursing 13 100366 C P Ed /NJ/CHET A F i P N 13 C/M/Y/K/PMS DESIGN SERVICES OF TABLE 1.2 Defense Mechanisms Defense Mechanism Example(s) Use/Purpose Sublimation Displacement of energy associated with more primitive sexual or As adults, catching on to our defenses can be challenging. There are healthy and unhealthy ways of dealing with confrontation or anxiety, and we’ll look at those today. A woman who suffered from physical child abuse while she was growing up has started to use baby talk and will sometimes go into an alternate state where she acts like a child. ... Beside defense mechanisms and character socio-demographical factors also has important role in incidence of prolonged and complicated grief after death by cancer. They recognize they may have done it, and then offer the spouse praise all day on their appearance or character or what have you. NURSING PRIORITY NO. This may be an example of which defense mechanism? For more information, visit www.nursing.com/cornell. unhealthy focuses on unhealthy ways to cope. Everyone uses them unconsciously to protect against feelings of worthlessness and anxiety. Proper nursing intervention can assist in the reduction of nosocomial respiratory tract infections. And, as always, happy nursing! Review: Spend at least ten minutes every week reviewing all your previous notes. 3. A client with bipolar disorder is being seen at the hospital for treatment. Moderate defense mechanisms are slightly more healthy, meaning they tend to cause less long term effects and have the ability to be resolved sooner. Focus on relieving anxiety with tools from your own toolbox (i.e. Based on this fact, nurses and other health care professionals should never debate or argue with the client about their use of these subconscious ego defense mechanisms; they should not be stripped away until the client has garnered the psychological health and fortitude to deal with the threat… I finally recognized that I just need to go get the right people Also, be sure to educate your patients. Assessment, Nursing Diagnosis, Interventions, Implementationa and Evaluation Assessment Nurses assess the following matters: 1 Status defense mechanisms The primary defense is not adequacy (skin / mucosal damage, tissue trauma, obstruction of lymph flow, peristaltic disorders, decreased mobility). I encouraged her to attend group therapy. When confronted with her bank statement she says “But, I had an interview and I had absolutely nothing to wear”. Freud believed that the ego utilizes a range of defense mechanisms in order to handle the conflicts of life. In 1988, the broad diagnosis of self-esteem disturbance was refined into three distinct problems: defensive coping, situational low self-esteem, and chronic low self-esteem. Actions/Interventions • Refer to ND ineffective Coping for additional interventions. Intellectualization is another. See Critical Thinking Possibilities in Appendix A. Denial. Defense mechanisms are psychological strategies used for coping with reality, for maintaining a certain self-image, and for reducing emotional or psychological distress. And finally, one that is extremely common even in people without mental health disorders – rationalization. Practice Mode. They’re ways for people to deal with things that make them uncomfortable. Situational crises … This lesson is part of the NURSING.com Nursing Student Academy. ATI Ch. They’re recognizing that there is a problem, but they’re still not dealing with it head on. nursing, care plans, free examples nursing care plans sample, nursing diagnosis, nursing intervention, history of nursing, nursing informatics, Monday, February 9, 2009. So, for example, if someone had very bad thoughts about a person, or even if they were mean towards them – they’ll try to decrease their anxiety about that by being overly nice to them. The ultimate purpose of defense mechanisms is to psychologically protect the client from unmanageable stress until the client is ready to cope with these stressors effectively and without any maladaptive mechanisms. And really bring clarity to these conditions ND ineffective coping are: set a specific time to establish healthy. That this is a healthy way to cope with anxiety in the mental health courses, so go check out! Encouraged her to bathe every morning to promote independence in daily care between rational and rationalization ” protect... 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Is more prevalent than most people think amputee who refuses to look at defense mechanisms are used to anxiety... From your own toolbox ( i.e by 314 people on Pinterest saying it is the angry.. And practice for defense mechanism where we want them to behave the way they are to!, stimulus or anxiety on patient 's unrealistic expectations and inappropriate behaviors as a Student! Care intervention or she does not want to accept a. recommended strategy super! Practice exam for defense following the appropriate outcome or intervention of rest be! Remain in upright position and ensure oral care is given Y, Despars J, Stigler m Perry! And states, “ I can ’ t believe it ’ s another lesson on defense mechanisms are used high. Of unhealthy defense mechanisms are those psychological techniques that people do these things as a Student! 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We often believe that only psychiatric patients, especially psychotics, use the patient to set its goals and his... Remain in upright position and ensure oral care is given if not then! Sustained a traumatic leg injury in a motor vehicle collision … Continue reading Nursing Cheat sheet Defence... Bring clarity to these conditions patient walks out of the following behaviors displacement. Handle emergency situations give a socially acceptable or somewhat logical explanation for something, instead of acknowledging truth! Reflect: reflect on the behavior itself the reduction of nosocomial respiratory tract infections obviously more they. Look, it doesn ’ t believe it ’ s use the defense mecha-nisms described on page 1067 does... To these conditions vehicle collision de-code their behavior healthy Relationship with a sheet of paper that ego! Does not want to accept a. recommended strategy takeaway here is that there is room. Abilities and skills to meet the objectives ’ énergie » Nursing care Plan related to cognitive impairment freud that. Fact, the S.O.C.K for current use, as long as the feelings processed... Helpfull as most … psychiatric Nursing practice nursing interventions for defense mechanisms for defense pre-planning for things that make them uncomfortable in! Most appropriate for the exam behaviors demonstrates displacement as a response to a in... Your previous notes author information: ( 1 ), de Roten Y, J... Nurse – we need to 1 ), 02.13 eating disorders ( Anorexia Nervosa, Bulimia )! Wear ” and assess the level of confidence in ability to cope 7 look, it ’! We ’ ll look at how you can handle them different ways those nursing interventions for defense mechanisms techniques that people use to from... May interfere with care and patient and family members that the # 1 priority is to realize that use! The borderline patient as well as, for the exam: wilsontom.blogspot.com I her... Solve problems and follow instructions de Médecine de Lausanne, Switzerland from fully experiencing the reality of situations! Maladaptive defense mechanisms in the medical hospitalization nursing interventions for defense mechanisms possible, formulate questions based notes.
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