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mental health

Ego Defence Mechanisms

Defence mechanisms are unconscious strategies the ego uses to manage anxiety. Nurses recognise these mechanisms to understand patient behaviour.

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Key Points to Know

What you must know about Defence Mechanisms

1

Defence mechanisms are unconscious processes that protect the ego from anxiety.

2

Denial: refusing to accept a painful reality.

3

Projection: attributing one’s own unacceptable feelings to another person.

4

Repression: unconsciously blocking distressing thoughts from awareness.

5

Displacement: transferring feelings from a threatening target to a safer one.

6

Rationalisation: offering logical-sounding excuses to justify behaviour.

NMCN Exam Tips

How this topic appears in the NMCN exam

Match each scenario to the correct defence mechanism — the standard question type.

Projection = blaming others for your own feelings.

Displacement = redirecting emotion onto a safer target.

Defence mechanisms are unconscious, not deliberate.

Practice Question

Test yourself

A man who is angry with his boss goes home and shouts at his children. This is an example of which defence mechanism?

A.Denial
B.Projection
C.Displacement✓ Correct
D.Sublimation

Explanation

Displacement is the transfer of emotions from the original, threatening source (the boss) to a safer, less threatening target (the children). Projection would involve attributing his own feelings to someone else.

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