Mental Health Technician Certification (AMCA) Practice Test

Which defense mechanism might a patient using denial be exhibiting?

1. Acceptance

2. Repression

3. Refusal to accept reality

4. Rational thinking

The correct answer is: Refusal to accept reality

Denial is a defense mechanism that involves refusing to accept reality or facts, essentially acting as a coping strategy to protect oneself from acknowledging uncomfortable truths. When a patient is exhibiting denial, they are often unable or unwilling to accept the situation as it is, which can manifest as them rejecting evidence or circumstances that contradict their beliefs or understanding. This refusal to acknowledge reality can serve as a temporary shield against emotional pain or stress, allowing the individual to avoid confronting their feelings or situations that might be overwhelming. In contrast to denial, acceptance involves recognizing and embracing reality as it is, while repression involves pushing uncomfortable thoughts or memories out of conscious awareness, rather than outright refusing to acknowledge their existence. Rational thinking implies a clear understanding and acceptance of circumstances, which is also contrary to the process of denial. Thus, refusal to accept reality is the clearest manifestation of denial among the choices provided.