When planning care for the client with a dissociative disorder, the nurse would include interventions addressing the issue that the client's use of defense mechanisms may be difficult to avoid because of:

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Dissociative disorders often involve the use of defense mechanisms as a way to cope with past trauma or distressing memories. The client may have learned that using these defenses can result in secondary gain, such as avoidance of responsibilities or attention from others. Therefore, interventions should address this issue to help the client develop healthier coping mechanisms. Poor communication, predictable, or unpredictable behaviors may also be present in dissociative disorders, but they do not directly relate to the use of defense mechanisms.

When Planning Care for the Client with a Dissociative Disorder