What coping mechanism is being used by a client who refuses to participate in care and avoids eye contact?

The choice indicating that the client is using distancing as a coping mechanism is accurate because distancing refers to a behavior where an individual emotionally or physically withdraws from a situation or interaction. In this context, the client’s refusal to participate in care and avoidance of eye contact signifies a clear attempt to detach from the care process and avoid confronting the issues at hand. This behavior can often be a protective strategy to minimize emotional discomfort or anxiety associated with their condition or the necessity for treatment.

Distancing can manifest in various forms, including denial, avoidance, or disengagement, making it a common response to stress or trauma. By not engaging with caregivers or the situation, the client likely feels a sense of control over their emotional response, albeit in an unhealthy or unproductive manner. This allows them to cope with feelings of fear, vulnerability, or helplessness that can arise in medical settings.