NCLEX RN POST EXAM AND ANSWERS RATED A+ 2024.

The nurse is caring for a client with surgical complications who requires continuous total parenteral nutrition (TPN). The nurse assists the health care provider with the insertion of a subclavian triple lumen central venous access device. What is the priority action before initiating the TPN infusion? - Answer Check the results of the portable chest x-ray. Defense mechanisms - Answer Strategies or responses, usually unconscious, used by individuals to distance themselves from a full awareness of unpleasant thoughts, internal conflicts, and external stresses. Protect the ego from threatening thoughts and anxiety. A client recently admitted to an inpatient unit for treatment of alcoholism says to the nurse, "I only came here to get away from my nagging spouse. Sometimes I think my spouse is the one who should be here. I can stop drinking anytime I want." The nurse recognizes that the client is exhibiting which of the following defense mechanisms? - Answer Denial and projection Defense mechanism: rationalization - Answer Using excuses to explain away threatening circumstances - "I did poorly on the test because the questions were so tricky." Defense mechanism: Displacement - Answer Transferring thoughts and feelings toward one person or object onto another person or object. - A person who is angry with a boss comes home and yells at the spouse Defense mechanism: Regression - Answer Returning to a previous level of development - An adult has a temper tantrum when stuck in traffic Defense mechanism: Introjection - Answer Taking on the qualities or attitudes of others without thought or examination - A parent who is resentful of an unplanned child becomes overprotective of that child