A. insomnia D. provide information regarding AA support groups 6:18 You asked the patient: How would you describe your mood? used the therapeutic technique of giving information. A. shout and let the client know that this behavior is not tolerated B. offer fluids and nourishing diet as tolerated D. the behaviors demonstrated by an individual diagnosed with a personality disorder conform to cultural expectations, Which statement regarding the diagnosis of a personality disorder is accurate? Upon entering the client's room, the nurse finds the the client is very angry and is punching pillows to express the anger. C. "make sure that another colleague knows where you are at all times" Which of the following findings should the nurse expect? D. use should be limited to emergency situations in which the client is demonstrating a potential to be violent, While interviewing a client, a nurse asks, "what do you do when you get angry?" Andrew Davis VSIM, VSIM Guided Reflection and Documentation Assignments PACKAGE 2021 $ 26.96 $ 20.98 2x sold 3 items 1. B. dopamine 7:14 You asked the patient: Can you tell me what a desired outcome of treatment 2:00 You asked the patient: Over the past year, when did you feel your best? The patient said: No, I am not seeing or hearing things that are not there. You asked the patient: Where is your pain located? C. middle-aged, wealthy businessman D. be placed in their rooms by themselves, A client with schizophrenia has been brought to the hospital in an agitated state. B. triggering 9:58 You said: Do you feel bugs crawling under your skin? 120 minutes B. "I am not going to talk to you while you are angry" A. women have a greater threshold for controlling anger Nurses interface with patients at different levels of readiness to access treatment. C. the majority of his withdrawal will consist of signs and symptoms similar to the current ones C. "Sometimes they do it to avoid the onslaught of delusional thinking." Which of the following statements by the newly licensed nurse indicates an understanding of the teaching? with this diagnosis;/p>lt;p>Alcohol withdrawal has physical symptoms that to you? C. Highly social B. hunger and thirst A. A. depression Mr. Davis has been prescribed an oral benzodiazepine to assist in managing his withdrawal symptoms should his CIWA-Ar score rise to 8 or above. (select all that apply) The patient said: No, never! B. Parental alcohol abuse Motivational Cross), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. 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A. diarrhea It was correct to check scene safety in order to, You asked the patient: Can you tell me a little bit more about what's going on, with you today? C. shield oneself with a pillow B. use should be limited to times when medications have been unsuccessful in de-escalating a situation Case - Nur 3480 andrew davis vsim guided reflection 3. A. D. "you will be able to stop feeling angry when incidents happen out of your control", In which phase of the aggression cycle can techniques of seclusion or restraint be used to deal with the aggression quickly? D. use of the gum is limited to 90 days, A nurse is discussing the use of methadone with a newly licensed nurse. C. the client reports increased feelings of self-control The patient said: No, it's just light. \nYou. B. sexual The patient said: It is B. rinse out the mouth immediately before chewing the gum The patient said: No, not really. Identity diffusion vsim andrew davis steps. B. carbamazepine D. older adults develop substance use to mask manifestations of dementia, A nurse is assessing a client who has alcohol use disorder and is experiencing withdrawal. A. D. "methadone increases the risk for acetaldehyde syndrome" Which response would be most appropriate? "don't pretend like you don't know how fat I am" 18 years vSim for Nursing | Mental Health Mental Health Case: Li Na Chen, Part 2 Documentation Assignments. Bluelizzard. Which of the following personality characteristics associated with all of the personality disorders should the charge nurse include in the teaching? I am going to ask you a series of. C. Poverty D. all the conditions are attributable to the alcohol abuse, A client drinks 24 oz of vodka every day, having gradually increased to this level over the past 2 to 3 years. head.\nYou answered: The lights can't hurt you. "you will learn how to control your violent behavior" B. restrain the client "while taking this medication, I should keep a pack of sugarless gum" Course Hero is not sponsored or endorsed by any college or university. Andrew Davis- vSim Scenario Steps Preview 1 out of 4 pages Getting your document ready. D. "I must chew the nicotine gum quickly for about 15 minutes", A nurse in an acute mental health facility is caring for a client who is experiencing withdrawal from opioid use and has a new prescription for clonidine. E. difficulty understanding why it is inappropriate to have a personal relationship with staff, A nurse is preparing to obtain a nursing history from a client who has a new diagnosis of anorexia nervosa. imperative that nurses recognize symptoms and provide early pharmacologic B. reach out for the client's knife VSIM OF NURSING MENTAL HEALTH-ANDREW DAVIS CASE STUDIES PACKAGE $ 97.45 $ 40.89 5 items 1. A. B. neurotransmitters A. experiencing tactile disturbances C. place the client on a regular toileting schedule C. display increasing motor activity Which assessment finding confirms that a patient is experiencing moderate alcohol withdrawal? A. increases the risk for seizure activity C. therapeutic relationship You asked the patient: Do you have any pain? B. Depression Which client response would indicate to the nurse that the client engages in anger suppression? Which is the nurse trying to prevent? David Smith. 0:06 You introduced yourself. B. haloperidol The caregiver of the client tells the nurse that the client is having an episode of Bouffe delirante. It was (select all that apply) Which factor is most likely to decrease the severity of Mr. Davis's alcohol withdrawal signs and symptoms? B. personality disorders result in behaviors that consistently deviate from those considered culturally acceptable The patient said: None. What question should the nurse ask to determine the effect of culture on the client's expression of anger? One of the most useful resource available is 24/7 access to study guides and notes. 6:12 You asked the patient: Please tell me what today's date is. A. the individual characteristics that change as one grows and experiences life situations You asked if the patient had any known allergies. It's scary.\nYou answered: What are you concerned might happen? C. Personal identity disturbance Measure students' progress, identify weaknesses and deliver instant . A. B. B. risk for self-mutilation related to alcohol withdrawal and altered thought processes C. Narcissistic Mike T. With a profile at Docmerit you are definitely prepared well for your exams. A. The class also includes a review of the anatomy and physiology of the neurological system. Everything is falling sarah_awake. A. C. "it will help you to learn how to control the arousal of anger" A. D. identification, A nurse is assisting with a court-ordered evaluation of a client who has antisocial personality disorder. Chaotic families "I should avoid eating right before I chew a piece of nicotine gum" B. assessing for auditory and visual hallucinations frequently A. Antisocial personality B. ask the client about the client's living situation B. Privacy Statement, Stuvia is not sponsored or endorsed by any college or university, Pennsylvania State University - All Campuses, Rutgers University - New Brunswick/Piscataway, University Of Illinois - Urbana-Champaign, Essential Environment: The Science Behind the Stories, Everything's an Argument with 2016 MLA Update, Managerial Economics and Business Strategy, Primates of the World: An Illustrated Guide, The State of Texas: Government, Politics, and Policy, IELTS - International English Language Testing System, TOEFL - Test of English as a Foreign Language, USMLE - United States Medical Licensing Examination. If you earn 6% per year on your bank account, how long will it take an account with $100 to double to$200? B. dry mouth The nurse is counseling a 28-year-old client with avoidant personality disorder. The client has been in the psychiatric unit for 2 weeks and is scheduled to be discharged tomorrow. ", A client is admitted to the emergency department for intoxication with alcohol. You shoul It was appropriate to ask the patient what was going on with him A. Somatization disorder - manifests as a pain syndrome with a significant loss of or alteration in physical function that mimics a physical, which club drug is structurally similar to GABA? Mr. Davis reported having consumed his last drink around 4 pm, and he was admitted to the facility's detoxification unit shortly thereafter. B. the client has increased self-esteem vSim Andrew Davis: Alcohol Withdrawal Preview 2 out of 5 pages Getting your document ready. B. older adults commonly use rationalization to cope with a substance use disorder B. A . You asked the patient: Where is your pain located? A. stalking "which activity would you like to participate in today?" choose the best answer B. anxiety disorders "Temperament is not changeable." self-aware of frustrations and expectations in working with this population;/p>, Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Give Me Liberty! C. older adults are at an increased risk for substance use following retirement C. risk for other-directed violence related to alcohol withdrawal C. "I usually approach the person directly to talk about it" 18 terms. B. egocentricity D. intoxication, The nurse is performing a history and physical examination on a client with chronic alcoholism. A. catharsis A. E. hypothermia, How should the nurse respond when asked why alcohol withdrawal and detoxification should be managed in a hospital setting? It provides faculty with ideas to integrate vSim into existing curricula and offers ways to develop and/or enhance current teaching strategies. Which intervention would be most appropriate at this point? B. . The nurse would be correct in identifying which neurotransmitter decreased in this disease? B. Borderline personality A. implement seizure precautions Why are you asking me so many questions? D. "do you have any questions about why you are taking this medication? Which aspect of this behavior is most likely to cause problems for the patient? C. inform the client that restraints may be applied A. he is likely currently experiencing the peak of his signs and symptoms A. C. 21 years A. demonstrates extreme anxiety when placed in a social situation B. ensure that his needs are met in a nonjudgmental manner C. the number of other medications the client is taking C. "I need to feel that everyone admires me" The nurse should recognize the client's statement as an example of which of the following defense mechanisms? my stomach. 6 months ", A nurse is reviewing the medical record of a female client diagnosed with borderline personality disorder (BPD). Report Copyright Violation beststudy Uploaded on November 11, 2020 Number of pages 5 Written in 2020/2021 Type Case Professor (s) Prof Grade A+ All documents for this subject (1) The benefits of buying summaries with Stuvia: A. Research suggests violent behavior is influenced by possession of which attribute? B. ridiculing The nurse should plan to assess the client for symptoms of which mental health condition? Randy Adams prequiz Vsim. Identity diffusion The patient said: D. strict hierarchy of authority, A client's roommate yells at the client and the client acts as if nothing has occurred and ignores the roommate. C. postcrisis D. escalation, Which term is used to describe an emotion expressed through verbal abuse and violation of rules or norms? you are feeling to help me better understand how together we can start to plan B. Overly friendly Classify the given expenditure as a capital expenditure or an immediate expense related to machinery: you saying you feel anxious? B. ask the wife to provide details about what she means by "all his time" andrew davis vsim steps.docx - Aug 26, 2022 6:55 PM Andrew Davis Age: 56 years Diagnosis: Alcohol withdrawal syndrome Score 2 0 0 97% Feedback andrew davis vsim steps.docx - Aug 26, 2022 6:55 PM Andrew. B. give the client plenty of space Which term would the nurse most likely use? E. provide him with high protein, low fat meals, How can the nurse caring for Mr. Davis best provide the appropriate emotional care during his alcohol withdrawal? Experiences students may have A. bradycardia Narmada Kidney Foundation > Uncategorized > vsim andrew davis steps. 7:32 You asked the patient: How do you understand your problems? A. mindfulness Other sets by this creator. Which safety measures must the nurse ensure are in place prior to continuing the assessment? Which class of medication is regularly prescribed to provide a gradual withdrawal from alcohol? B. The patient said: No. itching. The child has severe uncontrollable temper outburst and repeatedly bangs the head on the wall or door. Karen. A. - fibers, Select the correct description of a somatoform disorder. D. a complex, engrained pattern of behaviors and characteristics that are largely outside of the individual's consciousness, Which statement accurately describes the relationship between culture and behaviors associated with personality disorders? Exam (elaborations) - Vsim of nursing|mental health case: andrew davis guided reflection questions 4. D. Risk for self-mutilation, Which occurs when thinking, feeling, or behaviors occur outside a person's awareness? B. admitting to visual hallucinations C. Mania \nYou used the therapeutic technique of focusing. A. Which is an appropriate nursing action? Which healthcare professional should the nurse contact to collect evidence of the assault? "his father physically abused his mother for years" C. "I am sure your anger would be reduced by punching the pillows" the 26th. Assessment reveals that the client was diagnosed with borderline personality disorder 6 months ago, for which the client has been receiving outpatient treatment. The assessment of the client's thought process and content would allow the nurse to identify what? month? You are making my, headache worse.\nYou answered: I appreciate how difficult it is to answer so, many questions; however, I need to complete an assessment of you today. 11:36 You said: Who am I? The client also talks in a loud voice. B. reduced use of restraints "what works best is what fits the client and the situation" C. practice assertiveness skills C. Ask the parents to keep a written schedule of activities for each day for the client 0:00 You checked scene safety. safety;/p>lt;p>There is not a defined amount of alcohol that designates a used the therapeutic technique of giving information. Alcohol use disorder is a disease that carries social stigma. It was correct to check scene safety in order to maintain your own safety. A. constructive anger discussion You identified the patient. D. the client uses adaptive coping to manage anger impulses, A client visits the clinic and tells the nurse that no matter how difficult the client's child acts, the client simply cannot express any anger. Vsim Andrew Davis Mental Health. C. "I wonder if your perceptions of the relationship are accurate" May I ask you these, The patient said: Why are you asking me so many questions? D. Encourage the parents to discuss the possibility of the client going into a day-care program when the client goes home, When providing care to a client who consistently attempts to manipulate the staff, the nurse can best maintain the therapeutic milieu by doing what? things. C. incest They need to be aware of how this can impact caring for patients A. asking personal questions when they are inappropriate Encouraging questions and discussing the client's concerns Instructing the staff to enforce all unit rules consistently B. helplessness C. implement seizure precautions A. pemoline B. E. identifying triggers for alcohol consumption, A patient with a history of chronic alcohol abuse has begun to demonstrate signs and symptoms of delirium tremens (DTs). ), borderline personality disorder is categorized as a Cluster B disorder. B. pons "eliminating any codependent behavior will promote her recovery" D. physical aggression, Which describes a strong emotional response to a real or perceived provocation? It was correct to check scene safety in order to "I've put the incident behind me and seldom think of it" Assume Karo Products, Inc., purchased conveyor-belt machinery. B. Self-mutilation 0:43 You identified the patient. B. dopamine A. A. cytokines How do generally accepted accounting principles (GAAP) differ from the laws of mathematics? The patient said: Sometimes I wake up in the morning and I can't remember, things. The client is shouting, screaming, hitting others and throwing objects. Despite being employed, the client verbalizes having low quality of life due to anxiety and isolation. A. risk for injury related to effects of alcohol abuse A. healthcare provider on call You checked scene safety. Which of these conditions are attributable to the client's history of alcohol abuse? C. "call the doctor immediately if you experience any of the side effects we talked about" "what happens when you get angry?" Language Proficiency Assessment Committee. Aggression C. Abuse cravings and difficulty stopping the use of the substance. "people say I withdraw and pout about the problem" D. Impulsivity, Clients with borderline personality disorder (BPD) are usually admitted to the inpatient setting because they exhibit what? He was escorted out of a school board meeting after hurling racist and ethnic obscenities at pupils and their families. C. "the cost of the treatment is covered by insurance only if delivered in a hospital setting" Which would the instructor most likely include as being involved when describing psychoneuroimmunology? I wish they would shut up!\nYou A. restrain the client B. C. "she should participate in an Al-Anon group to help her recover" B. relive their childhood experiences 6:49 You asked the patient: Do you have any thoughts or wishes to harm or kill D. encourage his family to spend time at his bedside, Mr. Davis has been prescribed an oral benzodiazepine to assist in managing his withdrawal symptoms should his CIWA-Ar score rise to 8 or above. D. escalation, The nurse is assessing a client who is aggressive. What is the nurse's best response? think I'm nuts?!? It helped me a lot to clear my final semester exams. "we need to explore what makes you want to hit people when you are angry" Select the development time of symptoms in neuroleptic malignant syndrome. The patient said: I like A. older adults require higher doses of a substance to achieve a desired effect D. mood disorders, A nurse manager is discussing the care of a client who has a personality disorder with a newly licensed nurse. This activation can be so overpowering that the alcohol becomes the These are questions I ask all of the patients I see. D. encourage the wife to express exactly what she wants her husband to do on weekends, A client has been admitted to the detoxification unit after binge drinking. whoisthatgirl28 Plus. headache worse.\nYou answered: I appreciate how difficult it is to answer so symptom of alcohol withdrawal. The symptoms can be mild The cell Anatomy and division. There is a biological basis to dysfunctional alcohol It was. What is the best action for the nurse to perform? C. Self-injury Ask the parents how they have coped with the client's behaviors over the years D. manipulation, The nurse caring for the client taking clozapine should advocate for monitoring using which diagnostic test? (select all that apply) A. orient the client frequently to time, place and person A. C. mottling of the skin C. Loneliness ", A nurse is working with a client who has lost unit privileges due to inappropriate behavior. 1:22 You asked the patient: I would like to ask you a series of questions about how D. "I sometimes feel better if I cut myself", A nurse is caring for a client who has borderline personality disorder. D. psychological, The nurse is assessing a victim who is brought into the hospital after being found badly beaten and raped by an unknown person. "this medication will help prevent seizures during alcohol withdrawal" C. respiratory rate of 11 breaths/minute A. Terms of Use In order for the nurse to perform the initial assessment, which approaches should the nurse use to manage the situation? (select all that apply) \nYou used the nontherapeutic Andrew Davis vSim Scenario Steps: You checked scene safety. D. young college graduate who recently gave birth to her first child, Which personality disorder would be placed in Cluster B? The nurse interprets this statement as reflecting what? 8 terms. A. 7:29 The patient said: I don't think any of this is going to work; it's a waste of D. identification, A client with borderline personality disorder has been admitted to the inpatient unit because the client has been engaging in wrist cutting. (select all that apply). The patient said: Yes, I have some, You asked the patient: How would you rate your pain, on a scale of 0 to 10? B. providing the client with a list of possible goals for behavior change vSim Pre Simulation Quiz - Linda Waterfield. B. escalation -hydroxybutyrate D . D. "I appreciate that you are experiencing anger in an appropriate manner", An aggressive client is holding a weapon and threatening to harm other clients in the unit. appropriate to ask the patient about when he felt his best. The nurse identifies the this child is experiencing which type of abuse? B. C. sit in an open area Direct the client to another staff member when the client tries to interact. You introduced yourself. (select all that apply) The patient said: Yes, I have some pain. The patient said: Seven. E. acamprostate, A nurse is evaluating a client's understanding of a new prescription for clonidine for the treatment of opioid use disorder. "I've always had good results with medications" The client's spouse reports the client is easily irritated if the home is not maintained in a specific order and when the client is unable to complete a "to do" list on time. Ketamine C . B. diazepam technique of using denial. Anna Maria. B. intentional risk taking Develop clinical reasoning skills, competence, and confidence in nursing students through vSim for Nursing | Mental Health, co-developed by Laerdal Medical and Wolters Kluwer.Designed to simulate real nursing scenarios, vSim enables students to interact with virtual patients in a safe, realistic environment, available . "methadone is a replacement for physical dependence to opioids" A. have their needs met "I should encourage clients who have a schizoid personality disorder to increase socialization" B. client's primary care provider The, You asked the patient: On a scale of 0 to 10, how would you rate your level of. D. lying, A client with a history of angry outbursts that have caused interpersonal and work problems has been in counseling for several months. A. A. lorazepam Case - Vsim of nursing|andrew davis mental health post-quiz 3. The patient said: Not really sick to C. educate the client on the effects of clonidine A. teach the client to make "I" statements D. results in mild hypertension, A charge nurse is planning a staff education session to discuss medications used during the care of a client experiencing alcohol withdrawal. C. "I can expect some diarrhea from taking this medicine" 11:29 You said: What is today's date? 41 Comments Please sign inor registerto post comments. C. sexual assault nurse examiner C. eccentric E. ensure availability of assistance, The nurse is caring for a client with rheumatoid arthritis. B. women are expected not to express so-called negative feelings like anger Docmerit is super useful, because you study and make money at the same time! D. "you are not overweight, and the staff will ensure that you do not gain weight while you are in the hospital. 10:07 You said: Are you more aware of sounds around you? Which response is most important for the nurse to make to this client? Ineffective coping "would you like to have your family come visit you in your room today?" questions? B. D. disregard for consequences, What term is used to describe the tendency to view things and situations as being either all good or all bad? "you may experience hypertension while taking this medication" C. offer the client an antianxiolytic mediation "most often, neither families nor friends are willing and capable of managing the patient during the withdrawal" 3,4 - methylendedioxymethamphetamine B . E. encourage the client to talk about this situation, A client has lost emotional and physical control. A. self-centeredness Which of the following interventions should the nurse identify as the priority? Students also viewed B. panic disorder You asked the patient: Have you had any changes in your appetite over the past. D. clozapine, Aggression control can be measured by the nurse's observation of a client's ability to do what? 24-72 hours C. 4-7 days D.10-14 days QUESTION 62 1. The patient said: No. A. administer the clonidine on the prescribed schedule C. decreases cravings A . C. disulfiram The nurse judges the plan of care to be effective when which outcome is met? B. A. B. C. women express sadness instead of anger while facing unjust situations appropriate to ask the patient about when he felt his best. B. his signs and symptoms will likely taper off in severity over the next 12 hours dysfunctional use of alcohol. C. insomnia Withdrawal Assessment, or CIWA. Which step should the nurse take? D. low self-esteem, To defuse a critical situation, the nurse can use the therapeutic communication techniques for which reason? \nYou used the therapeutic technique of translating D. implement one-to-one observation during meal times, A nurse is caring for a client who has bulimia nervosa and has stopped purging behavior. E. extreme aggression, When determining a client's potential for aggression and violence prior to engaging in a detailed psychosocial assessment, which would be most important for the nurse to do? "I can promote my client's sense of control by establishing a schedule" (select all that apply) 68 terms. B. B. provides a form of aversion therapy The client has an unsteady gait, myopathy, and neuropathy and cannot remember past or recent events. Andrew Davis Age: 56 years Diagnosis: Alcohol withdrawal syndrome Score 2 1 0 85% Feedback Log 0:00 Patient 0:00 You checked scene safety. Even though the client is not currently intoxicated, the client is combative and exhibits altered thought processes. Confront the client firmly about how the client's behavior makes the nurse feel. "many clients are concerned about their weight. We know that is important to you", Which is the best definition of personality? The nurse should explain to the new staff member that some clients use violence and aggression to .. No. The nurse needs to work with the patient to address consequences of D. dramatic, Which long-term patterns are consistent with a diagnosis of borderline personality disorder? The patient said: My appetite has been about the same. B. acceptance Andrew Davis- vSim Scenario Steps Preview 1 out of 3 pages Generating Your Document Report Copyright Violation Case Details $12.45 Add To Cart Add To Wishlist Trusted by 40,000+ Students Money Back Guarantee 24/7 Download is directly available 71 0 Specifications Institution Virginia State University Study Nursing Course
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