B. assessing for auditory and visual hallucinations frequently C. offer the client an antianxiolytic mediation C. alcohol dependence with memory impairment Which of the following findings should the nurse expect? D. "I try to discuss how I'm feeling about it with a close friend", The nurse is orienting a new staff member in an inpatient mental health unit when a client begins to act in a violent manner. A. D. "why do you think I am not being respectful to you? 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. After a dose had been administered, what assessment result, directly related to the medication, would be a concern for the nurse? What is the nurse's best response? Docmerit is a great platform to get and share study resources, especially the resource contributed by past students and who have done similar courses. D. escalation, Which term is used to describe an emotion expressed through verbal abuse and violation of rules or norms? safety;/p>lt;p>There is not a defined amount of alcohol that designates a C. anger D. physical aggression, Which describes a strong emotional response to a real or perceived provocation? Practice NCLEX Questions from the Book! D. abdominal pain B. diazepam On which potential issue should the nurse focus with this client? Which would be most therapeutic when the client's parents come in to discuss discharge plans? Sensitivity to sound is a common 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! The patient said: You are the nurse here. "most often, neither families nor friends are willing and capable of managing the patient during the withdrawal" A. culture is not a consideration when evaluating behaviors associated with personality disorders \nYou used the nontherapeutic The patient said: B. are malleable and poorly defined The client will experience increased self-esteem. maintain your own safety. One of the most useful resource available is 24/7 access to study guides and notes. A. triggering D. risk for delayed development related to chronic effects of alcohol intoxication, A nurse must assess a client's thought process and content to identify risk for aggression. B. Dissociation D. slightly elevated body weight B. fine tremors of both hands patient said: It's about a 4. A 56-year-old man called Andrew Davis ,entered an alcohol rehabilitation clinic voluntarily yesterday afternoon and is currently in the acute detoxification unit. C. older adults are at an increased risk for substance use following retirement presenting reality and giving information. VSIM OF NURSING MENTAL HEALTH-ANDREW DAVIS CASE STUDIES PACKAGE $ 97.45 $ 40.89 5 items 1. can be dangerous to your overall health. You asked the patient: Is it OK for your family to be here, while we talk? B. dopamine May I ask you these, The patient said: Why are you asking me so many questions? "people say I withdraw and pout about the problem" Which of the following statements indicates the client is experiencing the cognitive distortion of catastrophizing? 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? When considering medication for treatment, the nurse knows which will be the most effective? A. receiving education and information about the medication D. "patients prefer to be isolated from family and friends when experiencing the severe symptoms of withdrawal", A nurse is planning a staff education program on substance use in older adults. . D. "at what weight do you believe you will look better?" A. asking personal questions when they are inappropriate However, the dietitian will ensure that you don't get too many calories in your diet" C. pessimism 10:07 You said: Are you more aware of sounds around you? C. behaviors and beliefs that are present and acted on from an individual's birth 1:04 The patient said: I don't think I can keep this up anymore. ", A client is admitted to the emergency department for intoxication with alcohol. Mental health Vsim. B. A. recovery C. scheduled unit activities 120 minutes B. The client has a history of gastritis, esophagitis, elevated liver enzymes, cardiomyopathy, and pancreatitis. (select all that apply) Classify the given expenditure as a capital expenditure or an immediate expense related to machinery: Narmada Kidney Foundation > Uncategorized > vsim andrew davis steps. D. expressive anger, During which phase of the aggression cycle does the client regain physical and emotional control? A. symptom of alcohol withdrawal. A. Affective instability A. explore what is underlying the client's physical and emotional state used the therapeutic technique of giving information. A. ", Which term is used to describe an activity used to release anger? B. You even benefit from summaries made a couple of years ago. over use. C. display of defense mechanisms when routines are changed B. provides a form of aversion therapy \nYou. Document findings related to the screening of Mrs. Chen with the Hamilton Rating Scale for Depression. Withdrawal Assessment, or CIWA. C. valproic acid 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 Which of the following statements by the client indicates an understanding of the teaching? A. acetylcholine B. has difficulty making even simple decisions than anyone else.\nYou answered: What are your feelings about your drinking? (select all that apply) alcohol: for men, this means 4 or fewer standard drinks on any single day and Abuse as a child D. emotional dependency, In clients who do not completely recover from being victimized by rape, which mental illness is most likely to develop? How should the nurse handle this situation? D. unstable personal relationships A. Case - Nur 3480 andrew davis vsim guided reflection 3. B. offer fluids and nourishing diet as tolerated dysfunctional use of alcohol. C. "it will help you to learn how to control the arousal of anger" A. midbrain C. The client will engage in less risk-taking behavior The client is no longer experiencing withdrawal manifestations. A . imperative that nurses recognize symptoms and provide early pharmacologic B. try to clarify what has upset the client 10:35 You said: Are you hearing anything that is disturbing to you? You asked if the patient had any known allergies. C. Loneliness It's just too loud in here, if that's what you mean. C. 21 years Devry University 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? C. withdrawal Michaela_Marcello. used the therapeutic technique of giving information. Other sets by this creator. What is the best action for the nurse to perform? A. anger Which statement by the nurse demonstrates appropriate offering of choices? D. identification, A nurse is assisting with a court-ordered evaluation of a client who has antisocial personality disorder. else? A. itching. 3,4 - methylendedioxymethamphetamine B . A. \nYou used the therapeutic technique of, You asked the patient: What other pain management strategies have you used. B. give the client plenty of space Bluelizzard. Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew My Library Discovery Institutions University of California Los Angeles Miami Dade College Auburn University Docmerit is super useful, because you study and make money at the same time! NUR 406: Exam Three. Lab Values (Normal Ranges) Med Surg 1. B. My mood would be better if I was home. allison041996. Which of the following medications should the nurse anticipate administering to assist the client with maintaining abstinence from alcohol? B. disorders, as well as their world view of alcohol. E. blames others for his past and current problems, A charge nurse is preparing a staff education session on personality disorders. allison041996. When discussing risk factors for child abusers, which would the nurse identify as the most likely profile of the perpetrator of fatal child abuse? Which would the instructor most likely include as being involved when describing psychoneuroimmunology? C. ask the client if the client feels triggered by another client in the group A. cause behavioral dysfunction and inner distress D. intoxication, A nursing student is aware that which accounts for more deaths, illnesses, and disabilities across the life span than any other preventable condition? What nursing intervention would most likely improve the therapeutic relationship between the nurse and a patient experiencing alcohol withdrawal by increasing the nurse's self-awareness? You asked the patient: Where is your pain located? this time? E. acamprosate, A nurse is providing teaching to a client who has a new prescription for clonidine to assist with maintenance of abstinence from opioids. A. relapse. C. "if I could be skinny, I know I'd be popular" D. identification of measures to disrupt the anger response, The nurse is caring for a client with dementia who has become increasingly agitated. "what did you learn about anger when growing up?" D. Paranoid personality disorder. "I am not going to talk to you while you are angry" Which client response would indicate to the nurse that the client engages in anger suppression? 1:22 You asked the patient: I would like to ask you a series of questions about how B. anxiety disorders B. 10:55 The patient said: The lights in here are too bright; they are hurting my (select all that apply) B. avoidant Which term should the nurse use to describe this drinking behavior? No. What question should the nurse ask to determine the effect of culture on the client's expression of anger? Ineffective coping The patient said: I like The nurse is counseling a 28-year-old client with avoidant personality disorder. 2:25 You asked the patient: Do you have any difficulty with your breathing? had with friends or family with substance use disorder will affect these A. cytokines rsmb143. C. economic dependency A. show an increased tolerance for frustration A. criticizing B. recovery You asked the patient: I would like to ask you a series of questions about how, you are feeling to help me better understand how together we can start to plan, your care. During therapy the wife states, "he makes me so mad when he spends all his weekend time with his friends instead of us. The patient said: I can't get rid of this headache.\nYou answered: A headache is a, normal symptom of alcohol withdrawal. Ketamine C . 10:23 The patient said: Why is everyone so loud? D. "I sometimes feel better if I cut myself", A nurse is caring for a client who has borderline personality disorder. C. Mania (select all that apply) actions without judgment;/p>lt;p>Alcohol use disorder is marked by the D. "methadone increases the risk for acetaldehyde syndrome" B. rape A. orient the client frequently to time, place and person A. priority in the patients life, to the exclusion of family, work, self-care, and often vSim Andrew Davis: Alcohol Withdrawal Preview 2 out of 5 pages Getting your document ready. B. C. neurontin B. odd A. personality disorders are diagnosed in early adulthood, when personality formation is complete B. restrain the client Karen. What request of the patient being assessed for possible alcohol withdrawal should the nurse make to determine the presence of tremors? D. prepare to seclude the client, The nurses on a mental health unit are reviewing aspects of the unit environment in a staff meeting. D. cutting body parts, Impulsivity is a characteristic of borderline personality disorder (BPD). The patient said: Why do you want to ask me B. "taking this medication will decrease your cravings for alcohol" A. auditory hallucinations Mike T. With a profile at Docmerit you are definitely prepared well for your exams. B. paranoid tendencies said: No. D. provide information regarding AA support groups B. impulsivity The class also includes a review of the anatomy and physiology of the neurological system. A. It was C. keep SpO2 probe at bedside B. relive their childhood experiences "I will need to stop using the nicotine gum after 1 year" "I can promote my client's sense of control by establishing a schedule" B. E. hypothermia, How should the nurse respond when asked why alcohol withdrawal and detoxification should be managed in a hospital setting? Include his responses to your assessment. Which of the following questions should the nurse include in the assessment? C. GABA A. B. 56 terms. Andrew Davis has recruited technical content developers in the SF Bay Area since 1995. B. gastritis and elevated liver enzymes C. women express sadness instead of anger while facing unjust situations C. disulfiram 18 years B. acceptance 7:14 You asked the patient: Can you tell me what a desired outcome of treatment 6:12 You asked the patient: Please tell me what today's date is. D. Schizoid personality, When clients diagnosed with borderline personality disorder (BPD) see nurses as either all good or all bad, the client is using which primitive defense? interventions;/p>lt;p>Alcohol use disorder is a disease that requires treatment. Vsim Andrew Davis Mental Health Terms in this set (143) Symptoms of alcohol withdrawal begin within what time period after the cessation or marked reduction of alcohol intake by the chronic alcohol drinker? ", A nurse is reviewing the medical record of a female client diagnosed with borderline personality disorder (BPD). A client with a blood alcohol level of 0.20 mg% is at high risk for injury related to the impairment of which function? A. regression Seizures - These are waves of abnormal electrical activity in the brain. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching? Which factor would be predictive of a client becoming aggressive or violent? A. interviewing is a good intervention with alcohol use disorder as it promotes a vSim for Nursing scenarios are authored by the NLN and are also included in Lippincott nursing textbooks, allowing students to follow their patient cases as they evolve. You checked scene safety. B. egocentricity D. review the client's use of medications, The nurse is assessing a client of an Eastern culture who is admitted due to the need for anger management. It was appropriate to ask the patient what was going on with him E. encourage the client to talk about this situation, A client has lost emotional and physical control. "methadone reduces the unpleasant effects associated with abstinence syndrome" The The, You asked the patient: Do you have any pain? Poor social skills A. place the client in a separate room Which clinical manifestations confirm that a patient is experiencing Stage I (mild) of alcohol withdrawal syndrome? 7:45 The patient said: I don't know why everyone is so worried. C. borderline personality disorder The patient. Now is my chance to help others. 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. A. 2:00 You asked the patient: Over the past year, when did you feel your best? C. avoid eating 15 min prior to chewing the gum 9:58 You said: Do you feel bugs crawling under your skin? ", Which staff behaviors are most likely to trigger clients who are predisposed to aggressive or violent behavior? The patient said: I don't think I can keep this up anymore. Report Copyright Violation $12.99 Add to cart Add to wishlist Seller Follow NorthWest Member since 1 year 339 documents sold Reviews received 52 7 3 3 3 Send Message Uploaded on November 2, 2022 Number of pages 4 Written in 2022/2023 Type Case Professor (s) - It's scary.\nYou answered: What are you concerned might happen? 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. to addiction. B. anger suppression B. pons C. "methadone can be used during opioid withdrawal and to maintain abstinence" "what happens when you get angry?" They need to be aware of how this can impact caring for patients 10:44 You said: Does the light appear to be too bright? B. rinse out the mouth immediately before chewing the gum (select all that apply) B. reduced use of restraints Which intervention would be most appropriate at this point? B. A. immediately approach the client to engage in communication "please do not damage the hospital's property" D. diagnosis of a personality disorder depends on the existence of an early childhood trauma, In the Diagnostic and Statistical Manual of Mental Disorders (5th ed. "Temperament is malleable." D. vomiting D. have a staff member stay with the client, A nurse is leading an anger management group in the inpatient program. 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. my stomach. 7:50 You asked the patient: Do you ever see or hear things that other people do not? C. middle-aged, wealthy businessman 15 years appropriate to ask the patient about when he felt his best. "instead of worrying about your weight, try to focus on other problems at this time" Vsim Andrew Davis Mental Health. B. Depression 9:32 The patient said: I don't know what to do with my hands.\nYou answered: Are 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? The nurse demonstrates an understanding of the seriousness of the patient's risk for injury when implementing which intervention? Which is an appropriate nursing action? B. splitting Which statement made by a student demonstrates a need for further instruction? C. eccentric The nurse would be correct in identifying which neurotransmitter decreased in this disease? C. sexual assault nurse examiner C. Poverty University Of Arizona D. imipramine, A cuban American client has been prescribed an antipsychotic medication. many questions; however, I need to complete an assessment of you today. C. risk for other-directed violence related to alcohol withdrawal A. development of a therapeutic relationship You asked the patient: How would you rate your pain, on a scale of 0 to 10? This activation can be so overpowering that the alcohol becomes the B. diazepam A. The patient A. obtain a thorough client history A. pemoline What is the priority nursing diagnosis for this client? to feelings. The patient said: No, never! We're available through e-mail, live chat and Facebook. 7:32 You asked the patient: How do you understand your problems? technique of using denial. used the therapeutic technique of seeking clarification. Do you A. lorazepam B. B. bupropion A. anxiety 6 months Cross), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), The Methodology of the Social Sciences (Max Weber), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Develop a list of cues you identified from viewing the assessment, JadenuSodium Glucose Linked Transporter 2 Inhibitors, Test Bank for Davis Advantage for Psychiatric Mental Health Nursing 10th Edition by Morgan 9780803699670 TEST BANK, Fundamentals of Nursing 9th Edition Taylor Test Bank-1-10, Test Bank for Foundations for Population Health in Community Public Health Nursing 6th Edition by Stanhope 9780323776882 TEST BANK, Test bank Fundamentals of Nursing 10th Edition, Understanding Pathophysiology 7th Edition Test Bank, Test Bank for Ebersole and Hess Gerontological Nursing and Healthy Aging 6th Edition by Touhy 9780323698030 TEST BANK, Test Bank For Pediatric Nursing The Critical Components of Nursing Care 2nd Edition, Educational Psychology and Development of Children Adolescents (D094), Anatomy & Physiology I With Lab (BIOS-251), Business and Society (proctored course) (BUS 3306), Professional Nursing Concepts III (5-8-8) (HSNS 2118), Managing Business Communications and Change (MGT-325), Professional Application in Service Learning I (LDR-461), Advanced Anatomy & Physiology for Health Professions (NUR 4904), Principles Of Environmental Science (ENV 100), Operating Systems 2 (proctored course) (CS 3307), Comparative Programming Languages (CS 4402), Business Core Capstone: An Integrated Application (D083), ECO 201 - Chapter 5 Elasticity and Its Applications, ATI System Disorder Template Heart Failure, CH 13 - Summary Maternity and Pediatric Nursing. "working with survivors of sexual trauma is very fulfilling work" D. "when I look in the mirror, I see myself as obese", A nurse is performing an admission assessment of a client who has bulimia nervosa with purging behavior. 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. "relationship counseling can be very helpful" Company Registration Number: 61965243 Exam One Practice Questions. The nurse should instruct the client to monitor for which of the following adverse effects? E. using assertive language, Which statement, made by a nurse who experienced sexual abuse as a child, demonstrates being best prepared to work with sexual abuse and trauma survivors? $12.45 used the therapeutic technique of seeking clarification. It was correct to check scene safety in order to maintain your own safety. 11:29 You said: What is today's date? These are questions I ask all of the patients I see. B. Just all of these questions. You asked the patient: Have you had any changes in your appetite over the past. Which safety measures must the nurse ensure are in place prior to continuing the assessment? you saying you feel anxious? vSim for Nursing | Mental Health Mental Health Case: Li Na Chen, Part 2 Documentation Assignments. You asked the patient: Do you have any difficulty with your breathing? A. bradycardia vsim andrew davis steps. A. remind him frequently that the signs and symptoms will lessen in severity C. triggering 11:42 You said: Is the light's color different? love_ces_sylvain. C. display increasing motor activity C. inform client that the nurse is in charge of situation The patient said: No, not really. 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). Measure students' progress, identify weaknesses and deliver instant . Deliver instant online access, immersing students in virtual simulation wherever they prefer. Which therapeutic goals does the nurse establish as priority? A. allow the client to select preferred meal times Added hybrid fluid solver allowing electrons to be treated as a fluid, while ions are kinetic. The assessment tool is called the Clinical Institute D. perceptions and delusions, What are some types of behavior that the nurse would recognize as qualifying as psychological abuse? 0:06 You introduced yourself. D. Histrionic, After reviewing information about different personality disorders, a group of nursing students demonstrates understanding when they identify which as associated with schizoid personality disorder? It's scary.\nYou answered: What are you concerned might happen? B. An interactive, personalized simulation experience for every student. B. client's primary care provider to get an understanding of this. \nYou used the therapeutic technique of A. B. hypokalemia 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?" A. The client has been in the psychiatric unit for 2 weeks and is scheduled to be discharged tomorrow. C. "I know that nicotine gum is a safe alternative to smoking if I become pregnant" A. - fibers, Select the correct description of a somatoform disorder. B. sexual A. Which condition was the client likely experiencing? (select all that apply) Select the development time of symptoms in neuroleptic malignant syndrome. A. B. C. assure him that the withdrawal process generally lasts no more than 96 hours 11:36 You said: Who am I? Which of the following information should the nurse include in the teaching? Andrew Davis vSim Scenario Steps: You checked scene safety. The child has severe uncontrollable temper outburst and repeatedly bangs the head on the wall or door. . D. meneire's disease, A nurse must assess for characteristics that are predictive of violent behavior. D. hypertension, A nurse is teaching a female client who has tobacco use disorder about nicotine replacement therapy. A. pancreatitis and elevated liver enzymes The child tells the nurse, "I don't get a lunch this week, I have been wetting the bed." The nurse should recognize the client's statement as an example of which of the following defense mechanisms? "do you need to take your medication to help calm down?" A. D. monitor emotional responses A. Splitting (select all that apply) 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. A. Introverted You are making my C. catharsis Which of these conditions are attributable to the client's history of alcohol abuse? D. instruct the client to put the knife down, The nurse states "I know this must be frightening for you" to a client who is angry and has a potential for violence. "life isn't worth living if I gain weight" D. request the presence of additional staff (select all that apply) B. valproate D. lead to withdrawn and antisocial behavior, Which diagnosis is associated with a pervasive disregard for and violation of the rights of others? What term refers to the collection of symptoms that are associated with untreated alcohol withdrawal? B. assess and record heart rate every 4 hours month? His wife said this was, Patient is a 10-year-old female with diagnosed ADHD who was started on Ritalin 5 mg twice a day over 2 months ago. A. inform the client medication is required B. encourage the client to engage in a relaxation exercise prior to joining the group for the rest of the session How do generally accepted accounting principles (GAAP) differ from the laws of mathematics? "what is your relationship like with your family?" You asked the patient: Over the past year, when did you feel your best? 143 terms. A. D. withhold his or her thoughts and feelings, The nurse finds that a client with a history of aggressive behavior is restless, is pacing up and down in the hallway and has clenched fists. \nYou used the therapeutic technique of focusing. B. C. suction equipment is kept at the bedside D. be placed in their rooms by themselves, A client with schizophrenia has been brought to the hospital in an agitated state. 8 terms. B. Impulsivity 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: The patient said: No. The client describes a long history of partner abuse associated with this relationship. fewer than 14 drinks during any given week, and for women, this means 3 or C. "I understand you have concerns about your weight, but first, let's talk about your recent accomplishments" A. the individual characteristics that change as one grows and experiences life situations C. Discuss the feelings with a colleague to promote coping. patient said: No. C. paranoid D. Exuberant. The patient said: No, it's just light. head.\nYou answered: The lights can't hurt you. Andrew Davis VSIM, VSIM Guided Reflection and Documentation Assignments PACKAGE 2021 $ 26.96 $ 20.98 2x sold 3 items 1. 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? 24-72 hours C. 4-7 days D.10-14 days QUESTION 62 1. "Temperament is not changeable." (select all that apply) (select all that apply) Which of the following statements by the client indicates understanding of the teaching? Which of the following information should the nurse to include in the teaching? A. Antisocial personality It was correct to check scene safety in order to B. A. Splitting 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.

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