B. panic disorder C. hypotension 10:44 You said: Does the light appear to be too bright? A. anxiety C. "this medication maintains your blood pressure at a normal level during alcohol withdrawal" B. fine tremors of both hands C. The client will engage in less risk-taking behavior B. wernicke-korsakoff syndrome Language Proficiency Assessment Committee. "I am not going to talk to you while you are angry" 11:29 You said: What is today's date? allison041996. B. try to clarify what has upset the client 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? A. validation The patient said: Yes, I have some, You asked the patient: How would you rate your pain, on a scale of 0 to 10? What is the priority nursing diagnosis for this client? The nurse should explain to the new staff member that some clients use violence and aggression to .. C. lead to aggression and violence D. asking for time alone when frustrated A. the individual characteristics that change as one grows and experiences life situations Ketamine C . Encouraging questions and discussing the client's concerns 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. As he moves into Stage II (24 to 72hours) and then into Stage III (after 72 hours), what behaviors should be assessed for and what safety measures should be initiated? B. providing the client with a list of possible goals for behavior change The child tells the nurse, "I don't get a lunch this week, I have been wetting the bed." B. unemployed young woman who dropped out of high school disorders, as well as their world view of alcohol. A. vsim mental health case: andrew davis documentation assignments document your findings related to the focused assessment of mr. alcohol withdrawal symptoms. 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. A. place the client in a separate room clarify their own feelings and values related to individuals with substance use What is the nurse's most appropriate response to the client's comment? choose the best answer Select the brain region that, Of the axons involved in the transmission of pain, which one is thinly myelinated and conducts that first feeling of pain that is often felt as coming on as a sharp, rapid feeling? The client has a serious and formal demeanor. C. pancreatitis, esophagitis, gastritis, and elevated liver enzymes D. unstable personal relationships Which class of medication is regularly prescribed to provide a gradual withdrawal from alcohol? E. presence of lanugo on the face, A nurse on an acute care unit is planning care for a client who has anorexia nervosa with binge-eating and purging behavior. B. hostility "many clients are concerned about their weight. A. You performed medication reconciliation. The client tells the nurse that the client recently found out the client's therapist is moving and will no longer be able to work with the client. C. Invalidating Projective symptom of alcohol withdrawal. C. anger A. obtain a thorough client history (select all that apply) "you will learn how to control your violent behavior" It's just too loud in here, if that's what you mean. B. has difficulty making even simple decisions VSIM OF NURSING MENTAL HEALTH-ANDREW DAVIS CASE STUDIES PACKAGE $ 97.45 $ 40.89 5 items 1. C. incest The activation of the dopamine reward system is a primary source of Andrew davis vsim steps University Blessing-Rieman College of Nursing & Health Sciences Course community mental health (nur 409.1) Uploaded by Tashema Whitehead Academic year2021/2022 Helpful? C. risk for other-directed violence related to alcohol withdrawal C. Personal identity disturbance "Self-injurious behavior often calms and sedates people with this diagnosis." ), borderline personality disorder is categorized as a Cluster B disorder. A. try to subdue the client C. "I should practice limit-setting to help prevent client manipulation" C. Passive-aggressive personality C. neurontin Defending D. "would you rather go to the cafeteria or have dinner in the dayroom? D. physical aggression, Which describes a strong emotional response to a real or perceived provocation? "I am here so we can talk about what is making you angry" D. "do you know why you are being admitted? Which would the nurse identify as one of the strongest risk factors for this disorder? For a truly unparalleled clinical education, Lippincott partnered with the National League for Nursing (NLN) to develop evidence-based nursing simulation patient scenarios for nursing students so they can receive the most realistic clinical education imaginable. A. B. tolerance Exam (elaborations) - Andrew davis documentation assignments- mental health Show more By: priscyd27 1 year ago Uploaded on January 17, 2021 Despite being employed, the client verbalizes having low quality of life due to anxiety and isolation. B. interviewing is a good intervention with alcohol use disorder as it promotes a What clinical manifestations of alcohol withdrawal should the nurse expect him to demonstrate by 10 pm that night? She is still experiencing the triad of symptoms associated with ADHD (impaired. A. anxious Motivational B. bupropion I just don't want to eat. D. carbamazepine, A new nurse asks the nurse manager about the best intervention to use when trying to de-escalate a potentially violent client. B. D. "Temperamental differences among children can be observed very early in life. The assessment tool is called the Clinical Institute B. diazepam Identity diffusion May I ask you these C. "she should participate in an Al-Anon group to help her recover" 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. I am going to ask you a series of. D. "taking this medication will improve your ability to maintain abstinence from alcohol", A nurse is assisting in the discharge planning for a client following alcohol detoxification. Identity diffusion The client will be able to accept a job promotion. 10:07 You said: Are you more aware of sounds around you? this time? The patient said: I like 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. C. engaging in disputes over medication, supplies, or rules on the unit 8 terms. D. "you are not overweight, and the staff will ensure that you do not gain weight while you are in the hospital. things. D. hesitance to talk openly, Which is a pattern of repeated unwanted contact, attention and harassment that often increases in frequency? A. personality disorders are diagnosed in early adulthood, when personality formation is complete A. culture is not a consideration when evaluating behaviors associated with personality disorders (select all that apply) If you earn 6% per year on your bank account, how long will it take an account with $100 to double to$200? B. Which of the following interventions should the nurse identify as the priority? Document the assessment finding related to Mrs. Chen's suicidality at discharge. The patient said: Family is supposed to stick together through thick and thin, and they, You answered: What can you do while you are here to open communication with your. In order for the nurse to perform the initial assessment, which approaches should the nurse use to manage the situation? B. D. becomes agitated if his personal area is not neat and orderly B. belief in the ability to become invisible during times of stress used the therapeutic technique of seeking clarification. The nurse should plan to assess the client for symptoms of which mental health condition? 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. whoisthatgirl28 Plus. 7:03 You asked the patient: Do you have any thoughts or wishes to harm anybody 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: D. genetics, Which drug has been effective in treating aggressive clients diagnosed with bipolar disorders? "he was so much nicer when we started dating" C. ask the client if the client feels triggered by another client in the group D. meneire's disease, A nurse must assess for characteristics that are predictive of violent behavior. with you today? You asked the patient: Is it OK for your family to be here, while we talk? You used the therapeutic technique of focusing. B. helplessness \nYou used the therapeutic technique of verbalizing the implied. The client continues to maintain a job and functions well in activities of daily living, relationships, and other aspects of social life. Denial is a common defense mechanism, as is the cycle of abuse, remission, and B. E. blames others for his past and current problems, A charge nurse is preparing a staff education session on personality disorders. D. "I don't know what else I can do to keep him from getting angry at me", A nurse is assessing a client in a community clinic who reports feeling anxious lately because she is considering leaving her marriage. The client has a history of gastritis, esophagitis, elevated liver enzymes, cardiomyopathy, and pancreatitis. A. depression : an American History (Eric Foner), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Psychology (David G. Myers; C. Nathan DeWall), Civilization and its Discontents (Sigmund Freud), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. A. Splitting Direct the client to another staff member when the client tries to interact. C. Narcissistic personality disorder Which aspect of this behavior is most likely to cause problems for the patient? D. restricting patient to the room, Which nursing interventions would best assess Mr. Davis's safety issues if his CIWA-Ar score were to rise to 8 or above? B. patient said: No. to get an understanding of this. C. display increasing motor activity B. ask colleagues to contact hospital security for support more questions? Which of the following information should the nurse to include in the teaching? 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! (select all that apply) Do you Which of the following is appropriate for the nurse to include in the presentation? A. Which of the following medications should the nurse anticipate administering to assist the client with maintaining abstinence from alcohol? Now is my chance to help others. Which therapeutic goals does the nurse establish as priority? 8:30 You said: Alcohol withdrawal can cause a variety of symptoms, some of which Aggression (select all that apply) (review sheet 4), Philippine Politics and Governance W1 _ Grade 11/12 Modules SY. D. low self-esteem, To defuse a critical situation, the nurse can use the therapeutic communication techniques for which reason? B. patient reports a headache rated as 3/5 A. use should be limited to times when a client has demonstrated violence and has inflicted harm to self or others B. Overly friendly 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? B. revictimization B. love_ces_sylvain. C. GABA Assessment reveals that the client was diagnosed with borderline personality disorder 6 months ago, for which the client has been receiving outpatient treatment. D. "survivors of sexual assault deserve the best care I can give them", The school health nurse is asked to see a child who has been coming to school with no lunch for the past week. D. near continuous pacing D. use of the gum is limited to 90 days, A nurse is discussing the use of methadone with a newly licensed nurse. Company Registration Number: 61965243 C. display of defense mechanisms when routines are changed "people say I withdraw and pout about the problem" "do you need to take your medication to help calm down?" D. Stress, A client with borderline personality disorder (BPD) tells the nurse, "You are good but the nurse on the afternoon shift is bad. After a dose had been administered, what assessment result, directly related to the medication, would be a concern for the nurse? D. intoxication, The nurse is performing a history and physical examination on a client with chronic alcoholism. B. ask the wife to provide details about what she means by "all his time" D. charge nurse of the emergency room, While assessing for intimate partner violence, the nurse learns that a client has not seen immediate family members for several years because the visits would upset the client's spouse. Attempt to discuss placing the client into an assisted living environment A. difficulty in getting along with other members of a group A.Worsening after each relapse B.Increase in positive, Can a tutor help with the following questions Part 1 Question 1 (1 point) Saved When registering a patient, why is the New Patient button disabled before searching for the patient in the patient. said: No. "what is your relationship like with your family?" Which of the following information should the nurse include in the teaching? Other sets by this creator. The client tells the nurse that she is afraid she is going to gain weight. C. "people taking this medication often experience dermatitis" D. hostility, The nurse working in a psychology clinic finds that suppression of anger is more common in women than in men. The nurse in charge of an inpatient psychiatric unit is irritated with a client who has borderline personality disorder. There are guidelines for low-risk use of Which response is most important for the nurse to make to this client? D. speak to the client in a firm voice, A client with aggressive behavior shows no psychotic symptoms. (select all that apply) D. perceptions and delusions, What are some types of behavior that the nurse would recognize as qualifying as psychological abuse? "what happens when you get angry?" perceptions. E. unrealistic self-image, Which behavior is most associated with a borderline personality disorder (BPD) and the tendency to self-harm? C. impulsive behaviors E. restlessness, A nurse is planning care for a client who is experiencing benzodiazepine withdrawal. addiction. would be for you? C. "he doesn't like it when I go out with my girlfriends" It was 12-24 hours B. A. remind him frequently that the signs and symptoms will lessen in severity Add to Cart. B. gastritis and elevated liver enzymes C. "if you don't calm down, I will need you to go to your room" Course Hero is not sponsored or endorsed by any college or university. D. delirium, The nurse should consider which as a possible indicator of child neglect? C. undoing withdrawal symptoms. D. recovery, A nurse is beginning the process of providing therapy to a client with anger management problems. E. "she needs to discuss her feelings about substance use to help her recover", A nurse is providing teaching to a client who has alcohol use disorder and a new prescription for carbamazepine. The nurse demonstrates understanding of the information by identifying which structures as components of the brain stem? The client is shouting, screaming, hitting others and throwing objects. You asked the patient: Have you had any changes in your appetite over the past. The client's sibling is visiting, and the sibling asks the nurse to explain why the client sometimes does this. Just Tylenol. These are questions I ask all of the patients I see. month? The patient said: C. "do you feel that you can manage your reactions with anger?" The nurse judges the plan of care to be effective when which outcome is met? 3. C. "I've been supported by health care professionals and now I want to support other survivors" B. else? C. 4 months love_ces_sylvain. When considering medication for treatment, the nurse knows which will be the most effective? vsim andrew davis steps. relapse. B. Students need to be C. orientation A. cytokines B. The patient said: You are the nurse here. A. Andrew Davis- vSim Scenario Steps Preview 1 out of 4 pages Getting your document ready. B. Depression The patient said: Yes, I have some pain. B. use increased doses of medication to reach a desired effect Even though the client is not currently intoxicated, the client is combative and exhibits altered thought processes. B. a history of taking these types of medications 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. A. lorazepam other than medications? questions? B. admitting to visual hallucinations "most often, neither families nor friends are willing and capable of managing the patient during the withdrawal" B. hypokalemia C. paranoid 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 . 6 months A. tolerance break 56 terms. How do generally accepted accounting principles (GAAP) differ from the laws of mathematics? sarah_awake. B. sexual 7:32 You asked the patient: How do you understand your problems? A. cardiac enzymes time.\nYou answered: Are you saying treatment is not going to work for you at 7:29 The patient said: I don't think any of this is going to work; it's a waste of The client says, "the nurse on the evening shift is always nice! You introduced yourself. You asked the patient: Where is your pain located? (select all that apply) C. haloperidol D. "the primary goal of her treatment is abstinence from substance use" B. 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. 7:45 The patient said: I don't know why everyone is so worried. A clear description of the copyrighted work infringed; A statement that you have a good faith belief that the use of the content identified in your DMCA notice is not authorized by the copyright owner, its agent or the law; Your contact information (such as your name, email address and telephone number); A certification, under penalty of perjury, that the DMCA notice is accurate, signed (either electronically or physically) by the copyright owner or the copyright owners legal representative. C. reflection David Smith. 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? D. "I am here to help you through every step of this process", A nurse is giving a talk about child abuse to a local community group. Which healthcare professional should the nurse contact to collect evidence of the assault? D. naltrexone 9:32 The patient said: I don't know what to do with my hands.\nYou answered: Are alcohol: for men, this means 4 or fewer standard drinks on any single day and B. neurotransmitters Which nursing diagnosis would be the priority? A. midbrain B. C. Promoting social ostracism of the client's exhibiting manipulation C. assure him that the withdrawal process generally lasts no more than 96 hours 10:35 You said: Are you hearing anything that is disturbing to you? 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. The client has been in the psychiatric unit for 2 weeks and is scheduled to be discharged tomorrow. "taking this medication will help reduce by craving for heroin" A. physical headache worse.\nYou answered: I appreciate how difficult it is to answer so A. experiencing tactile disturbances D. physical abuse, Which statement made by a client raises the greatest concern that the client may be experiencing relationship violence? B. A. ", A nurse is working with a client who has lost unit privileges due to inappropriate behavior. VSim Computational Engine (Vorpal) Added Euler fluid solver allowing for neutral fluid to evolve in time. head.\nYou answered: The lights can't hurt you. 0:06 You introduced yourself. C. "I can expect some diarrhea from taking this medicine" C. suction equipment is kept at the bedside It was correct to check scene safety in order to maintain your. This system is more intensely activated in patients with a vulnerability B. D. "you need to confront the client to show you are in charge", A client is attending anger management class and wants to know how the class will help. Mental health Vsim. C. "I usually approach the person directly to talk about it" The child has severe uncontrollable temper outburst and repeatedly bangs the head on the wall or door. Everything is falling, apart!\nYou answered: Of all the concerns you have, which is the most upsetting. Which of the following actions should the nurse identify as the priority? E. hypothermia, How should the nurse respond when asked why alcohol withdrawal and detoxification should be managed in a hospital setting? Which assessment finding confirms that a patient is experiencing moderate alcohol withdrawal? "life isn't worth living if I gain weight" You used the therapeutic technique of formulating a plan of action. C. mottling of the skin B. assessing for auditory and visual hallucinations frequently C. "I know that nicotine gum is a safe alternative to smoking if I become pregnant" 6:33 You asked the patient: Name an activity that you enjoy. E. encourage the client to talk about this situation, A client has lost emotional and physical control. Upon entering the client's room, the nurse finds the the client is very angry and is punching pillows to express the anger. Select the development time of symptoms in neuroleptic malignant syndrome. "don't pretend like you don't know how fat I am" The patient said: No. 0 Comments rsmb143. Using concepts from assertiveness training and effective communication techniques, the nurse implements which intervention after hearing the wife's remarks? D. ask another client in the group to respond to the client's comment, A nurse is considering using restraint and seclusion for a client who is acting out. Which of the following nursing actions should the nurse include in the client's plan of care? What request of the patient being assessed for possible alcohol withdrawal should the nurse make to determine the presence of tremors? Liberty University D. hypertension, A nurse is teaching a female client who has tobacco use disorder about nicotine replacement therapy. D. lead to withdrawn and antisocial behavior, Which diagnosis is associated with a pervasive disregard for and violation of the rights of others? David Carter Part One vSim Scenario Steps.pdf, Li Na Chen Part 2 vSim Scenario Steps.pdf, Feedback Log & Score Andrew DavisMay 28, 2020 3_48 PM.pdf, Andrew Davis Documentation Assignment.docx, In Part 1 you will set up the network topology and configure basic settings such, much the same This can help us to interpret financial and other information, 13 When admitting a patient who has a tumor of the right frontal lobe the nurse, Salespeople are exposed to lesser ethical pressures than individuals in many, specialized media will obtain greater coverage of their products Therefore the, Treatment DDAVP synthetic desmopressin increases factor VIII activity Causes 2, labs in parochial schools would be fine As noted earlier Agostini would mean, REPRIORITIZED LIST for 2023 Advert HEADINGS FINAL_102547.pdf, The minimum distance to the obstacle to hear an echo is V is speed of sound in, QUESTION 61 1. A. scurvy Mike T. With a profile at Docmerit you are definitely prepared well for your exams. Which of the following statements by the client indicates understanding of the teaching? Withdrawal Assessment, or CIWA. Experiences students may have A. distress? A. explore what is underlying the client's physical and emotional state 1:51 The patient said: Why are you asking me so many questions? (select all that apply) B. take the client to the gym for exercise B. Impulsivity Which term should the nurse use to describe this drinking behavior? Which of the following findings should the nurse expect? The client will experience increased self-esteem. You asked if the patient had any known allergies. D. identification of measures to disrupt the anger response, The nurse is caring for a client with dementia who has become increasingly agitated. with this diagnosis;/p>lt;p>Alcohol withdrawal has physical symptoms that Which would the nurse include in the education plan for this client and family? A. lorazepam B. anger suppression A. However, the dietitian will ensure that you don't get too many calories in your diet" "I've always had good results with medications" allison041996. D. cutting body parts, Impulsivity is a characteristic of borderline personality disorder (BPD). B. impulsivity The cell Anatomy and division. D. Impulsivity, Which would be the priority nursing diagnosis for a client diagnosed with borderline personality disorder (BPD)? \nYou used the therapeutic technique of A. C. Highly social technique of using denial. D. confrontation, The nurse is working with a client who yells at the nurse "I am angry about how you keep treating me without respect!" D. Dichotomous thinking, A nurse caring for a client with borderline personality disorder (BPD) consistently informs the client of the length of the relationship and routinely prepares the client for termination and the end of hospitalization. You asked the patient: Do you have any pain? The client describes a long history of partner abuse associated with this relationship. How should the nurse handle this situation? 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? C. "Temperament seen in infancy is often seen later in life." maintain your own safety. 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. vsim andrew davis steps. It was correct to check scene safety in order to A. 6:12 You asked the patient: Please tell me what today's date is. (select all that apply) 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. D. request the presence of additional staff Deliver instant online access, immersing students in virtual simulation wherever they prefer. A client says, "I'm feeling really tense, and I'm fidgety today." Which phase of the aggression cycle is this client experiencing? C. "would you describe your current eating habits?" 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. C. tolerance B. intentional risk taking (select all that apply) Which personality disorder best describes this client? A. 0:48 You asked the patient: Can you tell me a little bit more about what's going on C. observing seizure precautions Chaotic families 2021-22, Toaz - importance of kartilya ng katipunan, 324069444 Introduction to Mastering Chemistry, Is sammy alive - in class assignment worth points, 1-2 short answer- Cultural Object and Their Culture, Carbon Cycle Simulation and Exploration Virtual Gizmos - 3208158, Leadership class , week 3 executive summary, I am doing my essay on the Ted Talk titaled How One Photo Captured a Humanitie Crisis https, School-Plan - School Plan of San Juan Integrated School, SEC-502-RS-Dispositions Self-Assessment Survey T3 (1), Techniques DE Separation ET Analyse EN Biochimi 1, Blessing-Rieman College of Nursing & Health Sciences. It was correct to check scene safety in order to maintain your own safety. "I should encourage clients who have a schizoid personality disorder to increase socialization" B. We're available through e-mail, live chat and Facebook. B. disassociation B. 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?