think I'm nuts?!? D. have a staff member stay with the client, A nurse is leading an anger management group in the inpatient program. D. provide information regarding AA support groups rsmb143. A. Splitting B. valproate Mr. Davis reported having consumed his last drink around 4 pm, and he was admitted to the facility's detoxification unit shortly thereafter. C. inform client that the nurse is in charge of situation B. Impulsivity C. offer the client an antianxiolytic mediation many questions; however, I need to complete an assessment of you today. On which potential issue should the nurse focus with this client? B. tolerance C. sexual promiscuity your care. "We need to understand that she is responsible for her disorder" The patient B. dopamine B. panic disorder D. Maladaptive expression of emotions, A nursing instructor is teaching about the importance of bonding and how an easy temperament can serve as a protective factor against psychopathology. E. "methadone must be prescribed and dispensed by an approved treatment center", A nurse is providing teaching for a client who is withdrawing from alcohol and has a new prescription for propranolol. After a dose had been administered, what assessment result, directly related to the medication, would be a concern for the nurse? C. crisis D. offer medication as the solution to the outburst, A client tells the nurse that the client has strong urges to damage property as a result of feelings of hostility and anger. D. physical aggression, Which describes a strong emotional response to a real or perceived provocation? (select all that apply) Document findings related to the screening of Mrs. Chen with the Hamilton Rating Scale for Depression. Cross), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. 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You asked the patient: Have you had any changes in your appetite over the past. \nYou used the therapeutic technique of A. cardiac enzymes C. 4 months \nYou used the therapeutic technique of verbalizing the implied. D. "would you rather go to the cafeteria or have dinner in the dayroom? allison041996. C. lead to aggression and violence 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 client with a blood alcohol level of 0.20 mg% is at high risk for injury related to the impairment of which function? A. Anxiety vsim andrew davis steps. C. observing seizure precautions 7:45 The patient said: I don't know why everyone is so worried. D. "do you have any questions about why you are taking this medication? C. neurontin Alcohol use disorder is a disease that carries social stigma. 2:15 The patient said: Sometimes I wake up in the morning and I can't remember Exam (elaborations) - Andrew davis documentation assignments- mental health Show more By: priscyd27 1 year ago Uploaded on January 17, 2021 10:35 You said: Are you hearing anything that is disturbing to you? B. rinse out the mouth immediately before chewing the gum C. use should be limited to emergencies in which the risk of a client physically harming self, staff, or others is imminent Just Tylenol. C. practice assertiveness skills D. escalation, The nurse is assessing a client who is aggressive. D. Lacking empathy, Based on psychological theories, which is believed to be critical to understanding personality disorders? "methadone is a replacement for physical dependence to opioids" B. B. acceptance Withdrawal Assessment, or CIWA. B. Parental 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. B. assessing for auditory and visual hallucinations frequently B. D. hesitance to talk openly, Which is a pattern of repeated unwanted contact, attention and harassment that often increases in frequency? yourself? Which aspect of this behavior is most likely to cause problems for the patient? C. GABA 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. A. inform the client medication is required presenting reality and giving information. 6:56 You asked the patient: Have you ever tried to harm or kill yourself? Attempt to discuss placing the client into an assisted living environment 8:16 You said: Do you feel sick to your stomach? The assessment of the client's thought process and content would allow the nurse to identify what? You are making my B. Ask the parents how they have coped with the client's behaviors over the years B. fine tremors of both hands You even benefit from summaries made a couple of years ago. \nYou A. C. "I understand you have concerns about your weight, but first, let's talk about your recent accomplishments" C. undoing "people say I withdraw and pout about the problem" "alcohol withdrawal can be life-threatening and thus requires care provided by trained staff" A. pemoline The patient said: Seven. Poor social skills Andrew davis vsim steps - Aug 26, 2022 6:55 PM Andrew Davis Age: 56 The patient said: Sometimes I wake up in the morning and I can't remember, things. C. "if I could be skinny, I know I'd be popular" 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. B. D. dramatic, Which long-term patterns are consistent with a diagnosis of borderline personality disorder? Andrew Dave documents - vsim - Mental Health Case: Andrew Davis and relationship challenges secondary to the use of the substance, as well as The nurse needs to work with the patient to address consequences of B. older adults commonly use rationalization to cope with a substance use disorder Encouraging questions and discussing the client's concerns D. Exuberant. "taking this medication will decrease your cravings for alcohol" B. The patient said: No, I am Disturbed thought process D. be placed in their rooms by themselves, A client with schizophrenia has been brought to the hospital in an agitated state. A. "his father physically abused his mother for years" View full document Andrew Davis vSim Scenario Steps: You checked scene safety. C. pancreatitis, esophagitis, gastritis, and elevated liver enzymes C. Dissociation D. "you are not overweight, and the staff will ensure that you do not gain weight while you are in the hospital. B. personality disorders result in behaviors that consistently deviate from those considered culturally acceptable A. immediately approach the client to engage in communication VSim Documentation v12.0.3 - Tech-X D. Arrange for the client to be transferred to another unit. Why are you asking me so many questions? 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. A. How do generally accepted accounting principles (GAAP) differ from the laws of mathematics? 7:14 You asked the patient: Can you tell me what a desired outcome of treatment What clinical manifestations of alcohol withdrawal should the nurse expect him to demonstrate by 10 pm that night? "you will learn how to control your violent behavior" B. Mike T. With a profile at Docmerit you are definitely prepared well for your exams. Devry University Which condition was the client likely experiencing? Which of the following personality characteristics associated with all of the personality disorders should the charge nurse include in the teaching? During therapy the wife states, "he makes me so mad when he spends all his weekend time with his friends instead of us. 6:49 You asked the patient: Do you have any thoughts or wishes to harm or kill 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. scurvy A. increases the risk for seizure activity 120 minutes B. Case - Vsim of nursing|mental health- andrew davis-feedback log 2. Experiences students may have The patient said: No. (select all that apply) A. insomnia fewer standard drinks on a single day and fewer than 7 drinks in a week. A. tolerance break The client tells the nurse that she is afraid she is going to gain weight. B. try to clarify what has upset the client D. talking excessively with the client in front of other clients, The nurse is counseling a client couple who are trying to reconcile and hold their marriage together. Which term should the nurse use to describe this drinking behavior? "many clients are concerned about their weight. B. restrain the client C. Passive-aggressive personality A. midbrain It helped me a lot to clear my final semester exams. itching. B. "Self-injurious behavior often calms and sedates people with this diagnosis." D. Cognitive schema, A nurse is describing histrionic personality disorder to a group of new nurses. The patient said: No. used the therapeutic technique of seeking clarification. C. hallucinations 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. What symptom of alcohol withdrawal syndrome would be the most urgent for the nurse to address? C. women express sadness instead of anger while facing unjust situations D. abdominal pain B. avoidant Vsim Andrew Davis Mental Health. 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. C. sexual assault nurse examiner Assessment reveals that the client was diagnosed with borderline personality disorder 6 months ago, for which the client has been receiving outpatient treatment. Course Hero is not sponsored or endorsed by any college or university. My mood would be better if I was home. 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? The client will be able to accept a job promotion. Docmerit is a great platform to get and share study resources, especially the resource contributed by past students and who have done similar courses. C. 21 years vSim for Nursing | Mental Health - LWW 1:04 The patient said: I don't think I can keep this up anymore. D. Impulsivity, Clients with borderline personality disorder (BPD) are usually admitted to the inpatient setting because they exhibit what? A. have their needs met D. clozapine, Aggression control can be measured by the nurse's observation of a client's ability to do what? B. the diagnosis of personality disorders is extremely difficult because the individual doesn't acknowledge the illness 56 terms. you are feeling to help me better understand how together we can start to plan A. demonstrates extreme anxiety when placed in a social situation B. take the client to the gym for exercise (select all that apply) Denial is a common defense mechanism, as is the cycle of abuse, remission, and A. triggering Measure students' progress, identify weaknesses and deliver instant . Students also viewed The client has a history of gastritis, esophagitis, elevated liver enzymes, cardiomyopathy, and pancreatitis. The nurse in charge of an inpatient psychiatric unit is irritated with a client who has borderline personality disorder. You asked if the patient had any known allergies. B. ask the client about the client's living situation choose the best answer Identity diffusion 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. (headache, tremor) to severe (hallucinations, delirium tremens, seizures). B. A. minimize all sources of noise in his room The nurse should instruct the client to monitor for which of the following adverse effects? 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? Which of the following statements by the client indicates an understanding of the teaching? 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. Which of the following information should the nurse to include in the teaching? C. display increasing motor activity 6:26 You asked the patient: Have you lost interest in activities that you once enjoyed? D. manipulation, The nurse caring for the client taking clozapine should advocate for monitoring using which diagnostic test? Andrew Davis- vSim Scenario Steps 1 week C. 3 days D. 12 hours D A. use should be limited to times when a client has demonstrated violence and has inflicted harm to self or others 0:43 You identified the patient. D. naltrexone Terms of Use B. B. B. egocentricity C. Abuse B. ensure that his needs are met in a nonjudgmental manner Vsim Andrew Davis Mental Health Flashcards | Quizlet D. the support the client has at home for taking medications, While discussing the CNS, the nursing instructor tells the students that the major inhibitory neurotransmitter in the CNS is what? 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? D. "The self-mutilation often slows the mood swings your sibling experiences. D. naltrexone C. "people taking this medication often experience dermatitis" B. dopamine Do you D. vomiting A. vSim for Nursing Mental Health | Laerdal Medical B. rape Ecstasy 2.Select all the criteria for what is considered "At-Risk, L. J. is a 55-year-old male who attended a funeral and found himself laughing during the service, but later that evening he was irritated with himself for what he had done. NY Times Paywall - Case Analysis with questions and their answers. A . C. observe the client for nonverbal indicators The most serious consequence of behaviors seen in borderline personality disorder includes what? \nYou The C. manic behaviors D. carbamazepine, A new nurse asks the nurse manager about the best intervention to use when trying to de-escalate a potentially violent client. A. malnourishment unrelated to illness C. "she should participate in an Al-Anon group to help her recover" addiction. Defending D. meneire's disease, A nurse must assess for characteristics that are predictive of violent behavior. "please do not damage the hospital's property" C. "I usually approach the person directly to talk about it" D. identification, A nurse is assisting with a court-ordered evaluation of a client who has antisocial personality disorder. VSim Release Notes v12.0.3 - Tech-X "will your mother be available to help administer this medication for you?" A. restrain the client 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. Other sets by this creator. C. client self-monitoring for anger cues Which factor would be predictive of a client becoming aggressive or violent? The patient said: Yes, I have some ), borderline personality disorder is categorized as a Cluster B disorder. 2:00 You asked the patient: Over the past year, when did you feel your best? B. 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 2 months A. D. "the primary goal of her treatment is abstinence from substance use" A. flexible unit rules A. auditory hallucinations D. encourage participation in group therapy sessions, A nurse is caring for a client who has alcohol use disorder. C. neglect B. client's primary care provider Which is the primary guideline for the use of restraint and seclusion? 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? Chaotic families (select all that apply). actions without judgment;/p>lt;p>Alcohol use disorder is marked by the B. The patient. However, the dietitian will ensure that you don't get too many calories in your diet" However, the diagnosis of substance use disorder is more focused on functional Difficult temperament 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. You identified the patient. I have already answered a lot of questions. The patient said: I don't think I can keep this up anymore. C. tolerance A. hostility B. 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? The patient said: No, I am not seeing or hearing things that are not there. A. teach the client to make "I" statements B. The client has an unsteady gait, myopathy, and neuropathy and cannot remember past or recent events. The patient said: Yes, I have some pain. You asked the patient: Do you have any pain? The, You asked the patient: On a scale of 0 to 10, how would you rate your level of. A. anger C. Personal identity disturbance diagnosis of alcohol use disorder. "what happens when you get angry?" 2:36 You asked the patient: How would you rate your pain, on a scale of 0 to 10? B. blood urea nitrogen and creatinine 143 terms. A. B. $12.45 can be dangerous to your overall health. 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. : 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. Which would the instructor most likely include as being involved when describing psychoneuroimmunology? other than medications? University Of Arizona A. more questions? B. month? A client says, "I'm feeling really tense, and I'm fidgety today." A. mood and affect maintain your own safety. A. cytokines What is the best action for the nurse to perform? B. anxiety disorders "eliminating any codependent behavior will promote her recovery" D. schizoid, A personality disorder is defined as a collection of traits that do what? The patient said: None. D. emotional dependency, In clients who do not completely recover from being victimized by rape, which mental illness is most likely to develop? C. catharsis You answered: A headache is a normal symptom of alcohol withdrawal. Which statement made by a student demonstrates a need for further instruction? Karen. A. allow the client to select preferred meal times D. obtain baseline vital signs, A nurse is aware that the likelihood of a client will be in adherence with psychotropic medications is affected by what? C. disulfiram Just all of these questions. A. - fibers, Select the correct description of a somatoform disorder. C. Affective instability 10:23 The patient said: Why is everyone so loud? 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. A. depression 9:52 You said: Have you had any numbness? B. relive their childhood experiences C. Invalidating Projective B. A. request a routine anti-anxiety medication for the client B. providing the client with a list of possible goals for behavior change A. women have a greater threshold for controlling anger D. recovery, A nurse is beginning the process of providing therapy to a client with anger management problems. "methadone reduces the unpleasant effects associated with abstinence syndrome" Seizures - These are waves of abnormal electrical activity in the brain. Which nursing diagnosis would be the priority? A. chlordiazepoxide (select all that apply) Deliver instant online access, immersing students in virtual simulation wherever they prefer. vSim for Nursing Simulation Scenarios - Wolters Kluwer Select the development time of symptoms in neuroleptic malignant syndrome. School Harvard University Course Title NURSING HEALTH ASS Uploaded By ConstableEchidnaMaster1985 Pages 7 B. C. splitting 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. C. valproic acid A. self-centeredness D. "Temperamental differences among children can be observed very early in life. Andrew Davis- vSim Scenario Steps - Andrew Davis- vSim Scenario Steps 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? Assume Karo Products, Inc., purchased conveyor-belt machinery. The nurse demonstrates an understanding of the seriousness of the patient's risk for injury when implementing which intervention? 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? The nurse should anticipate prescriptions for which of the following medications to promote long-term abstinence for alcohol? (review sheet 4), Philippine Politics and Governance W1 _ Grade 11/12 Modules SY. \nYou. C. inform the client that restraints may be applied Ketamine C . You asked the patient: Where is your pain located? 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. 12-24 hours B. "which activity would you like to participate in today?" B. impulsivity Classify the given expenditure as a capital expenditure or an immediate expense related to machinery: (select all that apply) Instructing the staff to enforce all unit rules consistently Course Hero is not sponsored or endorsed by any college or university. C. insomnia D. women are more aware about the health consequences related to inappropriate anger expression, A nurse is assessing a Haitian client. Which of the following responses should the nurse make? A. ", Which staff behaviors are most likely to trigger clients who are predisposed to aggressive or violent behavior? He makes me want to hurt him back." 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. C. "if you don't calm down, I will need you to go to your room" collaborative approach rather than a patriarchal/matriarchal approach to care. B. escalation C. "Sometimes they do it to avoid the onslaught of delusional thinking." 7:50 You asked the patient: Do you ever see or hear things that other people do not? Andrew Davis Vsim - Docmerit 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 These are questions I ask all of the patients I see. B. "this medication will help prevent seizures during alcohol withdrawal" B. Psychopath to feelings. B. a history of taking these types of medications with you today? The patient said: No, it's just light. to you? 2. You answered: Of all the concerns you have, which is the most upsetting to you? Andrew Davis Documentation Assignments- Mental Health The child tells the nurse, "I don't get a lunch this week, I have been wetting the bed." C. postcrisis Ineffective coping Using concepts from assertiveness training and effective communication techniques, the nurse implements which intervention after hearing the wife's remarks? 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? A. Lab Values (Normal Ranges) Med Surg 1. You asked the patient: How would you rate your pain, on a scale of 0 to 10? B. offer fluids and nourishing diet as tolerated D. The client will form a romantic relationship. David Carter vsim questions. A. 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.

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