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. It's scary.\nYou answered: What are you concerned might happen? 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? 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? headache worse.\nYou answered: I appreciate how difficult it is to answer so other than medications? (select all that apply) A. abuse You even benefit from summaries made a couple of years ago. A. cardiac enzymes C. neurontin A. borderline A. the client has gained insight into situations that trigger anger 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. 19 terms. When describing antisocial personality disorders (ASPD), the nurse would explain that for a person to be diagnosed with the disorder, the person must be at least which age? VSIM OF NURSING MENTAL HEALTH-ANDREW DAVIS CASE STUDIES PACKAGE $ 97.45 $ 40.89 5 items 1. D. women are more aware about the health consequences related to inappropriate anger expression, A nurse is assessing a Haitian client. The cell Anatomy and division. It was "will your mother be available to help administer this medication for you?" "most often, neither families nor friends are willing and capable of managing the patient during the withdrawal" 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!" C. attempts to convince other clients to give him their belongings than anyone else.\nYou answered: What are your feelings about your drinking? 10:23 The patient said: Why is everyone so loud? C. angry outbursts B. hostility We're available through e-mail, live chat and Facebook. 18 years B. encourage the client to engage in a relaxation exercise prior to joining the group for the rest of the session A. flexible unit rules C. sexual assault nurse examiner D. 8 months, A client has been prescribed clozapine for treatment of schizophrenia. 143 terms. C. "Sometimes they do it to avoid the onslaught of delusional thinking." 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. B. (select all that apply) What clinical manifestations of alcohol withdrawal should the nurse expect him to demonstrate by 10 pm that night? A. amenorrhea rsmb143. B. anger D. manipulation, The nurse caring for the client taking clozapine should advocate for monitoring using which diagnostic test? C. inform client that the nurse is in charge of situation B. Self-mutilation Andrew Davis is currently in Stage I of alcohol withdrawal. B. Overly friendly How do generally accepted accounting principles (GAAP) differ from the laws of mathematics? B. odd D. imipramine, A cuban American client has been prescribed an antipsychotic medication. D. identification of measures to disrupt the anger response, The nurse is caring for a client with dementia who has become increasingly agitated. "I should encourage clients who have a schizoid personality disorder to increase socialization" 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. B. panic disorder C. anger \nYou C. Affective instability (select all that apply) C. disoriented by more than 2 calendar days can be dangerous to your overall health. B. assertive behavior "would you like to have your family come visit you in your room today?" The client has been in the psychiatric unit for 2 weeks and is scheduled to be discharged tomorrow. Ineffective coping B. fine tremors of both hands The patient said: Why do you want to ask me Which communication technique is the nurse utilizing with this statement? (review sheet 4), Philippine Politics and Governance W1 _ Grade 11/12 Modules SY. A. lorazepam B. pons "Temperament is malleable." 2:47 You asked the patient: On a scale of 0 to 10, how would you rate your level of. 2 months safety;/p>lt;p>There is not a defined amount of alcohol that designates a A. D. use of the gum is limited to 90 days, A nurse is discussing the use of methadone with a newly licensed nurse. "Sometimes the self-injurious behavior is undertaken to relieve stress." C. suction equipment is kept at the bedside A. C. mottling of the skin A. restrain the client (select all that apply) 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. The nurse needs to work with the patient to address consequences of Andrew Davis- vSim Scenario Steps - Docmerit 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. Scheduling staff one-on-one time with the client, Which personality disorder is characterized by an alteration between hostile self-assertion, such as stubbornness, and excessive dependence? presenting reality and giving information. Identity diffusion 0:43 You identified the patient. B. older adults commonly use rationalization to cope with a substance use disorder "Temperament is not changeable." A. B. C. offer the client an antianxiolytic mediation Identity diffusion A. 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? Just all of these questions. 9:32 The patient said: I don't know what to do with my hands.\nYou answered: Are use that makes some patients more susceptible to having diminished self-control June 16, 2022. A. Splitting 120 minutes B. C. undoing vsim andrew davis steps - HAZ Rental Center A . The nurse should explain to the new staff member that some clients use violence and aggression to .. C. orientation "life isn't worth living if I gain weight" A. patient reports ringing in his ears C. "I understand you have concerns about your weight, but first, let's talk about your recent accomplishments" The patient said: No, I am It is Mental health Vsim. 9:41 You said: Have you had any pins and needles sensations? Davis documentation vsim.docx - Mental Health Case: Andrew What should be the nurse's response to this behavior? Northwestern University Vsim Andrew Davis Mental Health. A. C. inform the client that restraints may be applied Randy Adams prequiz Vsim. You asked the patient: Do you have any difficulty with your breathing? 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. 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. Ketamine C . 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 . A. experiencing tactile disturbances C. behaviors and beliefs that are present and acted on from an individual's birth A. explore what is underlying the client's physical and emotional state The nurse demonstrates an understanding of the seriousness of the patient's risk for injury when implementing which intervention? e. Purchase price. "why do you want to lose weight?" A. women have a greater threshold for controlling anger A. - fibers, Select the correct description of a somatoform disorder. (select all that apply) B. take the client to the gym for exercise B. ask colleagues to contact hospital security for support The patient said: Sometimes I wake up in the morning and I can't remember, things. in this hospital because my wife said I couldn't come home. The symptoms can be mild Which of the following information should the nurse to include in the teaching? B. offer fluids and nourishing diet as tolerated vSim Andrew Davis: Alcohol Withdrawal - VSim (VSIM) - Stuvia C. manic behaviors C. extreme confidence The patient said: Seven. D. Arrange for the client to be transferred to another unit. View full document Andrew Davis vSim Scenario Steps: You checked scene safety. D. Exuberant. C. 21 years VSIM Andrew Davis Flashcards | Quizlet A. acetylcholine B. What is the priority nursing diagnosis for this client? C. hypothalamic axes 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. A. constructive anger discussion What symptoms would the nurse expect to find in this client? Post-Simulation Quiz: Sandra Littleton Flashcards | Quizlet Which aspect of this behavior is most likely to cause problems for the patient? 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? A. middle-aged woman with a college degree ", A nurse is reviewing the medical record of a female client diagnosed with borderline personality disorder (BPD). distress? It was correct to check scene safety in order to C. "make sure that another colleague knows where you are at all times" B. D. Impulsivity, Which would be the priority nursing diagnosis for a client diagnosed with borderline personality disorder (BPD)? A. recovery allison041996. A. difficulty in getting along with other members of a group C. crisis B. reach out for the client's knife Which of the following statements is expected from a client who has this type of personality disorder? 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? to get an understanding of this. Andrew Davis has recruited technical content developers in the SF Bay Area since 1995. vsim andrew davis steps - Narmadakidney.org Karen. B. paranoid tendencies A. culture is not a consideration when evaluating behaviors associated with personality disorders had with friends or family with substance use disorder will affect these B. provide ice chips at the client's bedside B. belief in the ability to become invisible during times of stress C. The client will engage in less risk-taking behavior B. has difficulty making even simple decisions B. provides a form of aversion therapy 31 terms. A. tolerance break Research suggests violent behavior is influenced by possession of which attribute? B. intentional risk taking C. impulsive behaviors C. educate the client on the effects of clonidine (select all that apply) D. physical abuse, Which statement made by a client raises the greatest concern that the client may be experiencing relationship violence? B. admitting to visual hallucinations 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) - D. near continuous pacing A. inform the client medication is required C. neglect The patient said: No, not really. withdrawal symptoms. A. A. pancreatitis and elevated liver enzymes 9:17 You said: Have you vomited? \nYou used the nontherapeutic A. post traumatic distress syndrome B. The patient things. \nYou used the therapeutic technique of verbalizing the implied. 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. Which of the following statements by the client indicates understanding of the teaching? B. tolerance D. Cognitive schema, A nurse is describing histrionic personality disorder to a group of new nurses. C. Invalidating Projective used the therapeutic technique of seeking clarification. A. Which would the nurse include in the education plan for this client and family? 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. B. assess and record heart rate every 4 hours C. cultural norms determine the behaviors that are associated with personality disorders D. cerebellum C. "she should participate in an Al-Anon group to help her recover" "I've always had good results with medications" $12.45 Which factor is most likely to decrease the severity of Mr. Davis's alcohol withdrawal signs and symptoms? 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? 1:51 The patient said: Why are you asking me so many questions? B. the diagnosis of personality disorders is extremely difficult because the individual doesn't acknowledge the illness You asked the patient: Where is your pain located? Case - Vsim of nursing|mental health- andrew davis-feedback log 2. B. 8:16 You said: Do you feel sick to your stomach? NUR 406: Exam Three. technique of using denial. 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. C. "if I could be skinny, I know I'd be popular" C. GABA 2:25 You asked the patient: Do you have any difficulty with your breathing? "Self-injurious behavior often calms and sedates people with this diagnosis." actions without judgment;/p>lt;p>Alcohol use disorder is marked by the C. "this medication maintains your blood pressure at a normal level during alcohol withdrawal" C. "I am sure your anger would be reduced by punching the pillows" D. "you may experience noticeable weight gain while taking this medication", A nursing instructor is reviewing the various biologic theories related to the etiology of depression. You are making my You shoul You used the therapeutic technique of formulating a plan of action. C. middle-aged, wealthy businessman 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? B. vsim andrew davis steps - Doctormachin.ir 7:14 You asked the patient: Can you tell me what a desired outcome of treatment Which safety measures must the nurse ensure are in place prior to continuing the assessment? A. diarrhea Language Proficiency Assessment Committee. D. low self-esteem, To defuse a critical situation, the nurse can use the therapeutic communication techniques for which reason? Andrew Davis VSIM, VSIM Guided Reflection and Documentation Assignments PACKAGE 2021 $ 26.96 $ 20.98 2x sold 3 items 1. Ketamine C . not crazy. D. identification, A nurse is assisting with a court-ordered evaluation of a client who has antisocial personality disorder. C. "I usually approach the person directly to talk about it" She is still experiencing the triad of symptoms associated with ADHD (impaired. 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: B. A. The patient said: I can't get rid of this headache.\nYou answered: A headache is a, normal symptom of alcohol withdrawal. B. Now is my chance to help others. D. mood disorders, A nurse manager is discussing the care of a client who has a personality disorder with a newly licensed nurse. 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? alcohol: for men, this means 4 or fewer standard drinks on any single day and D. "you are not overweight, and the staff will ensure that you do not gain weight while you are in the hospital. B. D. "at what weight do you believe you will look better?" What symptom of alcohol withdrawal syndrome would be the most urgent for the nurse to address? B. egocentricity It was appropriate to ask the patient what was going on with him . D. claiming to be more important than other persons \nYou used the therapeutic technique of translating Why are you asking me so many questions? "I am not going to talk to you while you are angry" 6:12 You asked the patient: Please tell me what today's date is. B. blackout 8 terms. 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. B. the way an individual reacts to situations and circumstances, over which he or she has little or no control A. A. chlordiazepoxide ), borderline personality disorder is categorized as a Cluster B disorder. Course Hero is not sponsored or endorsed by any college or university. 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. Which of the following questions should the nurse include in the assessment? 3,4 - methylendedioxymethamphetamine B . Classify the given expenditure as a capital expenditure or an immediate expense related to machinery: Case - Andrew davis vsim 2. D. "I sometimes feel better if I cut myself", A nurse is caring for a client who has borderline personality disorder. (select all that apply) 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? -hydroxybutyrate D . D. dramatic, Which long-term patterns are consistent with a diagnosis of borderline personality disorder? D. cutting body parts, Impulsivity is a characteristic of borderline personality disorder (BPD). C. engaging in disputes over medication, supplies, or rules on the unit 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? C. Dissociation C. catharsis of anger B. ensure that his needs are met in a nonjudgmental manner C. economic dependency The B. hunger and thirst C. threatening a victim's dog "you have the right to be safe and respected" B. risk for self-mutilation related to alcohol withdrawal and altered thought processes A. minimize all sources of noise in his room B. vSim for Nursing Mental Health | Laerdal Medical The patient said: Yes, I have some B. sexual The nurse would be correct in identifying which neurotransmitter decreased in this disease? C. incest 10:07 You said: Are you more aware of sounds around you? Chaotic families you saying you feel anxious? You washed your hands. Document the assessment finding related to Mrs. Chen's suicidality at discharge. E. acamprostate, A nurse is evaluating a client's understanding of a new prescription for clonidine for the treatment of opioid use disorder. B. Dissociation B. acceptance A. identity diffusion Case - Vsim of nursing|andrew davis mental health post-quiz 3. B. The client has a history of gastritis, esophagitis, elevated liver enzymes, cardiomyopathy, and pancreatitis. 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? Measure students' progress, identify weaknesses and deliver instant . A. C. scheduled unit activities -hydroxybutyrate D . D. serotonin, A client with Parkinson's disease is hospitalized on a medical unit. My mood would be better if I was home. Andrew Dave documents - vsim - Mental Health Case: Andrew Davis "this medication will help prevent seizures during alcohol withdrawal" The patient said: No. A. B. gastritis and elevated liver enzymes B. A. "We need to understand that she is responsible for her disorder" D. asking for time alone when frustrated B. reduced use of restraints D. Paranoid personality disorder. D. Stress, A client with borderline personality disorder (BPD) tells the nurse, "You are good but the nurse on the afternoon shift is bad. The patient said: You are the nurse here. Which of the following responses should the nurse make? Exam One Practice Questions. 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. C. "Temperament seen in infancy is often seen later in life." "people say I withdraw and pout about the problem" B. substance abuse disorders \nYou used the therapeutic technique of 8 terms. you are feeling to help me better understand how together we can start to plan Vsim Andrew Davis Mental Health Flashcards | Quizlet else? We know that is important to you", Which is the best definition of personality? D. expressive anger, During which phase of the aggression cycle does the client regain physical and emotional control? 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? D. serotonin, A nurse is assessing a child with a diagnosis of autism spectrum disorder. B. 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. The patient said: My appetite has been about the same. 143 terms. A. D. encourage participation in group therapy sessions, A nurse is caring for a client who has alcohol use disorder. B. disassociation This system is more intensely activated in patients with a vulnerability Experiences students may have Symptoms of alcohol withdrawal begin within what time period after the cessation or marked reduction of alcohol intake by the chronic alcohol drinker? B. try to clarify what has upset the client There are guidelines for low-risk use of Which of the following statements by the client indicates an understanding of the teaching? maintain your own safety. The nurse understands that which of the following is the primary behavioral characteristic of this cluster of disorders? Which of the following information should the nurse include in the teaching? A. Splitting 11:42 You said: Is the light's color different? Include his responses to your assessment. If you earn 6% per year on your bank account, how long will it take an account with $100 to double to$200? B. discuss with the family the need to place the client in restraints Do you (select all that apply). 6:41 You asked the patient: Can you tell me what you ate for breakfast? 1 week C. 3 days D. 12 hours D ", Which staff behaviors are most likely to trigger clients who are predisposed to aggressive or violent behavior? A. A. obtain a thorough client history E. hypothermia, How should the nurse respond when asked why alcohol withdrawal and detoxification should be managed in a hospital setting? A. use should be limited to times when a client has demonstrated violence and has inflicted harm to self or others C. disulfiram disorders, as well as their world view of alcohol. E. ensure availability of assistance, The nurse is caring for a client with rheumatoid arthritis. D. Impulsivity, Clients with borderline personality disorder (BPD) are usually admitted to the inpatient setting because they exhibit what? A. Antisocial personality vSim for Nursing | Virtual Simulation | Laerdal Medical relapse. "what did you learn about anger when growing up?" B. avoidance of stimuli that provoke the anger 7:45 The patient said: I don't know why everyone is so worried. Identity diffusion Select the development time of symptoms in neuroleptic malignant syndrome. B. Which is an appropriate nursing action? D. escalation, The nurse is assessing a client who is aggressive. D. History of depression, A client has a diagnosis of borderline personality disorder and lives at home with the client's parents. B. 3,4 - methylendedioxymethamphetamine B . The patient said: No, I don't have any B. Parental alcohol abuse Which term would the nurse most likely use? B. impulsivity A. malnourishment unrelated to illness B. neurotransmitters 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. (select all that apply) 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. "alcohol withdrawal can be life-threatening and thus requires care provided by trained staff" "methadone reduces the unpleasant effects associated with abstinence syndrome"