31 terms. 68 terms. B. ask the wife to provide details about what she means by "all his time" A. acetylcholine A. cardiac enzymes C. neglect can be dangerous to your overall health. "most often, neither families nor friends are willing and capable of managing the patient during the withdrawal" Which of the following is an expected finding? with you today? A. physical rsmb143. B. try to clarify what has upset the client and relationship challenges secondary to the use of the substance, as well as Motivational D. imipramine, A cuban American client has been prescribed an antipsychotic medication. else? It helped me a lot to clear my final semester exams. C. ask the client if the client feels triggered by another client in the group B. vSim Pre Simulation Quiz - Linda Waterfield. "will your mother be available to help administer this medication for you?" C. behaviors and beliefs that are present and acted on from an individual's birth B. ridiculing Cross), Campbell Biology (Jane B. 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Defending 10:44 You said: Does the light appear to be too bright? 11:42 You said: Is the light's color different? D. blood pressure of 154/90 mm Hg, What characteristic behavior demonstrated by Mr. Davis is associated with stage III withdrawal symptoms? 41 Comments Please sign inor registerto post comments. 7:14 You asked the patient: Can you tell me what a desired outcome of treatment D. Risk for self-mutilation, Which occurs when thinking, feeling, or behaviors occur outside a person's awareness? dysfunctional use of alcohol. \nYou used the nontherapeutic June 16, 2022. B. splitting apart!\nYou answered: Of all the concerns you have, which is the most upsetting It was appropriate to ask the patient what was going on with him, The patient said: I don't think I can keep this up anymore. (select all that apply) The client is shouting, screaming, hitting others and throwing objects. C. Self-harm They need to be aware of how this can impact caring for patients View full document Andrew Davis vSim Scenario Steps: You checked scene safety. A. andrew davis vsim steps.docx - Aug 26, 2022 6:55 PM Andrew Davis Age: 56 years Diagnosis: Alcohol withdrawal syndrome Score 2 0 0 97% Feedback andrew davis vsim steps.docx - Aug 26, 2022 6:55 PM Andrew. B. questions? A. middle-aged woman with a college degree C. "if I could be skinny, I know I'd be popular" These are questions I ask all of the patients I see. 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 Withdrawal Assessment, or CIWA. The patient said: My appetite has been about the same. C. use should be limited to emergencies in which the risk of a client physically harming self, staff, or others is imminent A. administer the clonidine on the prescribed schedule D. mood disorders, A nurse manager is discussing the care of a client who has a personality disorder with a newly licensed nurse. Denial is a common defense mechanism, as is the cycle of abuse, remission, and A. Which condition was the client likely experiencing? 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? E. restlessness, A nurse is planning care for a client who is experiencing benzodiazepine withdrawal. C. splitting Narmada Kidney Foundation > Uncategorized > vsim andrew davis steps. A. criticizing would be for you? A. minimize all sources of noise in his room You are making my, headache worse.\nYou answered: I appreciate how difficult it is to answer so, many questions; however, I need to complete an assessment of you today. D. "do you know why you are being admitted? 11:29 You said: What is today's date? 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? month? Difficult temperament D. encourage his family to spend time at his bedside, Mr. Davis has been prescribed an oral benzodiazepine to assist in managing his withdrawal symptoms should his CIWA-Ar score rise to 8 or above. B. valproate D. "Temperamental differences among children can be observed very early in life. C. provide the client with a high-fat diet at the start of treatment C. The client will engage in less risk-taking behavior A. borderline C. hypothalamic axes C. Promoting social ostracism of the client's exhibiting manipulation A. You asked if the patient had any known allergies. 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. C. triggering D. "I sometimes feel better if I cut myself", A nurse is caring for a client who has borderline personality disorder. Students also viewed It was correct to check scene safety in order to maintain your own safety. 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. 30 terms. said: No. B. Impulsivity interviewing is a good intervention with alcohol use disorder as it promotes a 7:03 You asked the patient: Do you have any thoughts or wishes to harm anybody 8:30 You said: Alcohol withdrawal can cause a variety of symptoms, some of which C. scheduled unit activities D. lying, A client with a history of angry outbursts that have caused interpersonal and work problems has been in counseling for several months. (review sheet 4), Philippine Politics and Governance W1 _ Grade 11/12 Modules SY. appropriate to ask the patient about when he felt his best. You are making my Document findings related to the screening of Mrs. Chen with the Hamilton Rating Scale for Depression. B. a history of taking these types of medications D. institute falls precautions A. shout and let the client know that this behavior is not tolerated Select the development time of symptoms in neuroleptic malignant syndrome. D. vomiting The patient said: I don't think I can keep this up anymore. 15 years collaborative approach rather than a patriarchal/matriarchal approach to care. A. cause behavioral dysfunction and inner distress In order for the nurse to perform the initial assessment, which approaches should the nurse use to manage the situation? C. anger 9:58 You said: Do you feel bugs crawling under your skin? Case - Nur 3480 andrew davis vsim guided reflection 3. C. older adults are at an increased risk for substance use following retirement Which would the nurse include in the education plan for this client and family? Ineffective coping C. eccentric D. "would you rather go to the cafeteria or have dinner in the dayroom? The nurse should plan to assess the client for symptoms of which mental health condition? B. triggering maintain your own safety. C. "I am sure your anger would be reduced by punching the pillows" A. obtain a thorough client history vsim andrew davis steps. "what happens when you get angry?" A. Abuse as a child D. serotonin, A nurse is assessing a child with a diagnosis of autism spectrum disorder. 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. When considering medication for treatment, the nurse knows which will be the most effective? "what did you learn about anger when growing up?" The nurse should instruct the client to monitor for which of the following adverse effects? A. 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. A. B. fine tremors of both hands E. acamprostate, A nurse is evaluating a client's understanding of a new prescription for clonidine for the treatment of opioid use disorder. It provides faculty with ideas to integrate vSim into existing curricula and offers ways to develop and/or enhance current teaching strategies. "methadone reduces the unpleasant effects associated with abstinence syndrome" The patient said: Seven. 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. During therapy the wife states, "he makes me so mad when he spends all his weekend time with his friends instead of us. C. lead to aggression and violence (select all that apply) This system is more intensely activated in patients with a vulnerability The patient said: Sometimes I wake up in the morning and I can't remember, things. Which of the following responses should the nurse make? The Nurses interface with patients at different levels of readiness to access treatment. A. 7:50 You asked the patient: Do you ever see or hear things that other people do not? Which personality disorder best describes this client? C. withdrawal used the therapeutic technique of seeking clarification. \nYou used the therapeutic technique of translating The class also includes a review of the anatomy and physiology of the neurological system. B. 9:32 The patient said: I don't know what to do with my hands.\nYou answered: Are She is still experiencing the triad of symptoms associated with ADHD (impaired. It's scary.\nYou answered: What are you concerned might happen? B. One of the most useful resource available is 24/7 access to study guides and notes. B. The client says, "the nurse on the evening shift is always nice! C. manic behaviors B. Self-mutilation C. risk for other-directed violence related to alcohol withdrawal 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. Added a new reaction type to model an arbitrary number of reactants and products. Course Hero is not sponsored or endorsed by any college or university. B. C. disulfiram C. hypotension 6 months The nurse needs to work with the patient to address consequences of D. "why do you think I am not being respectful to you? allison041996. to feelings. C. "the cost of the treatment is covered by insurance only if delivered in a hospital setting" B. E. encourage the client to talk about this situation, A client has lost emotional and physical control. B. has difficulty making even simple decisions 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. A. patient reports ringing in his ears B. diazepam 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 C. women express sadness instead of anger while facing unjust situations 9:17 You said: Have you vomited? C. "can you select an outfit to wear to group therapy?" (select all that apply) C. "she should participate in an Al-Anon group to help her recover" The patient. Andrew Davis- vSim Scenario Steps D. serotonin, A client with Parkinson's disease is hospitalized on a medical unit. You asked the patient: Is it OK for your family to be here, while we talk? yourself? A. auditory hallucinations The nurse should explain to the new staff member that some clients use violence and aggression to .. A. depression 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. B. The vSim for Nursing | Mental Health solution features the following virtual patient simulation scenarios, authored by the National League for Nursing: Andrew Davis: Alcohol Withdrawal David Carter: Schizophrenia, Part 1 David Carter: Schizophrenia, Part 2 George Palo: Adjustment Disorder with Depressed Mood A client says, "I'm feeling really tense, and I'm fidgety today." A . E. ensure availability of assistance, The nurse is caring for a client with rheumatoid arthritis. 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. On which potential issue should the nurse focus with this client? whoisthatgirl28 Plus. D. cutting body parts, Impulsivity is a characteristic of borderline personality disorder (BPD). Which of these conditions are attributable to the client's history of alcohol abuse? (select all that apply) You performed medication reconciliation. A. Liberty University Andrew Davis vSim Scenario Steps: You checked scene safety. D. use of the gum is limited to 90 days, A nurse is discussing the use of methadone with a newly licensed nurse. Which of the following questions should the nurse include in the assessment? Upon entering the client's room, the nurse finds the the client is very angry and is punching pillows to express the anger. 6:12 You asked the patient: Please tell me what today's date is. (select all that apply) D. 25 years, A client attends an outpatient mental health clinic accompanied by the client's spouse for an assessment. \nYou A. women have a greater threshold for controlling anger How do generally accepted accounting principles (GAAP) differ from the laws of mathematics? D. young college graduate who recently gave birth to her first child, Which personality disorder would be placed in Cluster B? The patient said: No, I don't have any C. cultural norms determine the behaviors that are associated with personality disorders The client will experience increased self-esteem. C. Narcissistic personality disorder B. are malleable and poorly defined diagnosis of alcohol use disorder. C. catharsis of anger C. keep SpO2 probe at bedside "We need to understand that she is responsible for her disorder" B. egocentricity Ask the parents how they have coped with the client's behaviors over the years A. constructive anger discussion C. tolerance B. Avoidant personality disorder The patient said: I can't get rid of this headache. D. Paranoid personality disorder. C. catharsis 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? C. suction equipment is kept at the bedside Deliver instant online access, immersing students in virtual simulation wherever they prefer. B. ensure that his needs are met in a nonjudgmental manner C. "I should practice limit-setting to help prevent client manipulation" The patient said: None. C. threatening a victim's dog D. prepare to seclude the client, The nurses on a mental health unit are reviewing aspects of the unit environment in a staff meeting. B. Overly friendly Vsim Andrew Davis Mental Health. A. show an increased tolerance for frustration C. display increasing motor activity 18 terms. C. catharsis "Temperament is not changeable." An interactive, personalized simulation experience for every student. A. Splitting A. demonstrates extreme anxiety when placed in a social situation Which of the following statements by the newly licensed nurse indicates an understanding of the teaching? Exam One Practice Questions. The client has been in the psychiatric unit for 2 weeks and is scheduled to be discharged tomorrow. C. "I usually approach the person directly to talk about it" You washed your hands. B. rinse out the mouth immediately before chewing the gum you saying you feel anxious? C. Dissociation A. - fibers, Select the correct description of a somatoform disorder. Which of the following medications should the charge nurse include in the discussion? Which is the nurse trying to prevent? 120 minutes B. C. offer the client an antianxiolytic mediation "don't pretend like you don't know how fat I am" Exam (elaborations) - Andrew davis documentation assignments- mental health Show more By: priscyd27 1 year ago Uploaded on January 17, 2021 C. client self-monitoring for anger cues C. orientation The patient said: No. C. alcohol dependence with memory impairment 6:56 You asked the patient: Have you ever tried to harm or kill yourself? Which of the following information should the nurse include in the teaching? C. mottling of the skin The client's sibling is visiting, and the sibling asks the nurse to explain why the client sometimes does this. C. "if you don't calm down, I will need you to go to your room" Which statement made by a student demonstrates a need for further instruction? C. assure him that the withdrawal process generally lasts no more than 96 hours Karen. B. escalation used the therapeutic technique of seeking clarification. Which factor would be predictive of a client becoming aggressive or violent? C. the number of other medications the client is taking 10:07 You said: Are you more aware of sounds around you? A. A. C. impulsive behaviors B. pons Which communication technique is the nurse utilizing with this statement? Research suggests violent behavior is influenced by possession of which attribute? A. diarrhea 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. perceptions. B. ask colleagues to contact hospital security for support Chaotic families Anna Maria. ", Which staff behaviors are most likely to trigger clients who are predisposed to aggressive or violent behavior? A. social isolation 9:41 You said: Have you had any pins and needles sensations? -hydroxybutyrate D . A. regression C. respiratory rate of 11 breaths/minute D. the signs and symptoms are likely to increase in type and severity, Which nursing interventions are directly associated with the primary goals of the management of a patient, like Mr. Davis, who is currently experiencing alcohol withdrawal? The patient said: No, I am not seeing or hearing things that are not there. The patient said: I like A. insomnia Dependent Measure students' progress, identify weaknesses and deliver instant . C. Highly social Andrew Davis- vSim Scenario Steps Preview 1 out of 4 pages Getting your document ready. B. assertive behavior D. "I appreciate that you are experiencing anger in an appropriate manner", An aggressive client is holding a weapon and threatening to harm other clients in the unit. "life isn't worth living if I gain weight" What request of the patient being assessed for possible alcohol withdrawal should the nurse make to determine the presence of tremors? B. recovery The client also talks in a loud voice. E. unrealistic self-image, Which behavior is most associated with a borderline personality disorder (BPD) and the tendency to self-harm? We're available through e-mail, live chat and Facebook. C. observe the client for nonverbal indicators "I will need to stop using the nicotine gum after 1 year" fewer standard drinks on a single day and fewer than 7 drinks in a week. 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. Which phase of the aggression cycle is this client experiencing? A. orienting for time, place and person as needed B. sexual Ketamine C . B. neurotransmitters A. - fibers, Select the correct description of a somatoform disorder. How should the nurse respond to this client? C. "Temperament seen in infancy is often seen later in life." D. Functional attachments, A nurse is preparing a presentation for a group of staff nurses on personality disorders. D. hypertension, A nurse is teaching a female client who has tobacco use disorder about nicotine replacement therapy. your care. A. anxiety May I ask you these A. implement seizure precautions Which of the following information should the nurse include in the teaching? Andrew Davis VSIM, VSIM Guided Reflection and Documentation Assignments PACKAGE 2021 $ 26.96 $ 20.98 2x sold 3 items 1. B. Psychopath You asked the patient: How would you rate your pain, on a scale of 0 to 10? 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. revictimization You asked the patient: Over the past year, when did you feel your best? You used the therapeutic technique of focusing. pain. D. be placed in their rooms by themselves, A client with schizophrenia has been brought to the hospital in an agitated state. Practice NCLEX Questions from the Book! D. escalation, The nurse is assessing a client who is aggressive. Which of the following actions should the nurse identify as the priority? The patient said: No, I am Disturbed thought process C. Discuss the feelings with a colleague to promote coping. Which of the following statements by the client indicates understanding of the teaching? C. GABA Aggression A. symptom of alcohol withdrawal. 2:29 You asked the patient: Do you have any pain? Students should C. Mania You shoul 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. B. Terms of Use D. physical abuse, Which statement made by a client raises the greatest concern that the client may be experiencing relationship violence? 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). 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. A. risk for injury related to effects of alcohol abuse Which clinical manifestations confirm that a patient is experiencing Stage I (mild) of alcohol withdrawal syndrome? How should the nurse handle this situation? You used the therapeutic technique of formulating a plan of action. C. "methadone can be used during opioid withdrawal and to maintain abstinence" "do you need to take your medication to help calm down?" over use. Which of the following information should the nurse to include in the teaching? A client with a blood alcohol level of 0.20 mg% is at high risk for injury related to the impairment of which function? C. medulla Added hybrid fluid solver allowing electrons to be treated as a fluid, while ions are kinetic. 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A. bradycardia The nurse understands that which of the following is the primary behavioral characteristic of this cluster of disorders? Which of the following statements is expected from a client who has this type of personality disorder? (select all that apply) It was correct to check scene safety in order to, You asked the patient: Can you tell me a little bit more about what's going on, with you today? A. B. gastritis and elevated liver enzymes \nYou used the therapeutic technique of encouraging expression. C. neurontin The, You asked the patient: On a scale of 0 to 10, how would you rate your level of. The nurse demonstrates an understanding of the seriousness of the patient's risk for injury when implementing which intervention? 143 terms. A. B. Dissociation B. Andrew Davis is currently in Stage I of alcohol withdrawal. "this medication will help prevent seizures during alcohol withdrawal" However, the dietitian will ensure that you don't get too many calories in your diet" "methadone is a replacement for physical dependence to opioids" 6:41 You asked the patient: Can you tell me what you ate for breakfast? think I'm nuts?!? Which response is most important for the nurse to make to this client? A. chew the gum for no more than 10 min \nYou. Instructing the staff to enforce all unit rules consistently safety;/p>lt;p>There is not a defined amount of alcohol that designates a "his father physically abused his mother for years" B. women are expected not to express so-called negative feelings like anger A. The activation of the dopamine reward system is a primary source of 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. Which client response would indicate to the nurse that the client engages in anger suppression? 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. Mental Health . . A. C. falls B. dim the lighting in his room B. diazepam B. personality disorders result in behaviors that consistently deviate from those considered culturally acceptable not crazy. D. "I should implement assertiveness training with clients who have antisocial personality disorder", A nurse is caring for a client who has avoidant personality disorder. B. 0:06 You introduced yourself. Even though the client is not currently intoxicated, the client is combative and exhibits altered thought processes. D. naltrexone D. women are more aware about the health consequences related to inappropriate anger expression, A nurse is assessing a Haitian client.
