"I'm scared that you're going to leave me" D. "would you rather go to the cafeteria or have dinner in the dayroom? The nurse would be correct in identifying which neurotransmitter decreased in this disease? "people say I withdraw and pout about the problem" C. anger D. encourage participation in group therapy sessions, A nurse is caring for a client who has alcohol use disorder. C. catharsis A. - fibers, Select the correct description of a somatoform disorder. B. confusion \nYou used the therapeutic technique of focusing. 0:06 You introduced yourself. Seizures - These are waves of abnormal electrical activity in the brain. D. psychological, The nurse is assessing a victim who is brought into the hospital after being found badly beaten and raped by an unknown person. dysfunctional use of alcohol. Ketamine C . 9:17 You said: Have you vomited? 7:03 You asked the patient: Do you have any thoughts or wishes to harm anybody vSim Andrew Davis: Alcohol Withdrawal - VSim (VSIM) - Stuvia (select all that apply) "Self-injurious behavior often calms and sedates people with this diagnosis." B. D. naltrexone \nYou used the therapeutic technique of translating A . Symptoms of alcohol withdrawal begin within what time period after the cessation or marked reduction of alcohol intake by the chronic alcohol drinker? C. ask the client if the client feels triggered by another client in the group Which of the following personality characteristics associated with all of the personality disorders should the charge nurse include in the teaching? D. delirium, The nurse should consider which as a possible indicator of child neglect? "most often, neither families nor friends are willing and capable of managing the patient during the withdrawal" The class also includes a review of the anatomy and physiology of the neurological system. Course Hero is not sponsored or endorsed by any college or university. B. the way an individual reacts to situations and circumstances, over which he or she has little or no control A. B. pons "many clients are concerned about their weight. B. dopamine 0:43 You identified the patient. The patient said: None. Docmerit is a great platform to get and share study resources, especially the resource contributed by past students and who have done similar courses. B. C. neglect B. Andrew Davis is currently in Stage I of alcohol withdrawal. The nurse should plan to assess the client for symptoms of which mental health condition? C. educate the client on the effects of clonidine A. chain smoking A. B. A. shout and let the client know that this behavior is not tolerated C. "she should participate in an Al-Anon group to help her recover" B. blackout A. immediately approach the client to engage in communication had with friends or family with substance use disorder will affect these "his father physically abused his mother for years" D. 8 months, A client has been prescribed clozapine for treatment of schizophrenia. How should the nurse respond to this client? May I ask you these, The patient said: Why are you asking me so many questions? Which client response would indicate to the nurse that the client engages in anger suppression? VSim Release Notes v12.0.3 - Tech-X D. 25 years, A client attends an outpatient mental health clinic accompanied by the client's spouse for an assessment. The client describes a long history of partner abuse associated with this relationship. B. dopamine However, the dietitian will ensure that you don't get too many calories in your diet" D. hesitance to talk openly, Which is a pattern of repeated unwanted contact, attention and harassment that often increases in frequency? 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? The activation of the dopamine reward system is a primary source of C. Dissociation The nurse should instruct the client to monitor for which of the following adverse effects? The patient said: No, I am C. disulfiram (headache, tremor) to severe (hallucinations, delirium tremens, seizures). with this diagnosis;/p>lt;p>Alcohol withdrawal has physical symptoms that A. flexible unit rules A. personality disorders are diagnosed in early adulthood, when personality formation is complete Do you D. intoxication, The nurse is performing a history and physical examination on a client with chronic alcoholism. 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. (select all that apply) Exam One Practice Questions. "Temperament is not changeable." You asked the patient: Over the past year, when did you feel your best? Andrew davis vsim steps - Aug 26, 2022 6:55 PM Andrew Davis Age: 56 D. becomes agitated if his personal area is not neat and orderly The nurse should recognize the client's statement as an example of which of the following defense mechanisms? B. 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. not crazy. The patient said: Yes, I have some, You asked the patient: How would you rate your pain, on a scale of 0 to 10? The patient. May I ask you these A. (select all that apply) D. provide information regarding AA support groups The patient A. 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. Which of the following medications should the nurse anticipate administering to assist the client with maintaining abstinence from alcohol? D. physical aggression, Which personality trait is associated with aggressive behavior? It is important that nurses communicate in a nonjudgmental manner. Which of the following is an expected finding? B. encourage the client to engage in a relaxation exercise prior to joining the group for the rest of the session The client has a serious and formal demeanor. D. Arrange for the client to be transferred to another unit. C. the client reports increased feelings of self-control Include his responses to your assessment. The nurse should anticipate prescriptions for which of the following medications to promote long-term abstinence for alcohol? B. women are expected not to express so-called negative feelings like anger 1 week C. 3 days D. 12 hours D B. avoidance of stimuli that provoke the anger D. emotional dependency, In clients who do not completely recover from being victimized by rape, which mental illness is most likely to develop? B. D. "each dose of this medication should be placed under my tongue to dissolve", A nurse is teaching a client who has tobacco use disorder about the use of nicotine gum. It provides faculty with ideas to integrate vSim into existing curricula and offers ways to develop and/or enhance current teaching strategies. B. Dissociation 6:26 You asked the patient: Have you lost interest in activities that you once enjoyed? B. reach out for the client's knife You asked the patient: Can you tell me a little bit more about what's going on with you. D. "you are not overweight, and the staff will ensure that you do not gain weight while you are in the hospital. The nurse interprets this statement as reflecting what? 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. Narcissistic Which of the following responses should the nurse make? "instead of worrying about your weight, try to focus on other problems at this time" Andrew Davis has recruited technical content developers in the SF Bay Area since 1995. 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. C. ask the husband to discuss why he spends so much time with his friends B. restrain the client patient said: No. you are the meanest nurse ever!" think I'm nuts?!? technique of using denial. The assessment tool is called the Clinical Institute B. recovery ", A client in the emergency department has self-inflicted wounds on both arms. 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? Which nursing diagnosis would be the priority? Nurses interface with patients at different levels of readiness to access treatment. C. Narcissistic personality disorder B. 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. has difficulty making even simple decisions C. impulsive behaviors B. ask the client about the client's living situation C. risk for other-directed violence related to alcohol withdrawal D. abdominal pain addiction. presenting reality and giving information. B. providing the client with a list of possible goals for behavior change Just all of these questions. B. belief in the ability to become invisible during times of stress You identified the patient. A. crisis C. sexual assault nurse examiner C. economic dependency used the therapeutic technique of giving information. It is 9:47 You said: Have you had any itching? 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. The patient said: D. Dissociation, Gambling, binge eating, and engaging in unsafe sex are examples of what? Why are you asking me so many questions? A. A. acetylcholine Poor social skills June 16, 2022. C. "Temperament seen in infancy is often seen later in life." Which of the following nursing actions should the nurse include in the client's plan of care? (review sheet 4), Philippine Politics and Governance W1 _ Grade 11/12 Modules SY. 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. 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: C. implement seizure precautions On which potential issue should the nurse focus with this client? B. admitting to visual hallucinations 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. Ask the parents how they have coped with the client's behaviors over the years D. physical abuse, Which statement made by a client raises the greatest concern that the client may be experiencing relationship violence? D. low self-esteem, To defuse a critical situation, the nurse can use the therapeutic communication techniques for which reason? 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. valproate 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. borderline This activation can be so overpowering that the alcohol becomes the C. neurontin Devry University We're available through e-mail, live chat and Facebook. 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? A. Antisocial personality E. ensure availability of assistance, The nurse is caring for a client with rheumatoid arthritis. He makes me want to hurt him back." C. postcrisis 10:44 You said: Does the light appear to be too bright? A. demonstrates extreme anxiety when placed in a social situation ", A client is admitted to the emergency department for intoxication with alcohol. (select all that apply) A. lithium A. other than medications? 31 terms. C. Self-harm The client continues to maintain a job and functions well in activities of daily living, relationships, and other aspects of social life. in this hospital because my wife said I couldn't come home. C. "he doesn't like it when I go out with my girlfriends" B. panic disorder Which of the following statements by the newly licensed nurse indicates an understanding of the teaching? D. older adults develop substance use to mask manifestations of dementia, A nurse is assessing a client who has alcohol use disorder and is experiencing withdrawal. E. restlessness, A nurse is planning care for a client who is experiencing benzodiazepine withdrawal. C. Ask the parents to keep a written schedule of activities for each day for the client Difficult temperament D. vomiting D. encourage the wife to express exactly what she wants her husband to do on weekends, A client has been admitted to the detoxification unit after binge drinking. You asked if the patient had any known allergies. C. sit in an open area C. triggering B. provide ice chips at the client's bedside C. middle-aged, wealthy businessman A. C. Mania use that makes some patients more susceptible to having diminished self-control A. The patient said: Yes, I have some pain. 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 . Case - Vsim of nursing|andrew davis mental health post-quiz 3. C. inform client that the nurse is in charge of situation diagnosis of alcohol use disorder. C. catharsis of anger \nYou used the therapeutic technique of verbalizing the implied. Practice NCLEX Questions from the Book! The nurse needs to work with the patient to address consequences of Vsim Andrew Davis Mental Health. The patient said: No, I am not seeing or hearing things that are not there. D. serotonin, A client with Parkinson's disease is hospitalized on a medical unit. fewer than 14 drinks during any given week, and for women, this means 3 or An interactive, personalized simulation experience for every student. B. establish consequences for purging behavior A. constructive anger discussion Which of the following statements by a family member indicate an understanding of the teaching? 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? I wish they would shut up!\nYou You answered: Of all the concerns you have, which is the most upsetting to you? B. paranoid tendencies C. Abuse D. hypertension, A nurse is teaching a female client who has tobacco use disorder about nicotine replacement therapy. 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. dim the lighting in his room "this medication will help prevent seizures during alcohol withdrawal" 120 minutes B. D. withhold his or her thoughts and feelings, The nurse finds that a client with a history of aggressive behavior is restless, is pacing up and down in the hallway and has clenched fists. D. identification of measures to disrupt the anger response, The nurse is caring for a client with dementia who has become increasingly agitated. 0:00 You checked scene safety. C. withdrawal The nurse is counseling a 28-year-old client with avoidant personality disorder. 10:55 The patient said: The lights in here are too bright; they are hurting my Which factor would be predictive of a client becoming aggressive or violent? C. borderline personality disorder 1:04 The patient said: I don't think I can keep this up anymore. B. hostility D. "do you have any questions about why you are taking this medication? 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. "I'll go to group therapy if you'll let me smoke" perceptions. A. risk for injury related to effects of alcohol abuse Language Proficiency Assessment Committee. What is the priority nursing diagnosis for this client? B. Self-mutilation B. B. Avoidant personality disorder 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. else? When considering medication for treatment, the nurse knows which will be the most effective? It was correct to check scene safety in order to maintain your own safety. ", A nurse is caring for an adolescent client who has anorexia nervosa with recent rapid weight loss and a current weight of 90 lb. 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? C. angry outbursts These are questions I ask all of the patients I see. A. administer the clonidine on the prescribed schedule my work and it keeps me busy. vSim for Nursing | Mental Health Mental Health Case: Li Na Chen, Part 2 Documentation Assignments. 2:15 The patient said: Sometimes I wake up in the morning and I can't remember "Temperament is malleable." 6:49 You asked the patient: Do you have any thoughts or wishes to harm or kill View full document Andrew Davis vSim Scenario Steps: You checked scene safety. A. many questions; however, I need to complete an assessment of you today. The nurse should explain to the new staff member that some clients use violence and aggression to .. B. rape The patient said: My appetite has been about the same. C. client self-monitoring for anger cues A. patient reports ringing in his ears My mood would be better if I was home. vsim andrew davis steps. B. A. whoisthatgirl28 Plus. 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. B. escalation "we need to explore what makes you want to hit people when you are angry" Michaela_Marcello. B. Impulsivity B. assertive behavior Post-Simulation Quiz: Sandra Littleton Flashcards | Quizlet ), borderline personality disorder is categorized as a Cluster B disorder. D. lying, A client with a history of angry outbursts that have caused interpersonal and work problems has been in counseling for several months. (select all that apply) A. pancreatitis and elevated liver enzymes B. dry mouth B. 6:33 You asked the patient: Name an activity that you enjoy. D. recovery, A nurse is beginning the process of providing therapy to a client with anger management problems. C. older adults are at an increased risk for substance use following retirement Students need to be D. asking for time alone when frustrated Which of the following actions should the nurse identify as the priority? Select the development time of symptoms in neuroleptic malignant syndrome. 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. difficulty in getting along with other members of a group 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. questions to assess your current health status and your level of alcohol Assessment reveals that the client was diagnosed with borderline personality disorder 6 months ago, for which the client has been receiving outpatient treatment. used the therapeutic technique of seeking clarification. Mental Health . C. hallucinations Andrew Davis- vSim Scenario Steps - Browsegrades.net (select all that apply) 0 Comments B. C. "it will help you to learn how to control the arousal of anger" A. bradycardia C. avoid eating 15 min prior to chewing the gum A. women have a greater threshold for controlling anger A. D. Risk for self-mutilation, Which occurs when thinking, feeling, or behaviors occur outside a person's awareness? love_ces_sylvain. distress? D. perceptions and delusions, What are some types of behavior that the nurse would recognize as qualifying as psychological abuse? A. receiving education and information about the medication D. use of the gum is limited to 90 days, A nurse is discussing the use of methadone with a newly licensed nurse. C. behaviors and beliefs that are present and acted on from an individual's birth 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. C. women express sadness instead of anger while facing unjust situations A. anxious 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? 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. maintain your own safety. C. haloperidol 11:42 You said: Is the light's color different? A. It was correct to check scene safety in order to maintain your own safety. You asked the patient: Do you have any difficulty with your breathing? Andrew Davis vSim Scenario Steps: You checked scene safety. C. crisis What symptom of alcohol withdrawal syndrome would be the most urgent for the nurse to address? B. acceptance A 56-year-old man called Andrew Davis ,entered an alcohol rehabilitation clinic voluntarily yesterday afternoon and is currently in the acute detoxification unit. D. have a staff member stay with the client, A nurse is leading an anger management group in the inpatient program. C. manic behaviors "I should avoid eating right before I chew a piece of nicotine gum" 2:25 You asked the patient: Do you have any difficulty with your breathing? allison041996. (select all that apply) D. request the presence of additional staff B. gastritis and elevated liver enzymes The client has a history of gastritis, esophagitis, elevated liver enzymes, cardiomyopathy, and pancreatitis. "taking this medication will help reduce by craving for heroin" The patient said: No, it's just light. C. "I wonder if your perceptions of the relationship are accurate" I don't drink more C. 4 months C. eccentric C. "this medication maintains your blood pressure at a normal level during alcohol withdrawal" Identity diffusion 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. The child has severe uncontrollable temper outburst and repeatedly bangs the head on the wall or door. A. midbrain B. Psychopath B. assessing for auditory and visual hallucinations frequently A. A. "you may experience hypertension while taking this medication" It's scary.\nYou answered: What are you concerned might happen? symptom of alcohol withdrawal. vSim for Nursing Simulation Scenarios - Wolters Kluwer -hydroxybutyrate D . 2:47 You asked the patient: On a scale of 0 to 10, how would you rate your level of. B. diazepam C. falls The client says, "the nurse on the evening shift is always nice! C. orientation Mr. Davis reported having consumed his last drink around 4 pm, and he was admitted to the facility's detoxification unit shortly thereafter. "relationship counseling can be very helpful" Which of the following is appropriate for the nurse to include in the presentation? 9:52 You said: Have you had any numbness? What symptoms would the nurse expect to find in this client? C. 21 years ", A nurse is reviewing the medical record of a female client diagnosed with borderline personality disorder (BPD). D. speak to the client in a firm voice, A client with aggressive behavior shows no psychotic symptoms. 7:50 You asked the patient: Do you ever see or hear things that other people do not? answered: Mr. Davis, no one here is loud. D. Functional attachments, A nurse is preparing a presentation for a group of staff nurses on personality disorders. 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? vsim andrew davis steps. B. sexual E. hypothermia, How should the nurse respond when asked why alcohol withdrawal and detoxification should be managed in a hospital setting? D. use should be limited to emergency situations in which the client is demonstrating a potential to be violent, While interviewing a client, a nurse asks, "what do you do when you get angry?"
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