C. Promoting social ostracism of the client's exhibiting manipulation C. "I've been supported by health care professionals and now I want to support other survivors" The A. inform the client medication is required The nurse demonstrates an understanding of the seriousness of the patient's risk for injury when implementing which intervention? 7:29 The patient said: I don't think any of this is going to work; it's a waste of The nurse demonstrates understanding of the information by identifying which structures as components of the brain stem? begin 4 to 12 hours after cessation of alcohol intake. 7:50 You asked the patient: Do you ever see or hear things that other people do not? 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. A. lorazepam D. Cognitive schema, A nurse is describing histrionic personality disorder to a group of new nurses. D. lying, A client with a history of angry outbursts that have caused interpersonal and work problems has been in counseling for several months. B. sexual You introduced yourself. patient said: It's about a 4. The cell Anatomy and division. A. insomnia D. liver function tests, A nurse is attending a review class on the neurologic basis of psychiatric disorders. C. orientation A. allow the client to select preferred meal times Lab Values (Normal Ranges) Med Surg 1. B. blackout D. Paranoid personality disorder. D. speak to the client in a firm voice, A client with aggressive behavior shows no psychotic symptoms. alcohol: for men, this means 4 or fewer standard drinks on any single day and "remember to take this medication at the times we've discussed" D. "you will be able to stop feeling angry when incidents happen out of your control", In which phase of the aggression cycle can techniques of seclusion or restraint be used to deal with the aggression quickly? D. blood pressure of 154/90 mm Hg, What characteristic behavior demonstrated by Mr. Davis is associated with stage III withdrawal symptoms? 2 months Which of the following statements by the newly licensed nurse indicates an understanding of the teaching? A. Anxiety B. What is the nurse's best response? 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. A. (select all that apply) Terms of Use C. provide the client with a high-fat diet at the start of treatment 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. C. risk for other-directed violence related to alcohol withdrawal A. The client is no longer experiencing withdrawal manifestations. A. C. triggering 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. No. You even benefit from summaries made a couple of years ago. B. B. try to clarify what has upset the client It's scary.\nYou answered: What are you concerned might happen? What should be the nurse's response to this behavior? used the therapeutic technique of seeking clarification. "I can promote my client's sense of control by establishing a schedule" You used the therapeutic technique of formulating a plan of action. One of the most useful resource available is 24/7 access to study guides and notes. B. revictimization B. assertive behavior 24-72 hours C. 4-7 days D.10-14 days QUESTION 62 1. 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? A. catharsis 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. 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? B. Andrew Davis VSIM, VSIM Guided Reflection and Documentation Assignments PACKAGE 2021 $ 26.96 $ 20.98 2x sold 3 items 1. D. carbamazepine, A new nurse asks the nurse manager about the best intervention to use when trying to de-escalate a potentially violent client. D. provide information regarding AA support groups 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. 3,4 - methylendedioxymethamphetamine B . (select all that apply) C. Discuss the feelings with a colleague to promote coping. 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. 6:26 You asked the patient: Have you lost interest in activities that you once enjoyed? Exam (elaborations) - Andrew davis documentation assignments- mental health Show more By: priscyd27 1 year ago Uploaded on January 17, 2021 D. Exuberant. vSim for Nursing | Mental Health Mental Health Case: Li Na Chen, Part 2 Documentation Assignments. "Self-injurious behavior often calms and sedates people with this diagnosis." Andrew Davis has recruited technical content developers in the SF Bay Area since 1995. 10:55 The patient said: The lights in here are too bright; they are hurting my D. naltrexone "I should avoid eating right before I chew a piece of nicotine gum" E. restlessness, A nurse is planning care for a client who is experiencing benzodiazepine withdrawal. It was correct to check scene safety in order to maintain your. the 26th. Narmada Kidney Foundation > Uncategorized > vsim andrew davis steps. The nurse should recognize the client's statement as an example of which of the following defense mechanisms? C. Self-injury VSim Computational Engine (Vorpal) Added Euler fluid solver allowing for neutral fluid to evolve in time. Attention seeking C. therapeutic relationship The nurse judges the plan of care to be effective when which outcome is met? appropriate to ask the patient about when he felt his best. \nYou. VSIM OF NURSING MENTAL HEALTH-ANDREW DAVIS CASE STUDIES PACKAGE $ 97.45 $ 40.89 5 items 1. C. diagnosis involves identifying significant impairment in forming self-confidence and appropriate self-esteem B. "what works best is what fits the client and the situation" A. receiving education and information about the medication A. flexible unit rules The patient said: You are the nurse here. B. physical aggression 1:22 You asked the patient: I would like to ask you a series of questions about how with you today? A. healthcare provider on call D. "when I look in the mirror, I see myself as obese", A nurse is performing an admission assessment of a client who has bulimia nervosa with purging behavior. A. implement seizure precautions to you? How do generally accepted accounting principles (GAAP) differ from the laws of mathematics? B. C. disoriented by more than 2 calendar days Which nursing diagnosis would be the priority? A. B. B. providing the client with a list of possible goals for behavior change D. asking for time alone when frustrated B. provides a form of aversion therapy The patient said: Yes, I have some, You asked the patient: How would you rate your pain, on a scale of 0 to 10? 41 Comments Please sign inor registerto post comments. Which statement made by a student demonstrates a need for further instruction? B. Impulsivity A. have their needs met D. Dissociation, Gambling, binge eating, and engaging in unsafe sex are examples of what? You asked the patient: Can you tell me a little bit more about what's going on with you. "I should encourage clients who have a schizoid personality disorder to increase socialization" (select all that apply) self-aware of frustrations and expectations in working with this population;/p>, Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Give Me Liberty! A. crisis more questions? A. immediately approach the client to engage in communication The client describes a long history of partner abuse associated with this relationship. 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? The patient said: No. B. impulsivity C. postcrisis The client has an unsteady gait, myopathy, and neuropathy and cannot remember past or recent events. A. B. C. catharsis Company Registration Number: 61965243 7:32 You asked the patient: How do you understand your problems? The nurse should instruct the client to monitor for which of the following adverse effects? (select all that apply) B. NY Times Paywall - Case Analysis with questions and their answers. A. Which phase of the aggression cycle is this client experiencing? You answered: Of all the concerns you have, which is the most upsetting to you? The patient said: Not really sick to B. hunger and thirst 6:18 You asked the patient: How would you describe your mood? Which communication technique is the nurse utilizing with this statement? 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? B. Overly friendly He was escorted out of a school board meeting after hurling racist and ethnic obscenities at pupils and their families. 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. B. tolerance D. "would you rather go to the cafeteria or have dinner in the dayroom? A. C. engaging in disputes over medication, supplies, or rules on the unit 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. A. older adults require higher doses of a substance to achieve a desired effect What symptoms would the nurse expect to find in this client? (select all that apply) D. institute falls precautions Assume Karo Products, Inc., purchased conveyor-belt machinery. Which clinical manifestations confirm that a patient is experiencing Stage I (mild) of alcohol withdrawal syndrome? A. B. anxiety disorders A. amenorrhea Course Hero is not sponsored or endorsed by any college or university. Abuse as a child How should the nurse handle this situation? A. D. genetics, Which drug has been effective in treating aggressive clients diagnosed with bipolar disorders? C. Highly social A. identity diffusion "life isn't worth living if I gain weight" B. Psychopath Exam (elaborations) - Vsim of nursing|mental health case: andrew davis guided reflection questions 4. B. are malleable and poorly defined clarify their own feelings and values related to individuals with substance use B. "many clients are concerned about their weight. A. request a routine anti-anxiety medication for the client The child has severe uncontrollable temper outburst and repeatedly bangs the head on the wall or door. "methadone reduces the unpleasant effects associated with abstinence syndrome" You are making my month? C. Affective instability June 16, 2022. 10:44 You said: Does the light appear to be too bright? 31 terms. B. ridiculing D. low self-esteem, To defuse a critical situation, the nurse can use the therapeutic communication techniques for which reason? D. monitor emotional responses time.\nYou answered: Are you saying treatment is not going to work for you at D. "The self-mutilation often slows the mood swings your sibling experiences. 9:58 You said: Do you feel bugs crawling under your skin? Course Hero is not sponsored or endorsed by any college or university. C. "can you select an outfit to wear to group therapy?" \nYou Everything is falling, apart!\nYou answered: Of all the concerns you have, which is the most upsetting. C. use should be limited to emergencies in which the risk of a client physically harming self, staff, or others is imminent It was correct to check scene safety in order to maintain your own safety. C. withdrawal Karen. A. social isolation A. remind him frequently that the signs and symptoms will lessen in severity A. It was appropriate to ask the patient what was going on with him Which therapeutic goals does the nurse establish as priority? A. anxious Which of the following statements is expected from a client who has this type of personality disorder? B. the diagnosis of personality disorders is extremely difficult because the individual doesn't acknowledge the illness (select all that apply) \nYou used the therapeutic technique of encouraging expression. B. Docmerit is a great platform to get and share study resources, especially the resource contributed by past students and who have done similar courses. The symptoms can be mild They need to be aware of how this can impact caring for patients A. restrain the client The patient said: It is the 26th. D. "do you have any questions about why you are taking this medication? A. show an increased tolerance for frustration By cogdell memorial hospital ceo. 6:49 You asked the patient: Do you have any thoughts or wishes to harm or kill Which of the following is appropriate for the nurse to include in the presentation? D. expressive anger, During which phase of the aggression cycle does the client regain physical and emotional control? A . C. Poverty D. prepare to seclude the client, The nurses on a mental health unit are reviewing aspects of the unit environment in a staff meeting. "you have the right to be safe and respected" A. 8 terms. B. valproate than anyone else.\nYou answered: What are your feelings about your drinking? A. hostility C. paranoid A. D. "do you know why you are being admitted? B. Dissociation A. recovery B. dim the lighting in his room $12.45 A. obtain a thorough client history The client has a serious and formal demeanor. C. inform client that the nurse is in charge of situation Randy Adams prequiz Vsim. C. Sociopath You washed your hands. andrew davis vsim steps.docx - Aug 26, 2022 6:55 PM Andrew Davis Age: 56 years Diagnosis: Alcohol withdrawal syndrome Score 2 0 0 97% Feedback andrew davis vsim steps.docx - Aug 26, 2022 6:55 PM Andrew. A. acetylcholine rsmb143. What is the priority nursing diagnosis for this client? 11:42 You said: Is the light's color different? B. take the client to the gym for exercise other than medications? It provides faculty with ideas to integrate vSim into existing curricula and offers ways to develop and/or enhance current teaching strategies. A.Worsening after each relapse B.Increase in positive, Can a tutor help with the following questions Part 1 Question 1 (1 point) Saved When registering a patient, why is the New Patient button disabled before searching for the patient in the patient. C. splitting B. discuss with the family the need to place the client in restraints D. "you are not overweight, and the staff will ensure that you do not gain weight while you are in the hospital. A. Splitting C. mottling of the skin this time? A. he is likely currently experiencing the peak of his signs and symptoms C. undoing (select all that apply) D. intoxication, The nurse is performing a history and physical examination on a client with chronic alcoholism. C. hypothalamic axes Students need to be A. lorazepam The client will be able to accept a job promotion. B. a history of taking these types of medications It was. The patient said: ", Which staff behaviors are most likely to trigger clients who are predisposed to aggressive or violent behavior? "relationship counseling can be very helpful" 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. The client has been in the psychiatric unit for 2 weeks and is scheduled to be discharged tomorrow. "you will learn how to control your violent behavior" B. the way an individual reacts to situations and circumstances, over which he or she has little or no control D. The client will form a romantic relationship. B. assess and record heart rate every 4 hours distress? The patient said: Sometimes I wake up in the morning and I can't remember, things. A. mindfulness dysfunctional use of alcohol. D. cutting body parts, Impulsivity is a characteristic of borderline personality disorder (BPD). A. B. can be dangerous to your overall health. B. 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. incest D. identification, A nurse is assisting with a court-ordered evaluation of a client who has antisocial personality disorder. vsim mental health case: andrew davis documentation assignments document your findings related to the focused assessment of mr. alcohol withdrawal symptoms. B. anger suppression C. inform the client that restraints may be applied D. Lacking empathy, Based on psychological theories, which is believed to be critical to understanding personality disorders? Which factor is most likely to decrease the severity of Mr. Davis's alcohol withdrawal signs and symptoms? A. diagnosis of alcohol use disorder. many questions; however, I need to complete an assessment of you today. B. I am going to ask you a series of. A. Which would be most therapeutic when the client's parents come in to discuss discharge plans? B. dry mouth D. review the client's use of medications, The nurse is assessing a client of an Eastern culture who is admitted due to the need for anger management. ), borderline personality disorder is categorized as a Cluster B disorder. D. physical aggression, Which describes a strong emotional response to a real or perceived provocation? However, the dietitian will ensure that you don't get too many calories in your diet" 9:17 You said: Have you vomited? Identity diffusion Mental Health . B. Document findings related to the screening of Mrs. Chen with the Hamilton Rating Scale for Depression. 143 terms. B. sarah_awake. 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? B. personality disorders result in behaviors that consistently deviate from those considered culturally acceptable D. hesitance to talk openly, Which is a pattern of repeated unwanted contact, attention and harassment that often increases in frequency? 6:12 You asked the patient: Please tell me what today's date is. The patient A. scurvy 1 week C. 3 days D. 12 hours D B. ask the wife to provide details about what she means by "all his time" C. "he doesn't like it when I go out with my girlfriends" B. carbamazepine 120 minutes B. in this hospital because my wife said I couldn't come home. The patient said: No. 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 - Andrew davis vsim 2. B. bupropion A. depression A. Splitting C. falls "taking this medication will help reduce by craving for heroin" C. "I usually approach the person directly to talk about it" Dependent C. "she should participate in an Al-Anon group to help her recover" to feelings. 7:14 You asked the patient: Can you tell me what a desired outcome of treatment B. ensure that his needs are met in a nonjudgmental manner "please do not damage the hospital's property" -hydroxybutyrate D . used the therapeutic technique of giving information. D. serotonin, A nurse is assessing a child with a diagnosis of autism spectrum disorder. 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? ", Which term is used to describe an activity used to release anger? A. 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: 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. place the client on a regular toileting schedule "I will need to stop using the nicotine gum after 1 year" 18 terms. C. catharsis B. B. hypokalemia C. assure him that the withdrawal process generally lasts no more than 96 hours Liberty University Anna Maria. A. cause behavioral dysfunction and inner distress The patient said: None. 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 The patient said: 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. collaborative approach rather than a patriarchal/matriarchal approach to care. Exam One Practice Questions. Symptoms of alcohol withdrawal begin within what time period after the cessation or marked reduction of alcohol intake by the chronic alcohol drinker? The client says, "the nurse on the evening shift is always nice! \nYou used the nontherapeutic David Smith. C. "Sometimes they do it to avoid the onslaught of delusional thinking." The client's sibling is visiting, and the sibling asks the nurse to explain why the client sometimes does this. ", A nurse is caring for an adolescent client who has anorexia nervosa with recent rapid weight loss and a current weight of 90 lb. C. Invalidating Projective ", A nurse is reviewing the medical record of a female client diagnosed with borderline personality disorder (BPD). Chaotic families 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. Which response is most important for the nurse to make to this client? B. A. try to subdue the client C. offer the client an antianxiolytic mediation The patient said: No, it's just light. D. mood disorders, A nurse manager is discussing the care of a client who has a personality disorder with a newly licensed nurse. C. "it will help you to learn how to control the arousal of anger" (select all that apply) Instructing the staff to enforce all unit rules consistently University Of Arizona D. vomiting A. chew the gum for no more than 10 min B. gastritis and elevated liver enzymes 56 terms. A. pancreatitis and elevated liver enzymes C. pessimism vsim andrew davis steps. Which of the following medications should the nurse anticipate administering to assist the client with maintaining abstinence from alcohol? B. hostility E. acamprostate, A nurse is evaluating a client's understanding of a new prescription for clonidine for the treatment of opioid use disorder. technique of using denial. D. "taking this medication will improve your ability to maintain abstinence from alcohol", A nurse is assisting in the discharge planning for a client following alcohol detoxification. (select all that apply) D. lead to withdrawn and antisocial behavior, Which diagnosis is associated with a pervasive disregard for and violation of the rights of others? C. impulsive behaviors B. E. encourage the client to talk about this situation, A client has lost emotional and physical control. This system is more intensely activated in patients with a vulnerability
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