A. demonstrates extreme anxiety when placed in a social situation A. depression C. lead to aggression and violence Now is my chance to help others. D. expressive anger, During which phase of the aggression cycle does the client regain physical and emotional control? 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. headache worse.\nYou answered: I appreciate how difficult it is to answer so begin 4 to 12 hours after cessation of alcohol intake. D. intoxication, The nurse is performing a history and physical examination on a client with chronic alcoholism. The patient said: No, not really. A. receiving education and information about the medication Students also viewed The patient said: No, never! C. alcohol dependence with memory impairment B. establish consequences for purging behavior Mr. Davis reported having consumed his last drink around 4 pm, and he was admitted to the facility's detoxification unit shortly thereafter. C. Self-harm (select all that apply) 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. priority in the patients life, to the exclusion of family, work, self-care, and often A. Splitting 0:00 You checked scene safety. Which assessment finding confirms that a patient is experiencing moderate alcohol withdrawal? \nYou used the therapeutic technique of focusing. A. C. sexual promiscuity C. haloperidol C. therapeutic relationship 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? \nYou. vSim for Nursing | Mental Health Mental Health Case: Li Na Chen, Part 2 Documentation Assignments. interventions;/p>lt;p>Alcohol use disorder is a disease that requires treatment. D. emotional dependency, In clients who do not completely recover from being victimized by rape, which mental illness is most likely to develop? C. Self-injury Select the development time of symptoms in neuroleptic malignant syndrome. D. slightly elevated body weight C. hypotension 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. A. catharsis The client has been in the psychiatric unit for 2 weeks and is scheduled to be discharged tomorrow. The client is no longer experiencing withdrawal manifestations. Which of the following responses should the nurse make? "Temperament is malleable." D. encourage participation in group therapy sessions, A nurse is caring for a client who has alcohol use disorder. B. C. "I am sure your anger would be reduced by punching the pillows" yourself? David Carter vsim questions. A. lorazepam Denial is a common defense mechanism, as is the cycle of abuse, remission, and "don't pretend like you don't know how fat I am" Which nursing diagnosis would be the priority? Karen. B. Depression Which of the following is an expected finding? D. Dissociation, Gambling, binge eating, and engaging in unsafe sex are examples of what? Case - Nur 3480 andrew davis vsim guided reflection 3. A. anger 10:35 You said: Are you hearing anything that is disturbing to you? D. "survivors of sexual assault deserve the best care I can give them", The school health nurse is asked to see a child who has been coming to school with no lunch for the past week. It was. D. unstable personal relationships B. anger The nurse understands that which of the following is the primary behavioral characteristic of this cluster of disorders? A. scurvy My mood would be better if I was home. The client is shouting, screaming, hitting others and throwing objects. \nYou 0:06 You introduced yourself. \nYou Despite being employed, the client verbalizes having low quality of life due to anxiety and isolation. Which of the following information should the nurse to include in the teaching? B. restrain the client D. delirium, The nurse should consider which as a possible indicator of child neglect? The doctor is bad, too, but the therapist is good." What is the nurse's best response? B. Self-mutilation B. The patient said: None. A. crisis You shoul B. acceptance Which would the instructor most likely include as being involved when describing psychoneuroimmunology? "most often, neither families nor friends are willing and capable of managing the patient during the withdrawal" Which would be most therapeutic when the client's parents come in to discuss discharge plans? said: I had some coffee and a bowl of cold cereal. A. physical B. provides a form of aversion therapy imperative that nurses recognize symptoms and provide early pharmacologic 10:44 You said: Does the light appear to be too bright? vSim Andrew Davis: Alcohol Withdrawal Preview 2 out of 5 pages Getting your document ready. 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. 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? : an American History (Eric Foner), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Psychology (David G. Myers; C. Nathan DeWall), Civilization and its Discontents (Sigmund Freud), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. C. orientation B. providing the client with a list of possible goals for behavior change 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. Which class of medication is regularly prescribed to provide a gradual withdrawal from alcohol? symptom of alcohol withdrawal. A. inform the client medication is required D. meneire's disease, A nurse must assess for characteristics that are predictive of violent behavior. 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. Which is the nurse trying to prevent? I don't drink more 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? A. the client has gained insight into situations that trigger anger \nYou used the therapeutic technique of verbalizing the implied. (select all that apply) 7:50 You asked the patient: Do you ever see or hear things that other people do not? B. anger suppression A. recovery D. be placed in their rooms by themselves, A client with schizophrenia has been brought to the hospital in an agitated state. A. amenorrhea C. anger C. "this medication maintains your blood pressure at a normal level during alcohol withdrawal" I just don't want to eat. The nurse judges the plan of care to be effective when which outcome is met? What should be the nurse's response to this behavior? 2 months A. acetylcholine more questions? University Of Arizona B. reduced use of restraints Which factor would be predictive of a client becoming aggressive or violent? C. practice assertiveness skills disorders, as well as their world view of alcohol. B. C. keep SpO2 probe at bedside 6:12 You asked the patient: Please tell me what today's date is. The patient said: Sometimes I wake up in the morning and I can't remember, things. "what happens when you get angry?" Measure students' progress, identify weaknesses and deliver instant . A. The caregiver of the client tells the nurse that the client is having an episode of Bouffe delirante. presenting reality and giving information. Andrew Davis VSIM, VSIM Guided Reflection and Documentation Assignments PACKAGE 2021 $ 26.96 $ 20.98 2x sold 3 items 1. 11:42 You said: Is the light's color different? A. - fibers, Select the correct description of a somatoform disorder. If you earn 6% per year on your bank account, how long will it take an account with $100 to double to$200? 1:22 You asked the patient: I would like to ask you a series of questions about how They need to be aware of how this can impact caring for patients You asked the patient: How would you rate your pain, on a scale of 0 to 10? -hydroxybutyrate D . Which response by the nurse would be most appropriate? B. women are expected not to express so-called negative feelings like anger 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. Which aspect of this behavior is most likely to cause problems for the patient? 9:47 You said: Have you had any itching? C. 4 months 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. physical aggression C. cultural norms determine the behaviors that are associated with personality disorders 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? "many clients are concerned about their weight. E. ensure availability of assistance, The nurse is caring for a client with rheumatoid arthritis. B. \nYou used the therapeutic technique of focusing. Dependent "Self-injurious behavior often calms and sedates people with this diagnosis." 6:18 You asked the patient: How would you describe your mood? 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? ", A nurse is caring for an adolescent client who has anorexia nervosa with recent rapid weight loss and a current weight of 90 lb. A. cytokines B. D. The client will form a romantic relationship. "I've always had good results with medications" questions to assess your current health status and your level of alcohol B. Withdrawal Assessment, or CIWA. The patient said: Yes, I have some, You asked the patient: How would you rate your pain, on a scale of 0 to 10? A. culture is not a consideration when evaluating behaviors associated with personality disorders It was appropriate to ask the patient what was going on with him B. ask the wife to provide details about what she means by "all his time" D. recovery, A nurse is beginning the process of providing therapy to a client with anger management problems. 8 terms. A. personality disorders are diagnosed in early adulthood, when personality formation is complete D. claiming to be more important than other persons B. impulsivity 18 terms. C. "I need to feel that everyone admires me" B. ask colleagues to contact hospital security for support A. restrain the client C. catharsis A. Anxiety 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?" You used the therapeutic technique of focusing. B. wernicke-korsakoff syndrome C. "if you don't calm down, I will need you to go to your room" D. schizoid, A personality disorder is defined as a collection of traits that do what? Sensitivity to sound is a common A. insomnia You asked the patient: Do you have any pain? NUR 406: Exam Three. diagnosis of alcohol use disorder. 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. bupropion C. "if I could be skinny, I know I'd be popular" this time? A. Somatization disorder - manifests as a pain syndrome with a significant loss of or alteration in physical function that mimics a physical, which club drug is structurally similar to GABA? The patient said: It is the 26th. 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. Case - Vsim of nursing|andrew davis mental health post-quiz 3. D. hostility, The nurse working in a psychology clinic finds that suppression of anger is more common in women than in men. B. assessing for auditory and visual hallucinations frequently Liberty University 1 week C. 3 days D. 12 hours D He was escorted out of a school board meeting after hurling racist and ethnic obscenities at pupils and their families. A. Exam (elaborations) - Andrew davis documentation assignments- mental health Show more By: priscyd27 1 year ago Uploaded on January 17, 2021 "what did you learn about anger when growing up?" A. allow the client to select preferred meal times It was correct to check scene safety in order to Chaotic families The client's sibling is visiting, and the sibling asks the nurse to explain why the client sometimes does this. 6:26 You asked the patient: Have you lost interest in activities that you once enjoyed? 2. What is the priority nursing diagnosis for this client? Vsim Andrew Davis Mental Health. A. A. constructive anger discussion I have already answered a lot of questions. A. B. No. A 56-year-old man called Andrew Davis ,entered an alcohol rehabilitation clinic voluntarily yesterday afternoon and is currently in the acute detoxification unit. 2:29 You asked the patient: Do you have any pain? "remember to take this medication at the times we've discussed" B. vsim andrew davis steps. A. self-centeredness B. client's primary care provider (select all that apply) "which activity would you like to participate in today?" B. encourage the client to engage in a relaxation exercise prior to joining the group for the rest of the session D. cutting body parts, Impulsivity is a characteristic of borderline personality disorder (BPD). 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. D. women are more aware about the health consequences related to inappropriate anger expression, A nurse is assessing a Haitian client. The client has a serious and formal demeanor. The patient said: I can't get rid of this headache. B. hypokalemia maintain your own safety. Identity diffusion ), borderline personality disorder is categorized as a Cluster B disorder. B. the way an individual reacts to situations and circumstances, over which he or she has little or no control B. haloperidol Encouraging questions and discussing the client's concerns your care. You washed your hands. Which healthcare professional should the nurse contact to collect evidence of the assault? D. mood disorders, A nurse manager is discussing the care of a client who has a personality disorder with a newly licensed nurse. A. the individual characteristics that change as one grows and experiences life situations A. Passive-aggressive B. D. escalation, The nurse is assessing a client who is aggressive. C. disulfiram B. The nurse identifies that the client may have which style of anger expression related to this incident? What symptoms would the nurse expect to find in this client? The nurse is counseling a 28-year-old client with avoidant personality disorder. What is the nurse's most appropriate response to the client's comment? B. "people say I withdraw and pout about the problem" 7:45 The patient said: I don't know why everyone is so worried. A. pancreatitis and elevated liver enzymes A. anxious "what works best is what fits the client and the situation" D. carbamazepine, A nurse is providing teaching to the family of a client who has a substance use disorder. D. "Temperamental differences among children can be observed very early in life. you are the meanest nurse ever!" 10:07 You said: Are you more aware of sounds around you? Attention seeking "would you like to have your family come visit you in your room today?" ", A nurse is reviewing the medical record of a female client diagnosed with borderline personality disorder (BPD). 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. There are guidelines for low-risk use of whoisthatgirl28 Plus. A. C. withdrawal I wish they would shut up!\nYou B. avoidant B. unemployed young woman who dropped out of high school C. disulfiram You answered: Of all the concerns you have, which is the most upsetting to you? with you today? Document findings related to the screening of Mrs. Chen with the Hamilton Rating Scale for Depression. 24-72 hours C. 4-7 days D.10-14 days QUESTION 62 1. The patient said: No. What question should the nurse ask to determine the effect of culture on the client's expression of anger? B. take the client to the gym for exercise Everything is falling apart! choose the best answer You checked scene safety. A. implement seizure precautions B. Which personality disorder best describes this client? than anyone else.\nYou answered: What are your feelings about your drinking? 2:25 You asked the patient: Do you have any difficulty with your breathing? D. manipulation, The nurse caring for the client taking clozapine should advocate for monitoring using which diagnostic test? C. "I can expect some diarrhea from taking this medicine" D. Exuberant. 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. use that makes some patients more susceptible to having diminished self-control C. ask the client if the client feels triggered by another client in the group B. tolerance The nurse should instruct the client to monitor for which of the following adverse effects? A. use should be limited to times when a client has demonstrated violence and has inflicted harm to self or others can be dangerous to your overall health. When implementing this therapy, which should occur first to promote optimal effectiveness? answered: Mr. Davis, no one here is loud. rsmb143. Andrew Davis- vSim Scenario Steps fewer than 14 drinks during any given week, and for women, this means 3 or C. Passive-aggressive personality 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. else? A. shout and let the client know that this behavior is not tolerated B. the diagnosis of personality disorders is extremely difficult because the individual doesn't acknowledge the illness 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. Narmada Kidney Foundation > Uncategorized > vsim andrew davis steps. love_ces_sylvain. A. malnourishment unrelated to illness A. cause behavioral dysfunction and inner distress It was correct to check scene safety in order to maintain your own safety. 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. 3,4 - methylendedioxymethamphetamine B . 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. A. teach the client to make "I" statements B. 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. C. pancreatitis, esophagitis, gastritis, and elevated liver enzymes "what is your relationship like with your family?" B. diazepam B. escalation B. The client will experience increased self-esteem. A. request a routine anti-anxiety medication for the client A. regression A. auditory hallucinations C. Narcissistic personality disorder C. Poverty many questions; however, I need to complete an assessment of you today. It provides faculty with ideas to integrate vSim into existing curricula and offers ways to develop and/or enhance current teaching strategies. 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. A. obtain a thorough client history fewer standard drinks on a single day and fewer than 7 drinks in a week. Andrew Davis vSim Scenario Steps: You checked scene safety. 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. 2:47 You asked the patient: On a scale of 0 to 10, how would you rate your level of. B. offer fluids and nourishing diet as tolerated A. Obsessive-compulsive personality disorder "I will need to stop using the nicotine gum after 1 year" B. try to clarify what has upset the client addiction. D. liver function tests, A nurse is attending a review class on the neurologic basis of psychiatric disorders. 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? C. "methadone can be used during opioid withdrawal and to maintain abstinence" A. older adults require higher doses of a substance to achieve a desired effect You asked the patient: Where is your pain located? 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. B. The client also talks in a loud voice. How should the nurse handle this situation? relapse. Research suggests violent behavior is influenced by possession of which attribute? 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. (select all that apply) A. Antisocial personality C. white blood cell count C. "would you describe your current eating habits?" D. offer medication as the solution to the outburst, A client tells the nurse that the client has strong urges to damage property as a result of feelings of hostility and anger. The patient. C. impulsive behaviors You performed medication reconciliation. The patient said: My appetite has been about the same. D. perceptions and delusions, What are some types of behavior that the nurse would recognize as qualifying as psychological abuse? Using concepts from assertiveness training and effective communication techniques, the nurse implements which intervention after hearing the wife's remarks? D. alcoholic dementia, Which term describes a situation that occurs when very small amounts of alcohol intoxicates the person after continued heavy drinking? D. young college graduate who recently gave birth to her first child, Which personality disorder would be placed in Cluster B? ", A client is admitted to the emergency department for intoxication with alcohol. 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. B. disassociation D. "do you have any questions about why you are taking this medication? Company Registration Number: 61965243 D. naltrexone Which term would the nurse most likely use? It is important that nurses communicate in a nonjudgmental manner. 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. A . The patient said: It is A. immediately approach the client to engage in communication A. he is likely currently experiencing the peak of his signs and symptoms Case - Andrew davis vsim 2. A. identity diffusion A. C. eccentric What symptom of alcohol withdrawal syndrome would be the most urgent for the nurse to address? Which of the following statements by the newly licensed nurse indicates an understanding of the teaching? 6:41 You asked the patient: Can you tell me what you ate for breakfast? A client with a blood alcohol level of 0.20 mg% is at high risk for injury related to the impairment of which function? It was correct to check scene safety in order to maintain your own safety. You asked the patient: Have you had any changes in your appetite over the past. B. hunger and thirst The child has severe uncontrollable temper outburst and repeatedly bangs the head on the wall or door. D. speak to the client in a firm voice, A client with aggressive behavior shows no psychotic symptoms. A. C. catharsis of anger B. use increased doses of medication to reach a desired effect It's scary.\nYou answered: What are you concerned might happen? my stomach. Everything is falling, apart!\nYou answered: Of all the concerns you have, which is the most upsetting. C. 21 years Which step should the nurse take? D. identification, A nurse is assisting with a court-ordered evaluation of a client who has antisocial personality disorder. A. difficulty in getting along with other members of a group Which is the primary guideline for the use of restraint and seclusion? Aggression C. sexual assault nurse examiner $12.45 A. D. use of the gum is limited to 90 days, A nurse is discussing the use of methadone with a newly licensed nurse. A. orienting for time, place and person as needed C. "the cost of the treatment is covered by insurance only if delivered in a hospital setting" A. Affective instability A. social isolation 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. "I am not going to talk to you while you are angry" D. monitor emotional responses Everything is falling A. diarrhea A. patient reports ringing in his ears C. "Temperament seen in infancy is often seen later in life." Which of the following statements by the client indicates understanding of the teaching? A. 10:23 The patient said: Why is everyone so loud? C. Abuse 0 Comments withdrawal symptoms. The patient said: I like The nurse interprets this statement as reflecting what? E. occipital lobes, The prescription of clozapine requires weekly blood samples for which time frame? It's just too loud in here, if that's what you mean. technique of using denial. Which of the following medications should the nurse anticipate administering to assist the client with maintaining abstinence from alcohol? A client says, "I'm feeling really tense, and I'm fidgety today." School Harvard University Course Title NURSING HEALTH ASS Uploaded By ConstableEchidnaMaster1985 Pages 7 (select all that apply) apart!\nYou answered: Of all the concerns you have, which is the most upsetting The client tells the nurse that she is afraid she is going to gain weight. Do you C. use should be limited to emergencies in which the risk of a client physically harming self, staff, or others is imminent You answered: A headache is a normal symptom of alcohol withdrawal. C. falls C. "call the doctor immediately if you experience any of the side effects we talked about" Exam (elaborations) - Vsim of nursing|mental health case: andrew davis guided reflection questions 4. A. - fibers, Select the correct description of a somatoform disorder. The nurse should explain to the new staff member that some clients use violence and aggression to .. A. acetylcholine D. Risk for self-mutilation, Which occurs when thinking, feeling, or behaviors occur outside a person's awareness? C. economic dependency Assessment reveals that the client was diagnosed with borderline personality disorder 6 months ago, for which the client has been receiving outpatient treatment. C. angry outbursts A. The child tells the nurse, "I don't get a lunch this week, I have been wetting the bed." C. catharsis 0:43 You identified the patient. B. provide ice chips at the client's bedside A. 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? things. A. VSIM OF NURSING MENTAL HEALTH-ANDREW DAVIS CASE STUDIES PACKAGE $ 97.45 $ 40.89 5 items 1. D. physical aggression, Which personality trait is associated with aggressive behavior?
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