They need to be aware of how this can impact caring for patients A. cytokines D. carbamazepine, A new nurse asks the nurse manager about the best intervention to use when trying to de-escalate a potentially violent client. C. threatening a victim's dog E. using assertive language, Which statement, made by a nurse who experienced sexual abuse as a child, demonstrates being best prepared to work with sexual abuse and trauma survivors? When implementing this therapy, which should occur first to promote optimal effectiveness? B. can be dangerous to your overall health. time.\nYou answered: Are you saying treatment is not going to work for you at C. neglect C. inform client that the nurse is in charge of situation B. anxiety disorders Which assessment finding confirms that a patient is experiencing moderate alcohol withdrawal? D. naltrexone "remember to take this medication at the times we've discussed" B. escalation 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) Which of the following statements by the newly licensed nurse indicates an understanding of the teaching? 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 of the following findings should the nurse expect? 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. E. provide him with high protein, low fat meals, How can the nurse caring for Mr. Davis best provide the appropriate emotional care during his alcohol withdrawal? Do you B. gastritis and elevated liver enzymes (select all that apply) D. hostility, The nurse working in a psychology clinic finds that suppression of anger is more common in women than in men. (select all that apply) D. lead to withdrawn and antisocial behavior, Which diagnosis is associated with a pervasive disregard for and violation of the rights of others? B. sexual The patient said: I can't get rid of this headache. 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? ), borderline personality disorder is categorized as a Cluster B disorder. B. encourage the client to engage in a relaxation exercise prior to joining the group for the rest of the session A. 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. The patient said: ", A nurse is reviewing the medical record of a female client diagnosed with borderline personality disorder (BPD). \nYou C. "if I could be skinny, I know I'd be popular" symptom of alcohol withdrawal. A. vsim andrew davis steps. ", A nurse is working with a client who has lost unit privileges due to inappropriate behavior. A. lorazepam Include his responses to your assessment. B. use should be limited to times when medications have been unsuccessful in de-escalating a situation It was appropriate to ask the patient what was going on with him You asked the patient: Have you had any changes in your appetite over the past. 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. 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. ", A client in the emergency department has self-inflicted wounds on both arms. Which intervention would be most appropriate at this point? A. 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. The symptoms can be mild Instructing the staff to enforce all unit rules consistently C. scheduled unit activities (headache, tremor) to severe (hallucinations, delirium tremens, seizures). D. implement one-to-one observation during meal times, A nurse is caring for a client who has bulimia nervosa and has stopped purging behavior. E. ensure availability of assistance, The nurse is caring for a client with rheumatoid arthritis. whoisthatgirl28 Plus. 6:33 You asked the patient: Name an activity that you enjoy. B. helplessness 6:26 You asked the patient: Have you lost interest in activities that you once enjoyed? A. orienting for time, place and person as needed C. Ask the parents to keep a written schedule of activities for each day for the client The client will be able to accept a job promotion. B. wernicke-korsakoff syndrome A. auditory hallucinations technique of using denial. 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. What symptom of alcohol withdrawal syndrome would be the most urgent for the nurse to address? It was correct to check scene safety in order to "I've always had good results with medications" alcohol: for men, this means 4 or fewer standard drinks on any single day and D. Stress, A client with borderline personality disorder (BPD) tells the nurse, "You are good but the nurse on the afternoon shift is bad. D. ask another client in the group to respond to the client's comment, A nurse is considering using restraint and seclusion for a client who is acting out. C. decreases cravings A. A. . The nurse should anticipate prescriptions for which of the following medications to promote long-term abstinence for alcohol? I am going to ask you a series of. A. C. ask the husband to discuss why he spends so much time with his friends 18 years The patient said: No, it's just light. A . think I'm nuts?!? What is the priority nursing diagnosis for this client? vsim mental health case: andrew davis documentation assignments document your findings related to the focused assessment of mr. alcohol withdrawal symptoms. "one of the side effects of this medication is breast engorgement" C. provide the client with a high-fat diet at the start of treatment D. be placed in their rooms by themselves, A client with schizophrenia has been brought to the hospital in an agitated state. 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. D. dramatic, Which long-term patterns are consistent with a diagnosis of borderline personality disorder? Which medication should the nurse expect to be ordered for this client? D. cutting body parts, Impulsivity is a characteristic of borderline personality disorder (BPD). cravings and difficulty stopping the use of the substance. appropriate to ask the patient about when he felt his best. You even benefit from summaries made a couple of years ago. Students need to be B. hunger and thirst D. recovery, A nurse is beginning the process of providing therapy to a client with anger management problems. If you earn 6% per year on your bank account, how long will it take an account with $100 to double to$200? Just Tylenol. A. criticizing B. Andrew Davis VSIM guided reflection.docx - Mental Health my stomach. C. Invalidating Projective to feelings. to you? B. carbamazepine (select all that apply) vsim andrew davis steps. "eliminating any codependent behavior will promote her recovery" Ketamine C . B. blood urea nitrogen and creatinine A. women have a greater threshold for controlling anger These are questions I ask all of the patients I see. B. restrain the client 8:30 You said: Alcohol withdrawal can cause a variety of symptoms, some of which "this medication will help prevent seizures during alcohol withdrawal" D. hesitance to talk openly, Which is a pattern of repeated unwanted contact, attention and harassment that often increases in frequency? 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. B. reduced use of restraints B. reach out for the client's knife C. Highly social A. receiving education and information about the medication (select all that apply) Docmerit is a great platform to get and share study resources, especially the resource contributed by past students and who have done similar courses. Which of the following statements is expected from a client who has this type of personality disorder? 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. 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. emotional dependency, In clients who do not completely recover from being victimized by rape, which mental illness is most likely to develop? C. economic dependency A. orient the client frequently to time, place and person Which client response would indicate to the nurse that the client engages in anger suppression? Identity diffusion B. discuss with the family the need to place the client in restraints C. sexual promiscuity B. C. "methadone can be used during opioid withdrawal and to maintain abstinence" A. experiencing tactile disturbances "Temperament is not changeable." Which phase of the aggression cycle is this client experiencing? 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: 1 week C. 3 days D. 12 hours D vSim Pre Simulation Quiz - Linda Waterfield. C. manic behaviors D. "why do you think I am not being respectful to you? On which potential issue should the nurse focus with this client? relapse. C. "this medication maintains your blood pressure at a normal level during alcohol withdrawal" C. avoid eating 15 min prior to chewing the gum C. hypothalamic axes D. abdominal pain many questions; however, I need to complete an assessment of you today. D. monitor emotional responses A. insomnia The patient said: It is Northwestern University A. difficulty in getting along with other members of a group interviewing is a good intervention with alcohol use disorder as it promotes a \nYou used the therapeutic technique of focusing. with you today? clarify their own feelings and values related to individuals with substance use B. admitting to visual hallucinations My mood would be better if I was home. A. cardiac enzymes 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. 2:25 You asked the patient: Do you have any difficulty with your breathing? Which class of medication is regularly prescribed to provide a gradual withdrawal from alcohol? The client has a history of gastritis, esophagitis, elevated liver enzymes, cardiomyopathy, and pancreatitis. vSim for Nursing | Virtual Simulation | Laerdal Medical It's scary.\nYou answered: What are you concerned might happen? 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. D. intoxication, The nurse is performing a history and physical examination on a client with chronic alcoholism. These are questions I ask all of the patients I see. B. blackout The patient said: No, not really. D. hypertension, A nurse is teaching a female client who has tobacco use disorder about nicotine replacement therapy. D. 8 months, A client has been prescribed clozapine for treatment of schizophrenia. D. Dissociation, Gambling, binge eating, and engaging in unsafe sex are examples of what? B. acceptance 6:12 You asked the patient: Please tell me what today's date is. C. "call the doctor immediately if you experience any of the side effects we talked about" B. the client has increased self-esteem C. Affective instability andrew davis vsim steps.docx - Aug 26, 2022 6:55 PM Andrew B. provides a form of aversion therapy The client is no longer experiencing withdrawal manifestations. C. hallucinations An interactive, personalized simulation experience for every student. B. patient reports a headache rated as 3/5 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. The child tells the nurse, "I don't get a lunch this week, I have been wetting the bed." A. use should be limited to times when a client has demonstrated violence and has inflicted harm to self or others Exam One Practice Questions. Chaotic families A. increases the risk for seizure activity yourself? to addiction. fewer than 14 drinks during any given week, and for women, this means 3 or B. A. depression D. Lacking empathy, Based on psychological theories, which is believed to be critical to understanding personality disorders? The nurse should recognize the client's statement as an example of which of the following defense mechanisms? Company Registration Number: 61965243 A. bradycardia $12.45 D. the support the client has at home for taking medications, While discussing the CNS, the nursing instructor tells the students that the major inhibitory neurotransmitter in the CNS is what? C. diagnosis involves identifying significant impairment in forming self-confidence and appropriate self-esteem Ketamine C . When treated with thiamine, the client's symptoms greatly improve. A. chain smoking A. risk for injury related to effects of alcohol abuse Motivational It was correct to check scene safety in order to maintain your own safety. B. "methadone is a replacement for physical dependence to opioids" Which statement made by a student demonstrates a need for further instruction? C. extreme confidence D. "you are not overweight, and the staff will ensure that you do not gain weight while you are in the hospital. The cell Anatomy and division. C. "he doesn't like it when I go out with my girlfriends" Vsim Andrew Davis Mental Health. Now is my chance to help others. June 16, 2022. The patient said: No, I am not seeing or hearing things that are not there. Which of the following information should the nurse include in the teaching? 10:55 The patient said: The lights in here are too bright; they are hurting my imperative that nurses recognize symptoms and provide early pharmacologic B. rape 41 Comments Please sign inor registerto post comments. Poor social skills Liberty University (select all that apply) The patient 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 "I should avoid eating right before I chew a piece of nicotine gum" "people say I withdraw and pout about the problem" A. A. pancreatitis and elevated liver enzymes B. offer fluids and nourishing diet as tolerated A. Obsessive-compulsive personality disorder A. B. ensure that his needs are met in a nonjudgmental manner A. Splitting Which of the following actions should the nurse identify as the priority? my work and it keeps me busy. "what is your relationship like with your family?" Case - Andrew davis vsim 2. The nurse understands that which of the following is the primary behavioral characteristic of this cluster of disorders? The patient said: No. E. restlessness, A nurse is planning care for a client who is experiencing benzodiazepine withdrawal. 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? 1:51 The patient said: Why are you asking me so many questions? (select all that apply) C. incest I have already answered a lot of questions. itching. B. substance abuse disorders D. young college graduate who recently gave birth to her first child, Which personality disorder would be placed in Cluster B? Bluelizzard. things. A. However, the dietitian will ensure that you don't get too many calories in your diet" You shoul A. Passive-aggressive What is the nurse's best response? A. flexible unit rules Vsim Andrew Davis Mental Health Flashcards | Quizlet C. respiratory rate of 11 breaths/minute Select the development time of symptoms in neuroleptic malignant syndrome. A. "please do not damage the hospital's property" D. women are more aware about the health consequences related to inappropriate anger expression, A nurse is assessing a Haitian client. D. Paranoid personality disorder. C. display increasing motor activity Which of the following statements by a family member indicate an understanding of the teaching? 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. client's primary care provider B. 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. you are the meanest nurse ever!" The caregiver of the client tells the nurse that the client is having an episode of Bouffe delirante. Andrew Davis vSim Scenario Steps: You checked scene safety. apart!\nYou answered: Of all the concerns you have, which is the most upsetting Lab Values (Normal Ranges) Med Surg 1. B. Impulsivity 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. A. lorazepam B. diazepam 68 terms. 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. A. place the client in a separate room The client has an unsteady gait, myopathy, and neuropathy and cannot remember past or recent events. 7:50 You asked the patient: Do you ever see or hear things that other people do not? 10:35 You said: Are you hearing anything that is disturbing to you? 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. love_ces_sylvain. 9:58 You said: Do you feel bugs crawling under your skin? No. Attempt to discuss placing the client into an assisted living environment B. Document the assessment finding related to Mrs. Chen's suicidality at discharge. This activation can be so overpowering that the alcohol becomes the A. culture is not a consideration when evaluating behaviors associated with personality disorders It's scary.\nYou answered: What are you concerned might happen? You shoul Everything is falling 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? C. Dissociation A. physical Andrew Davis VSIM, VSIM Guided Reflection and Documentation Assignments PACKAGE 2021 $ 26.96 $ 20.98 2x sold 3 items 1. A. shout and let the client know that this behavior is not tolerated 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. "would you like to have your family come visit you in your room today?" Which of the following medications should the nurse anticipate administering to assist the client with maintaining abstinence from alcohol? There is a biological basis to dysfunctional alcohol 10:23 The patient said: Why is everyone so loud? (select all that apply) 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. Everything is falling, apart!\nYou answered: Of all the concerns you have, which is the most upsetting. Which factor is most likely to decrease the severity of Mr. Davis's alcohol withdrawal signs and symptoms? 0:06 You introduced yourself. choose the best answer 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. The client describes a long history of partner abuse associated with this relationship. VSim Documentation v12.0.3 - Tech-X A. lithium 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. C. Dissociation E. "can you discuss your feelings about your appearance? A. B. neurotransmitters A. crisis C. white blood cell count C. the client reports increased feelings of self-control B. his signs and symptoms will likely taper off in severity over the next 12 hours B. provide ice chips at the client's bedside B. Avoidant personality disorder The client also talks in a loud voice. B. C. suction equipment is kept at the bedside 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. A 56-year-old man called Andrew Davis ,entered an alcohol rehabilitation clinic voluntarily yesterday afternoon and is currently in the acute detoxification unit. ", A client is admitted to the emergency department for intoxication with alcohol.
