A. implement seizure precautions C. GABA C. alcohol dependence with memory impairment used the therapeutic technique of seeking clarification. Which would the nurse identify as one of the strongest risk factors for this disorder? \nYou used the therapeutic technique of translating Randy Adams prequiz Vsim. You asked the patient: Is it OK for your family to be here, while we talk? You are making my The client will be able to accept a job promotion. D. The client will form a romantic relationship. used the therapeutic technique of giving information. B. disassociation Research suggests violent behavior is influenced by possession of which attribute? B. avoidant The patient said: It is B. The nurse understands that which of the following is the primary behavioral characteristic of this cluster of disorders? than anyone else.\nYou answered: What are your feelings about your drinking? B. ask the client about the client's living situation You asked the patient: Can you tell me a little bit more about what's going on with you. The Which would be most therapeutic when the client's parents come in to discuss discharge plans? What is the best action for the nurse to perform? Identity diffusion B. has difficulty making even simple decisions (select all that apply) The nurse identifies that the client may have which style of anger expression related to this incident? The client's sibling is visiting, and the sibling asks the nurse to explain why the client sometimes does this. C. implement seizure precautions Confront the client firmly about how the client's behavior makes the nurse feel. C. "Sometimes they do it to avoid the onslaught of delusional thinking." The nurse interprets this statement as reflecting what? B. The nurse should plan to assess the client for symptoms of which mental health condition? E. acamprostate, A nurse is evaluating a client's understanding of a new prescription for clonidine for the treatment of opioid use disorder. "life isn't worth living if I gain weight" you saying you feel anxious? The child has severe uncontrollable temper outburst and repeatedly bangs the head on the wall or door. A. acetylcholine C. "she should participate in an Al-Anon group to help her recover" Difficult temperament Include his responses to your assessment. C. Invalidating Projective B. Dissociation 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? C. undoing The caregiver of the client tells the nurse that the client is having an episode of Bouffe delirante. Which of the following statements by a family member indicate an understanding of the teaching? A . maintain your own safety. Which of the following is an expected finding? 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. What symptom of alcohol withdrawal syndrome would be the most urgent for the nurse to address? C. risk for other-directed violence related to alcohol withdrawal D. physical aggression, Which personality trait is associated with aggressive behavior? C. behaviors and beliefs that are present and acted on from an individual's birth appropriate to ask the patient about when he felt his best. A 56-year-old man called Andrew Davis ,entered an alcohol rehabilitation clinic voluntarily yesterday afternoon and is currently in the acute detoxification unit. distress? 143 terms. B. bupropion Which of the following nursing actions should the nurse include in the client's plan of care? B. providing the client with a list of possible goals for behavior change D. History of depression, A client has a diagnosis of borderline personality disorder and lives at home with the client's parents. B. dopamine The patient said: B. said: No. Which of the following statements is expected from a client who has this type of 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. D. asking for time alone when frustrated D. "would you rather go to the cafeteria or have dinner in the dayroom? love_ces_sylvain. C. "would you describe your current eating habits?" You asked the patient: Do you have any difficulty with your breathing? C. ask the client if the client feels triggered by another client in the group used the therapeutic technique of giving information. "methadone reduces the unpleasant effects associated with abstinence syndrome" C. the client reports increased feelings of self-control 3. 7:14 You asked the patient: Can you tell me what a desired outcome of treatment A. C. neurontin Which of the following questions should the nurse include in the assessment? "instead of worrying about your weight, try to focus on other problems at this time" B. relive their childhood experiences Which clinical manifestations confirm that a patient is experiencing Stage I (mild) of alcohol withdrawal syndrome? You asked the patient: Do you have any pain? 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? "one of the side effects of this medication is breast engorgement" interventions;/p>lt;p>Alcohol use disorder is a disease that requires treatment. (select all that apply) D. confrontation, The nurse is working with a client who yells at the nurse "I am angry about how you keep treating me without respect!" B. are malleable and poorly defined A. A. teach the client to make "I" statements The patient said: Why do you want to ask me C. insomnia D. monitor emotional responses D. becomes agitated if his personal area is not neat and orderly 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. A. place the client in a separate room A. Andrew Davis- vSim Scenario Steps Preview 1 out of 3 pages Generating Your Document Report Copyright Violation Case Details $12.45 Add To Cart Add To Wishlist Trusted by 40,000+ Students Money Back Guarantee 24/7 Download is directly available 71 0 Specifications Institution Virginia State University Study Nursing Course 10:44 You said: Does the light appear to be too bright? 10:35 You said: Are you hearing anything that is disturbing to you? in this hospital because my wife said I couldn't come home. "many clients are concerned about their weight. "working with survivors of sexual trauma is very fulfilling work" C. catharsis of anger C. catharsis C. splitting C. "methadone can be used during opioid withdrawal and to maintain abstinence" 0:06 You introduced yourself. A. It is B. client's primary care provider head.\nYou answered: The lights can't hurt you. Practice NCLEX Questions from the Book! Terms of Use 6:41 You asked the patient: Can you tell me what you ate for breakfast? C. "I understand you have concerns about your weight, but first, let's talk about your recent accomplishments" e. Purchase price. A. patient reports ringing in his ears B. D. physical aggression, Which describes a strong emotional response to a real or perceived provocation? love_ces_sylvain. "while taking this medication, I should keep a pack of sugarless gum" B. B. Psychopath Disturbed thought process I don't drink more The patient said: No, it's just light. A. patient reports ringing in his ears D. hypertension, A nurse is teaching a female client who has tobacco use disorder about nicotine replacement therapy. questions to assess your current health status and your level of alcohol D. "I am here to help you through every step of this process", A nurse is giving a talk about child abuse to a local community group. Which response by the nurse would be most appropriate? B. E. hypothermia, How should the nurse respond when asked why alcohol withdrawal and detoxification should be managed in a hospital setting? whoisthatgirl28 Plus. A. acetylcholine B. belief in the ability to become invisible during times of stress A. hostility A. cytokines 1 week C. 3 days D. 12 hours D dysfunctional use of alcohol. On which potential issue should the nurse focus with this client? A. D. hostility, The nurse working in a psychology clinic finds that suppression of anger is more common in women than in men. You checked scene safety. had with friends or family with substance use disorder will affect these Deliver instant online access, immersing students in virtual simulation wherever they prefer. ", Which staff behaviors are most likely to trigger clients who are predisposed to aggressive or violent behavior? 18 terms. D. abdominal pain Which would the nurse include in the education plan for this client and family? 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. 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. B. blackout We know that is important to you", Which is the best definition of personality? D. clozapine, Aggression control can be measured by the nurse's observation of a client's ability to do what? A. increases the risk for seizure activity Which of the following personality characteristics associated with all of the personality disorders should the charge nurse include in the teaching? B. diazepam David Carter vsim questions. C. orientation patient said: No. Symptoms of alcohol withdrawal begin within what time period after the cessation or marked reduction of alcohol intake by the chronic alcohol drinker? 3,4 - methylendedioxymethamphetamine B . "you have the right to be safe and respected" D. "The self-mutilation often slows the mood swings your sibling experiences. Which personality disorder best describes this client? 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. A. difficulty in getting along with other members of a group Which of the following information should the nurse to include in the teaching? safety;/p>lt;p>There is not a defined amount of alcohol that designates a C. Poverty The client tells the nurse that she is afraid she is going to gain weight. ", A nurse is reviewing the medical record of a female client diagnosed with borderline personality disorder (BPD). "We need to understand that she is responsible for her disorder" B. ridiculing D. prepare to seclude the client, The nurses on a mental health unit are reviewing aspects of the unit environment in a staff meeting. A. The nurse identifies the this child is experiencing which type of abuse? A. immediately approach the client to engage in communication A. You checked scene safety. A. use should be limited to times when a client has demonstrated violence and has inflicted harm to self or others B. C. "this medication maintains your blood pressure at a normal level during alcohol withdrawal" D. identification, A nurse is assisting with a court-ordered evaluation of a client who has antisocial personality disorder. C. "it will help you to learn how to control the arousal of anger" B. splitting A. C. "Temperament seen in infancy is often seen later in life." What question should the nurse ask to determine the effect of culture on the client's expression of anger? 68 terms. It was correct to check scene safety in order to, You asked the patient: Can you tell me a little bit more about what's going on, with you today? A. NY Times Paywall - Case Analysis with questions and their answers. (select all that apply) A. request a routine anti-anxiety medication for the client "Temperament is not changeable." Language Proficiency Assessment Committee. Karen. C. "I wonder if your perceptions of the relationship are accurate" . B. anger suppression It was correct to check scene safety in order to maintain your own safety. C. "I can expect some diarrhea from taking this medicine" symptom of alcohol withdrawal. B. D. intoxication, The nurse is performing a history and physical examination on a client with chronic alcoholism. 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. A. catharsis Which of the following information should the nurse include in the teaching? Vsim Andrew Davis Mental Health Terms in this set (143) Symptoms of alcohol withdrawal begin within what time period after the cessation or marked reduction of alcohol intake by the chronic alcohol drinker? B. Parental alcohol abuse Andrew Davis is currently in Stage I of alcohol withdrawal. 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 C. Loneliness 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? 7:45 The patient said: I don't know why everyone is so worried. (select all that apply) A. women have a greater threshold for controlling anger Which of the following responses should the nurse make? 9:47 You said: Have you had any itching? The patient said: No. D. Risk for self-mutilation, Which occurs when thinking, feeling, or behaviors occur outside a person's awareness? Lab Values (Normal Ranges) Med Surg 1. C. Promoting social ostracism of the client's exhibiting manipulation The nurse demonstrates an understanding of the seriousness of the patient's risk for injury when implementing which intervention? The client has an unsteady gait, myopathy, and neuropathy and cannot remember past or recent events. Which of the following statements by the client indicates an understanding of the teaching? You answered: Of all the concerns you have, which is the most upsetting to you? Defending C. Affective instability D. "I appreciate that you are experiencing anger in an appropriate manner", An aggressive client is holding a weapon and threatening to harm other clients in the unit. -hydroxybutyrate D . Dependent D. Impulsivity, Which would be the priority nursing diagnosis for a client diagnosed with borderline personality disorder (BPD)? priority in the patients life, to the exclusion of family, work, self-care, and often A. cause behavioral dysfunction and inner distress 1:04 The patient said: I don't think I can keep this up anymore. "Temperament is malleable." yourself? C. pancreatitis, esophagitis, gastritis, and elevated liver enzymes You even benefit from summaries made a couple of years ago. The patient said: No. Which factor is most likely to decrease the severity of Mr. Davis's alcohol withdrawal signs and symptoms? The client has been in the psychiatric unit for 2 weeks and is scheduled to be discharged tomorrow. A. older adults require higher doses of a substance to achieve a desired effect (select all that apply) Direct the client to another staff member when the client tries to interact. Which phase of the aggression cycle is this client experiencing? D. Arrange for the client to be transferred to another unit. A. restrain the client D. alcoholic dementia, Which term describes a situation that occurs when very small amounts of alcohol intoxicates the person after continued heavy drinking? the 26th. C. "I need to feel that everyone admires me" B. Impulsivity The patient said: I can't get rid of this headache. B. rape D. carbamazepine, A nurse is providing teaching to the family of a client who has a substance use disorder. 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. Poor social skills 2 months imperative that nurses recognize symptoms and provide early pharmacologic Which therapeutic goals does the nurse establish as priority? 9:32 The patient said: I don't know what to do with my hands.\nYou answered: Are B. Even though the client is not currently intoxicated, the client is combative and exhibits altered thought processes. B. take the client to the gym for exercise D. dramatic, Which long-term patterns are consistent with a diagnosis of borderline personality disorder? A. D. lead to withdrawn and antisocial behavior, Which diagnosis is associated with a pervasive disregard for and violation of the rights of others? She is still experiencing the triad of symptoms associated with ADHD (impaired. "please do not damage the hospital's property" A. amenorrhea B. vsim andrew davis steps. Everything is falling apart! fewer than 14 drinks during any given week, and for women, this means 3 or Case - Andrew davis vsim 2. B. gastritis and elevated liver enzymes C. "if you don't calm down, I will need you to go to your room" 41 Comments Please sign inor registerto post comments. Liberty University The patient said: No, I don't have any with you today? C. place the client on a regular toileting schedule A. personality disorders are diagnosed in early adulthood, when personality formation is complete A. minimize all sources of noise in his room This activation can be so overpowering that the alcohol becomes the 7:50 You asked the patient: Do you ever see or hear things that other people do not? The patient Andrew Davis has recruited technical content developers in the SF Bay Area since 1995. choose the best answer Course Hero is not sponsored or endorsed by any college or university. B. provide ice chips at the client's bedside interviewing is a good intervention with alcohol use disorder as it promotes a (select all that apply) 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? 6:56 You asked the patient: Have you ever tried to harm or kill yourself? A. Affective instability 7:29 The patient said: I don't think any of this is going to work; it's a waste of A. regression C. Dissociation The doctor is bad, too, but the therapist is good." \nYou used the therapeutic technique of encouraging expression. allison041996. D. "methadone increases the risk for acetaldehyde syndrome" A. Andrew Davis VSIM, VSIM Guided Reflection and Documentation Assignments PACKAGE 2021 $ 26.96 $ 20.98 2x sold 3 items 1. D. Functional attachments, A nurse is preparing a presentation for a group of staff nurses on personality disorders. 1:51 The patient said: Why are you asking me so many questions? to addiction. C. Self-injury technique of using denial. A. "Sometimes the self-injurious behavior is undertaken to relieve stress." D. cerebellum with this diagnosis;/p>lt;p>Alcohol withdrawal has physical symptoms that \nYou used the therapeutic technique of A. The nurse demonstrates understanding of the information by identifying which structures as components of the brain stem? The class also includes a review of the anatomy and physiology of the neurological system. A. Antisocial personality 8:30 You said: Alcohol withdrawal can cause a variety of symptoms, some of which Exam One Practice Questions. The patient said: No. A. cardiac enzymes Report Copyright Violation $12.99 Add to cart Add to wishlist Seller Follow NorthWest Member since 1 year 339 documents sold Reviews received 52 7 3 3 3 Send Message Uploaded on November 2, 2022 Number of pages 4 Written in 2022/2023 Type Case Professor (s) - Which of the following information should the nurse include in the teaching? B. reach out for the client's knife D. "you are not overweight, and the staff will ensure that you do not gain weight while you are in the hospital. D. Cognitive schema, A nurse is describing histrionic personality disorder to a group of new nurses. D. cutting body parts, Impulsivity is a characteristic of borderline personality disorder (BPD). A. middle-aged woman with a college degree my work and it keeps me busy. A. he is likely currently experiencing the peak of his signs and symptoms clarify their own feelings and values related to individuals with substance use C. "I know that nicotine gum is a safe alternative to smoking if I become pregnant" The client describes a long history of partner abuse associated with this relationship. B. A. shout and let the client know that this behavior is not tolerated Attention seeking There is a biological basis to dysfunctional alcohol May I ask you these 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. physical D. women are more aware about the health consequences related to inappropriate anger expression, A nurse is assessing a Haitian client. A. C. diagnosis involves identifying significant impairment in forming self-confidence and appropriate self-esteem "what is your relationship like with your family?" B. dim the lighting in his room The patient. C. white blood cell count D. Paranoid personality disorder. Why are you asking me so many questions? C. sit in an open area C. medulla \nYou used the therapeutic technique of focusing. 0:48 You asked the patient: Can you tell me a little bit more about what's going on 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 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. You asked the patient: Where is your pain located? They need to be aware of how this can impact caring for patients 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? A. receiving education and information about the medication C. Dissociation 0:43 You identified the patient. D. 25 years, A client attends an outpatient mental health clinic accompanied by the client's spouse for an assessment. B. fine tremors of both hands 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. C. "can you select an outfit to wear to group therapy?" else? 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. He was escorted out of a school board meeting after hurling racist and ethnic obscenities at pupils and their families. NUR 406: Exam Three. "I should avoid eating right before I chew a piece of nicotine gum" Which of the following findings should the nurse expect? C. Discuss the feelings with a colleague to promote coping. A. Splitting Measure students' progress, identify weaknesses and deliver instant . "you will learn how to control your violent behavior" A. 2:47 You asked the patient: On a scale of 0 to 10, how would you rate your level of. B. haloperidol Select the development time of symptoms in neuroleptic malignant syndrome. 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. Document the assessment finding related to Mrs. Chen's suicidality at discharge. to you? $12.45 C. respiratory rate of 11 breaths/minute Identity diffusion 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. ", A nurse is working with a client who has lost unit privileges due to inappropriate behavior. (select all that apply) What term refers to the collection of symptoms that are associated with untreated alcohol withdrawal? patient said: It's about a 4. 2:36 You asked the patient: How would you rate your pain, on a scale of 0 to 10? I find Docmerit to be authentic, easy to use and a community with quality notes and study tips. A. obtain a thorough client history C. Passive-aggressive personality A. C. Abuse The patient said: Yes, I have some pain. C. lead to aggression and violence relapse. It was. disorders, as well as their world view of alcohol. C. display of defense mechanisms when routines are changed Case - Vsim of nursing|andrew davis mental health post-quiz 3. A. Anxiety C. falls headache worse.\nYou answered: I appreciate how difficult it is to answer so I am going to ask you a series of. C. older adults are at an increased risk for substance use following retirement Which statement by the nurse demonstrates appropriate offering of choices? "what happens when you get angry?" can be dangerous to your overall health. (select all that apply)