vsim andrew davis steps vsim andrew davis steps

Abuse as a child B. anger suppression B. physical aggression 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. patient said: It's about a 4. 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. What is the best action for the nurse to perform? D. asking for time alone when frustrated The client tells the nurse that she is afraid she is going to gain weight. When implementing this therapy, which should occur first to promote optimal effectiveness? 8:30 You said: Alcohol withdrawal can cause a variety of symptoms, some of which "instead of worrying about your weight, try to focus on other problems at this time" B. dry mouth C. 4 months 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. Overly friendly 30 terms. A. mood and affect A. diarrhea allison041996. If you earn 6% per year on your bank account, how long will it take an account with $100 to double to$200? C. implement seizure precautions You even benefit from summaries made a couple of years ago. A. Introverted The assessment tool is called the Clinical Institute ", A nurse is working with a client who has lost unit privileges due to inappropriate behavior. The client has been in the psychiatric unit for 2 weeks and is scheduled to be discharged tomorrow. 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? and relationship challenges secondary to the use of the substance, as well as Ketamine C . 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. D. Paranoid personality disorder. D. carbamazepine, A nurse is providing teaching to the family of a client who has a substance use disorder. C. "I can expect some diarrhea from taking this medicine" A. C. Mania An interactive, personalized simulation experience for every student. Vsim Andrew Davis Mental Health. perceptions. C. The client will engage in less risk-taking behavior What is the priority nursing diagnosis for this client? "methadone is a replacement for physical dependence to opioids" 6:41 You asked the patient: Can you tell me what you ate for breakfast? 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. A. post traumatic distress syndrome B. 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? It was correct to check scene safety in order to maintain your own safety. to get an understanding of this. May I ask you these Identity diffusion C. crisis B. Impulsivity Andrew Davis Age: 56 years Diagnosis: Alcohol withdrawal syndrome Score 2 1 0 85% Feedback Log 0:00 Patient 0:00 You checked scene safety. B. Splitting D. emotional dependency, In clients who do not completely recover from being victimized by rape, which mental illness is most likely to develop? B. substance abuse disorders No. C. the number of other medications the client is taking "I am here so we can talk about what is making you angry" It was correct to check scene safety in order to Instructing the staff to enforce all unit rules consistently D. "at what weight do you believe you will look better?" (select all that apply) However, the dietitian will ensure that you don't get too many calories in your diet" A. minimize all sources of noise in his room D. imipramine, A cuban American client has been prescribed an antipsychotic medication. C. observing seizure precautions "while taking this medication, I should keep a pack of sugarless gum" A. Obsessive-compulsive personality disorder During therapy the wife states, "he makes me so mad when he spends all his weekend time with his friends instead of us. You performed medication reconciliation. C. threatening a victim's dog "what is your relationship like with your family?" I just don't want to eat. The patient said: You are the nurse here. C. Narcissistic personality disorder C. economic dependency B. providing the client with a list of possible goals for behavior change 0:06 You introduced yourself. A. A. use should be limited to times when a client has demonstrated violence and has inflicted harm to self or others B. admitting to visual hallucinations B. A . A. anxious The patient said: No. A. C. Discuss the feelings with a colleague to promote coping. Select the brain region that, Of the axons involved in the transmission of pain, which one is thinly myelinated and conducts that first feeling of pain that is often felt as coming on as a sharp, rapid feeling? B. give the client plenty of space said: I had some coffee and a bowl of cold cereal. A. Passive-aggressive (select all that apply) A. allison041996. A. triggering 2:25 You asked the patient: Do you have any difficulty with your breathing? C. borderline personality disorder "taking this medication will decrease your cravings for alcohol" When considering medication for treatment, the nurse knows which will be the most effective? A. identity diffusion A. criticizing Which clinical manifestations confirm that a patient is experiencing Stage I (mild) of alcohol withdrawal syndrome? (select all that apply) D. Impulsivity, Which would be the priority nursing diagnosis for a client diagnosed with borderline personality disorder (BPD)? B. belief in the ability to become invisible during times of stress dysfunctional use of alcohol. D. unstable personal relationships 2:36 You asked the patient: How would you rate your pain, on a scale of 0 to 10? B. discuss with the family the need to place the client in restraints You shoul (select all that apply) Which intervention would be most appropriate at this point? What question should the nurse ask to determine the effect of culture on the client's expression of anger? Students need to be C. Narcissistic "Sometimes the self-injurious behavior is undertaken to relieve stress." A. A. B. You asked the patient: Do you have any difficulty with your breathing? 10:55 The patient said: The lights in here are too bright; they are hurting my Anna Maria. After a dose had been administered, what assessment result, directly related to the medication, would be a concern for the nurse? Which aspect of this behavior is most likely to cause problems for the patient? (select all that apply) B. Borderline personality 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? What is the possible explanation for such a finding? 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. C. "I need to feel that everyone admires me" B. anxiety disorders C. pancreatitis, esophagitis, gastritis, and elevated liver enzymes fewer standard drinks on a single day and fewer than 7 drinks in a week. (select all that apply) D. Impulsivity, Clients with borderline personality disorder (BPD) are usually admitted to the inpatient setting because they exhibit what? A. The patient said: Sometimes I wake up in the morning and I can't remember, things. 9:17 You said: Have you vomited? 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: A. motor vehicle accidents When treated with thiamine, the client's symptoms greatly improve. Research suggests violent behavior is influenced by possession of which attribute? 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. I wish they would shut up!\nYou Andrew Davis- vSim Scenario Steps Preview 1 out of 4 pages Getting your document ready. Just Tylenol. What is the nurse's best response? Other sets by this creator. B. hypokalemia C. avoid eating 15 min prior to chewing the gum The patient said: No. 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? The client has an unsteady gait, myopathy, and neuropathy and cannot remember past or recent events. 8 terms. \nYou used the nontherapeutic B. C. pessimism He was escorted out of a school board meeting after hurling racist and ethnic obscenities at pupils and their families. D. mood disorders, A nurse manager is discussing the care of a client who has a personality disorder with a newly licensed nurse. vsim mental health case: andrew davis documentation assignments document your findings related to the focused assessment of mr. alcohol withdrawal symptoms. \nYou used the therapeutic technique of A. lorazepam NY Times Paywall - Case Analysis with questions and their answers. Which would the nurse include in the education plan for this client and family? Denial is a common defense mechanism, as is the cycle of abuse, remission, and After a dose had been administered, what assessment result, directly related to the medication, would be a concern for the nurse? Attempt to discuss placing the client into an assisted living environment 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. Defending "relationship counseling can be very helpful" C. methylphenidate 6:26 You asked the patient: Have you lost interest in activities that you once enjoyed? A. acetylcholine Even though the client is not currently intoxicated, the client is combative and exhibits altered thought processes. C. withdrawal Include his responses to your assessment. 10:35 You said: Are you hearing anything that is disturbing to you? Northwestern University D. Lacking empathy, Based on psychological theories, which is believed to be critical to understanding personality disorders? priority in the patients life, to the exclusion of family, work, self-care, and often Just all of these questions. It was correct to check scene safety in order to maintain your own safety. ", Which term is used to describe an activity used to release anger? B. The nurse in charge of an inpatient psychiatric unit is irritated with a client who has borderline personality disorder. A. administer the clonidine on the prescribed schedule 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? C. "it will help you to learn how to control the arousal of anger" D. results in mild hypertension, A charge nurse is planning a staff education session to discuss medications used during the care of a client experiencing alcohol withdrawal. would be for you? The patient said: It is the 26th. 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? The patient said: Yes, I have some pain. 2:15 The patient said: Sometimes I wake up in the morning and I can't remember Sensitivity to sound is a common B. triggering Which of the following is an expected finding? D. liver function tests, A nurse is attending a review class on the neurologic basis of psychiatric disorders. the 26th. A. healthcare provider on call D. delirium, The nurse should consider which as a possible indicator of child neglect? B. revictimization patient said: No. B. Document the assessment finding related to Mrs. Chen's suicidality at discharge. The nurse needs to work with the patient to address consequences of It is B. pons The patient said: None. used the therapeutic technique of giving information. 18 terms. "working with survivors of sexual trauma is very fulfilling work" B. The patient Which of the following is appropriate for the nurse to include in the presentation? C. "I usually approach the person directly to talk about it" head.\nYou answered: The lights can't hurt you. C. client self-monitoring for anger cues Using concepts from assertiveness training and effective communication techniques, the nurse implements which intervention after hearing the wife's remarks? C. Affective instability B. 7:14 You asked the patient: Can you tell me what a desired outcome of treatment A. flexible unit rules Deliver instant online access, immersing students in virtual simulation wherever they prefer. A. B. odd The patient said: No, it's just light. 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? 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. B. diazepam A. culture is not a consideration when evaluating behaviors associated with personality disorders Exam (elaborations) - Vsim of nursing|mental health case: andrew davis guided reflection questions 4. B. By cogdell memorial hospital ceo. Which communication technique is the nurse utilizing with this statement? think I'm nuts?!? B. encourage the client to engage in a relaxation exercise prior to joining the group for the rest of the session 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. addiction. The nurse should anticipate prescriptions for which of the following medications to promote long-term abstinence for alcohol? A. auditory hallucinations . The patient said: Not really sick to D. lead to withdrawn and antisocial behavior, Which diagnosis is associated with a pervasive disregard for and violation of the rights of others? Which response would be most appropriate? sarah_awake. C. suction equipment is kept at the bedside Ecstasy 2.Select all the criteria for what is considered "At-Risk, You are to select the best option from the list QUESTION 1 Select the most distinguishing feature in the course and prognosis of schizophrenia. Cross), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. 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A. acetylcholine The A. explore what is underlying the client's physical and emotional state B. D. becomes agitated if his personal area is not neat and orderly What should be the nurse's response to this behavior? A. show an increased tolerance for frustration C. alcohol dependence with memory impairment in this hospital because my wife said I couldn't come home. B. gastritis and elevated liver enzymes The patient said: No, I am not seeing or hearing things that are not there. you saying you feel anxious? A. midbrain B. I am going to ask you a series of. D. claiming to be more important than other persons B. patient reports a headache rated as 3/5 2 months Which of the following information should the nurse to include in the teaching? A. You asked the patient: Over the past year, when did you feel your best? Andrew Davis Age: 56 years Diagnosis: Alcohol withdrawal syndrome Score 2 1 0 85% Feedback Log 0:00 Patient 0:00 You checked scene safety. B. dopamine D. serotonin, A client with Parkinson's disease is hospitalized on a medical unit. A. chain smoking Despite being employed, the client verbalizes having low quality of life due to anxiety and isolation. B. the diagnosis of personality disorders is extremely difficult because the individual doesn't acknowledge the illness "why do you want to lose weight?" It is important that nurses communicate in a nonjudgmental manner. C. display of defense mechanisms when routines are changed B. A. You asked the patient: Is it OK for your family to be here, while we talk? questions to assess your current health status and your level of alcohol B. dopamine A. insomnia A. pancreatitis and elevated liver enzymes A. C. inform client that the nurse is in charge of situation D. hesitance to talk openly, Which is a pattern of repeated unwanted contact, attention and harassment that often increases in frequency? You used the therapeutic technique of focusing. A. shout and let the client know that this behavior is not tolerated The patient said: No, I don't have any B. provide ice chips at the client's bedside A. obtain a thorough client history 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? C. Passive-aggressive personality C. Invalidating Projective 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. C. insomnia E. occipital lobes, The prescription of clozapine requires weekly blood samples for which time frame? C. lead to aggression and violence A. scurvy C. Promoting social ostracism of the client's exhibiting manipulation A. try to subdue the client C. use should be limited to emergencies in which the risk of a client physically harming self, staff, or others is imminent C. "he doesn't like it when I go out with my girlfriends" diagnosis of alcohol use disorder. withdrawal symptoms. 3,4 - methylendedioxymethamphetamine B . C. undoing The patient said: No. C. scheduled unit activities \nYou used the therapeutic technique of focusing. C. "people taking this medication often experience dermatitis" A. C. medulla A. allow the client to select preferred meal times A. patient reports ringing in his ears 24-72 hours C. 4-7 days D.10-14 days QUESTION 62 1. The nurse should instruct the client to monitor for which of the following adverse effects? 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. D. young college graduate who recently gave birth to her first child, Which personality disorder would be placed in Cluster B? D. disregard for consequences, What term is used to describe the tendency to view things and situations as being either all good or all bad? C. hallucinations B. carbamazepine B. A. difficulty in getting along with other members of a group itching. C. hypothalamic axes Which would the nurse identify as one of the strongest risk factors for this disorder? B. dim the lighting in his room Case - Vsim of nursing|andrew davis mental health post-quiz 3. A. B. Self-mutilation C. ask the client if the client feels triggered by another client in the group C. GABA Course Hero is not sponsored or endorsed by any college or university. A. We're available through e-mail, live chat and Facebook. had with friends or family with substance use disorder will affect these A. The patient said: I like C. Abuse B. "Temperament is not changeable." C. behaviors and beliefs that are present and acted on from an individual's birth 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. "taking this medication will help reduce by craving for heroin" D. The client will form a romantic relationship. David Carter vsim questions. The nurse identifies the this child is experiencing which type of abuse? 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. C. inform the client that restraints may be applied things. I don't drink more B. use increased doses of medication to reach a desired effect 68 terms. Confront the client firmly about how the client's behavior makes the nurse feel. D. "patients prefer to be isolated from family and friends when experiencing the severe symptoms of withdrawal", A nurse is planning a staff education program on substance use in older adults. B. valproate "I've been known to fly off the handle when I'm angry" C. disulfiram Alcohol use disorder is a disease that carries social stigma. interviewing is a good intervention with alcohol use disorder as it promotes a B. C. splitting than anyone else.\nYou answered: What are your feelings about your drinking? D. Exuberant. Poor social skills A. demonstrates extreme anxiety when placed in a social situation C. sit in an open area C. Loneliness A. Splitting B. Course Hero is not sponsored or endorsed by any college or university. "this medication will help prevent seizures during alcohol withdrawal" VSIM OF NURSING MENTAL HEALTH-ANDREW DAVIS CASE STUDIES PACKAGE $ 97.45 $ 40.89 5 items 1. C. sexual promiscuity C. catharsis of anger C. respiratory rate of 11 breaths/minute B. are malleable and poorly defined A. C. "call the doctor immediately if you experience any of the side effects we talked about" Disturbed thought process 2:47 You asked the patient: On a scale of 0 to 10, how would you rate your level of. D. "you are not overweight, and the staff will ensure that you do not gain weight while you are in the hospital. Which class of medication is regularly prescribed to provide a gradual withdrawal from alcohol? D. 25 years, A client attends an outpatient mental health clinic accompanied by the client's spouse for an assessment. Added a new reaction type to model an arbitrary number of reactants and products. B. the way an individual reacts to situations and circumstances, over which he or she has little or no control A. validation my work and it keeps me busy. "which activity would you like to participate in today?" The class also includes a review of the anatomy and physiology of the neurological system. C. "I wonder if your perceptions of the relationship are accurate" B. Impulsivity B. ridiculing It's scary.\nYou answered: What are you concerned might happen? love_ces_sylvain. B. intentional risk taking D. naltrexone (select all that apply) allison041996. Which of the following questions should the nurse include in the assessment? A. place the client in a separate room B. Psychopath A. restrain the client A. A. "most often, neither families nor friends are willing and capable of managing the patient during the withdrawal" Which client response would indicate to the nurse that the client engages in anger suppression? A. 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? used the therapeutic technique of seeking clarification. The nurse demonstrates understanding of the information by identifying which structures as components of the brain stem? 7:03 You asked the patient: Do you have any thoughts or wishes to harm anybody You asked the patient: How would you rate your pain, on a scale of 0 to 10? C. paranoid Which of the following statements by the client indicates an understanding of the teaching? B. love_ces_sylvain. 3. Ecstasy 2.Select all the criteria for what is considered "At-Risk, L. J. is a 55-year-old male who attended a funeral and found himself laughing during the service, but later that evening he was irritated with himself for what he had done. A. - fibers, Select the correct description of a somatoform disorder. How should the nurse respond to this client? D. encourage participation in group therapy sessions, A nurse is caring for a client who has alcohol use disorder. What term refers to the collection of symptoms that are associated with untreated alcohol withdrawal? A. social isolation Measure students' progress, identify weaknesses and deliver instant . Everything is falling apart! D. slightly elevated body weight B. ensure that his needs are met in a nonjudgmental manner B. confusion 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. 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. A. chew the gum for no more than 10 min D. recovery, A nurse is beginning the process of providing therapy to a client with anger management problems. B. A. implement seizure precautions D. physical aggression, Which personality trait is associated with aggressive behavior?