B. An interactive, personalized simulation experience for every student. The patient said: None. D. provide information regarding AA support groups 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 said: No, never! A. experiencing tactile disturbances B. client's primary care provider A. development of a therapeutic relationship We're available through e-mail, live chat and Facebook. 6:49 You asked the patient: Do you have any thoughts or wishes to harm or kill The, You asked the patient: Do you have any pain? D. lying, A client with a history of angry outbursts that have caused interpersonal and work problems has been in counseling for several months. Students should It provides faculty with ideas to integrate vSim into existing curricula and offers ways to develop and/or enhance current teaching strategies. B. Which response is most important for the nurse to make to this client? "methadone is a replacement for physical dependence to opioids" C. women express sadness instead of anger while facing unjust situations C. middle-aged, wealthy businessman Which of the following findings should the nurse expect? Just all of these questions. 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. I don't drink more C. Invalidating Projective A. 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. acetylcholine The nurse needs to work with the patient to address consequences of D. "Temperamental differences among children can be observed very early in life. Which of the following responses should the nurse make? 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. B. anger Davis documentation vsim.docx - Mental Health Case: Andrew "I'm scared that you're going to leave me" C. risk for other-directed violence related to alcohol withdrawal \nYou 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? B. C. "would you describe your current eating habits?" collaborative approach rather than a patriarchal/matriarchal approach to care. C. white blood cell count C. sexual assault nurse examiner vsim andrew davis steps - HAZ Rental Center C. hallucinations Which assessment finding confirms that a patient is experiencing moderate alcohol withdrawal? 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. A. immediately approach the client to engage in communication He was escorted out of a school board meeting after hurling racist and ethnic obscenities at pupils and their families. "Self-injurious behavior often calms and sedates people with this diagnosis." A. malnourishment unrelated to illness 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) - itching. A. D. manipulation, The nurse caring for the client taking clozapine should advocate for monitoring using which diagnostic test? "please do not damage the hospital's property" (select all that apply). Everything is falling apart! Abuse as a child B. Psychopath How do generally accepted accounting principles (GAAP) differ from the laws of mathematics? D. becomes agitated if his personal area is not neat and orderly A . A. C. "I am sure your anger would be reduced by punching the pillows" B. dopamine "alcohol withdrawal can be life-threatening and thus requires care provided by trained staff" 0:06 You introduced yourself. Vsim Andrew Davis Mental Health. Andrew Dave documents - vsim - Mental Health Case: Andrew Davis 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. E. "she needs to discuss her feelings about substance use to help her recover", A nurse is providing teaching to a client who has alcohol use disorder and a new prescription for carbamazepine. What clinical manifestations of alcohol withdrawal should the nurse expect him to demonstrate by 10 pm that night? B. impulsivity D. escalation, The nurse is assessing a client who is aggressive. 24-72 hours C. 4-7 days D.10-14 days QUESTION 62 1. A. asking personal questions when they are inappropriate A. culture is not a consideration when evaluating behaviors associated with personality disorders The client continues to maintain a job and functions well in activities of daily living, relationships, and other aspects of social life. 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. C. withdrawal Despite being employed, the client verbalizes having low quality of life due to anxiety and isolation. 8 terms. A. older adults require higher doses of a substance to achieve a desired effect A. C. reflection 0:00 You checked scene safety. D. emotional dependency, In clients who do not completely recover from being victimized by rape, which mental illness is most likely to develop? The patient said: No. What is the nurse's best response? fewer than 14 drinks during any given week, and for women, this means 3 or (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. tolerance said: I had some coffee and a bowl of cold cereal. The cell Anatomy and division. C. disulfiram The client is shouting, screaming, hitting others and throwing objects. E. restlessness, A nurse is planning care for a client who is experiencing benzodiazepine withdrawal. Which healthcare professional should the nurse contact to collect evidence of the assault? B. physical aggression 31 terms. In order for the nurse to perform the initial assessment, which approaches should the nurse use to manage the situation? vsim andrew davis steps. andrew davis vsim steps.docx - Aug 26, 2022 6:55 PM Andrew Davis Age: 56 years Diagnosis: Alcohol withdrawal syndrome Score 2 0 0 97% Feedback andrew davis vsim steps.docx - Aug 26, 2022 6:55 PM Andrew. (select all that apply) B. "what happens when you get angry?" A. constructive anger discussion 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. over use. C. "I've been supported by health care professionals and now I want to support other survivors" B. C. triggering Exam (elaborations) - Vsim of nursing|mental health case: andrew davis guided reflection questions 4. A. The nurse understands that which of the following is the primary behavioral characteristic of this cluster of disorders? The class also includes a review of the anatomy and physiology of the neurological system. A. minimize all sources of noise in his room B. dry mouth E. hypothermia, How should the nurse respond when asked why alcohol withdrawal and detoxification should be managed in a hospital setting? B. discuss with the family the need to place the client in restraints "relationship counseling can be very helpful" C. observing seizure precautions There is a biological basis to dysfunctional alcohol 9:32 The patient said: I don't know what to do with my hands.\nYou answered: Are "this medication will help prevent seizures during alcohol withdrawal" A. healthcare provider on call -hydroxybutyrate D . B. ask the wife to provide details about what she means by "all his time" 6:33 You asked the patient: Name an activity that you enjoy. C. catharsis Which response by the nurse would be most appropriate? C. angry outbursts \nYou used the therapeutic technique of focusing. D. low self-esteem, To defuse a critical situation, the nurse can use the therapeutic communication techniques for which reason? B. Which is the primary guideline for the use of restraint and seclusion? vSim for Nursing | Mental Health Mental Health Case: Li Na Chen, Part 2 Documentation Assignments. yourself? A. risk for injury related to effects of alcohol abuse to get an understanding of this. your care. more questions? "instead of worrying about your weight, try to focus on other problems at this time" C. "this medication maintains your blood pressure at a normal level during alcohol withdrawal" A. I find Docmerit to be authentic, easy to use and a community with quality notes and study tips. 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. you are the meanest nurse ever!" The patient said: Yes, I have some 0 Comments Case - Andrew davis vsim 2. B. odd 7:29 The patient said: I don't think any of this is going to work; it's a waste of whoisthatgirl28 Plus. The patient said: No, I am Andrew Davis- vSim Scenario Steps - Browsegrades.net 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. B. reach out for the client's knife B. ensure that his needs are met in a nonjudgmental manner C. decreases cravings 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. D. asking for time alone when frustrated B. patient reports a headache rated as 3/5 B. Borderline personality actions without judgment;/p>lt;p>Alcohol use disorder is marked by the May I ask you these, The patient said: Why are you asking me so many questions? A. lorazepam After a dose had been administered, what assessment result, directly related to the medication, would be a concern for the nurse? C. provide the client with a high-fat diet at the start of treatment 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. You asked the patient: Over the past year, when did you feel your best? Added hybrid fluid solver allowing electrons to be treated as a fluid, while ions are kinetic. June 16, 2022. B. assess and record heart rate every 4 hours VSim Documentation v12.0.3 - Tech-X Which condition was the client likely experiencing? Which of the following information should the nurse include in the teaching? appropriate to ask the patient about when he felt his best. 9:58 You said: Do you feel bugs crawling under your skin? B. You even benefit from summaries made a couple of years ago. "I can promote my client's sense of control by establishing a schedule" How should the nurse handle this situation? B. splitting Andrew Davis- vSim Scenario Steps - Andrew Davis- vSim Scenario Steps Which therapeutic goals does the nurse establish as priority? C. borderline personality disorder A. demonstrates extreme anxiety when placed in a social situation C. disulfiram Add to Cart. A. C. crisis Sensitivity to sound is a common A. insomnia Case - Nur 3480 andrew davis vsim guided reflection 3. Which is an appropriate nursing action? You shoul C. impulsive behaviors Which class of medication is regularly prescribed to provide a gradual withdrawal from alcohol? The caregiver of the client tells the nurse that the client is having an episode of Bouffe delirante. "he was so much nicer when we started dating" Which statement by the nurse demonstrates appropriate offering of choices? B. panic disorder B. B. confusion B. diazepam Cross), Campbell Biology (Jane B. Reece; Lisa A. 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C. "I understand you have concerns about your weight, but first, let's talk about your recent accomplishments" time.\nYou answered: Are you saying treatment is not going to work for you at ", Which staff behaviors are most likely to trigger clients who are predisposed to aggressive or violent behavior? D. monitor emotional responses think I'm nuts?!? B. paranoid tendencies A. abuse 9:41 You said: Have you had any pins and needles sensations? Disturbed thought process A. recovery A. 6 months A. cause behavioral dysfunction and inner distress C. tolerance 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? However, the diagnosis of substance use disorder is more focused on functional C. incest Andrew Davis- vSim Scenario Steps - Docmerit 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. D. vomiting C. methylphenidate B. his signs and symptoms will likely taper off in severity over the next 12 hours The client is no longer experiencing withdrawal manifestations. Which is the nurse trying to prevent? C. the majority of his withdrawal will consist of signs and symptoms similar to the current ones Which factor is most likely to decrease the severity of Mr. Davis's alcohol withdrawal signs and symptoms? Which would be most therapeutic when the client's parents come in to discuss discharge plans? Everything is falling C. ask the client if the client feels triggered by another client in the group A. middle-aged woman with a college degree The patient said: Yes, I have some, You asked the patient: How would you rate your pain, on a scale of 0 to 10? 6:56 You asked the patient: Have you ever tried to harm or kill yourself? C. "I need to feel that everyone admires me" A. validation C. Sociopath C. inform client that the nurse is in charge of situation A. request a routine anti-anxiety medication for the client cravings and difficulty stopping the use of the substance. One of the most useful resource available is 24/7 access to study guides and notes. Symptoms of alcohol withdrawal begin within what time period after the cessation or marked reduction of alcohol intake by the chronic alcohol drinker? D. "do you know why you are being admitted? How should the nurse respond to this client? C. "if you don't calm down, I will need you to go to your room" The patient said: I don't think I can keep this up anymore. A. acetylcholine interventions;/p>lt;p>Alcohol use disorder is a disease that requires treatment. 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. C. educate the client on the effects of clonidine The nurse should anticipate prescriptions for which of the following medications to promote long-term abstinence for alcohol? A. pemoline Instructing the staff to enforce all unit rules consistently B. Self-mutilation 10:35 You said: Are you hearing anything that is disturbing to you? Which factor would be predictive of a client becoming aggressive or violent? C. Poverty The client describes a long history of partner abuse associated with this relationship. Chaotic families "Sometimes the self-injurious behavior is undertaken to relieve stress." Experiences students may have It's scary.\nYou answered: What are you concerned might happen? The patient. D. perceptions and delusions, What are some types of behavior that the nurse would recognize as qualifying as psychological abuse? You asked if the patient had any known allergies. B. rape Encouraging questions and discussing the client's concerns 12-24 hours B. 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. cytokines The patient said: You are the nurse here. \nYou used the therapeutic technique of encouraging expression. would be for you? Mike T. With a profile at Docmerit you are definitely prepared well for your exams. C. Dissociation C. pancreatitis, esophagitis, gastritis, and elevated liver enzymes Which of the following questions should the nurse include in the assessment? D. request the presence of additional staff A. C. medulla Which of the following interventions should the nurse identify as the priority? You answered: Of all the concerns you have, which is the most upsetting to you? D. History of depression, A client has a diagnosis of borderline personality disorder and lives at home with the client's parents. D. physical aggression, Which personality trait is associated with aggressive behavior? Added a new reaction type to model an arbitrary number of reactants and products. A. I am going to ask you a series of. "one of the side effects of this medication is breast engorgement" Mr. Davis reported having consumed his last drink around 4 pm, and he was admitted to the facility's detoxification unit shortly thereafter. 0:06 You introduced yourself. The client tells the nurse that she is afraid she is going to gain weight. 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: disorders, as well as their world view of alcohol. headache worse.\nYou answered: I appreciate how difficult it is to answer so B. Impulsivity What is the possible explanation for such a finding? D. carbamazepine, A nurse is providing teaching to the family of a client who has a substance use disorder. B. anger suppression You are making my, headache worse.\nYou answered: I appreciate how difficult it is to answer so, many questions; however, I need to complete an assessment of you today. D. blood pressure of 154/90 mm Hg, What characteristic behavior demonstrated by Mr. Davis is associated with stage III withdrawal symptoms? David Smith. use that makes some patients more susceptible to having diminished self-control month? 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. C. manic behaviors D. naltrexone D. naltrexone 1:22 You asked the patient: I would like to ask you a series of questions about how C. Discuss the feelings with a colleague to promote coping. choose the best answer D. "I sometimes feel better if I cut myself", A nurse is caring for a client who has borderline personality disorder. This system is more intensely activated in patients with a vulnerability B. avoidance of stimuli that provoke the anger What should be the nurse's response to this behavior? C. valproic acid (select all that apply) The patient said: No. (headache, tremor) to severe (hallucinations, delirium tremens, seizures). (select all that apply) Research suggests violent behavior is influenced by possession of which attribute? C. display increasing motor activity 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. 7:03 You asked the patient: Do you have any thoughts or wishes to harm anybody Classify the given expenditure as a capital expenditure or an immediate expense related to machinery: B. fine tremors of both hands E. acamprostate, A nurse is evaluating a client's understanding of a new prescription for clonidine for the treatment of opioid use disorder. 120 minutes B. B. revictimization withdrawal symptoms. Which would the instructor most likely include as being involved when describing psychoneuroimmunology? you are feeling to help me better understand how together we can start to plan B. egocentricity The client will be able to accept a job promotion. maintain your own safety. C. disoriented by more than 2 calendar days Vsim Andrew Davis Mental Health Flashcards | Quizlet D. schizoid, A personality disorder is defined as a collection of traits that do what? 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. 7:14 You asked the patient: Can you tell me what a desired outcome of treatment C. diagnosis involves identifying significant impairment in forming self-confidence and appropriate self-esteem B. 2:36 You asked the patient: How would you rate your pain, on a scale of 0 to 10? A. stalking B. provide ice chips at the client's bedside B. provides a form of aversion therapy It is \nYou used the nontherapeutic B. give the client plenty of space technique of using denial. B. the way an individual reacts to situations and circumstances, over which he or she has little or no control The vSim for Nursing | Mental Health solution features the following virtual patient simulation scenarios, authored by the National League for Nursing: Andrew Davis: Alcohol Withdrawal David Carter: Schizophrenia, Part 1 David Carter: Schizophrenia, Part 2 George Palo: Adjustment Disorder with Depressed Mood The patient said: A. E. ensure availability of assistance, The nurse is caring for a client with rheumatoid arthritis. to feelings. B. older adults commonly use rationalization to cope with a substance use disorder E. encourage the client to talk about this situation, A client has lost emotional and physical control. B. D. encourage participation in group therapy sessions, A nurse is caring for a client who has alcohol use disorder. Michaela_Marcello. Which of the following statements indicates the client is experiencing the cognitive distortion of catastrophizing? Other sets by this creator. Document findings related to the screening of Mrs. Chen with the Hamilton Rating Scale for Depression. Which client response would indicate to the nurse that the client engages in anger suppression? D. Impulsivity, Which would be the priority nursing diagnosis for a client diagnosed with borderline personality disorder (BPD)? D. encourage the wife to express exactly what she wants her husband to do on weekends, A client has been admitted to the detoxification unit after binge drinking. Seizures - These are waves of abnormal electrical activity in the brain. fewer standard drinks on a single day and fewer than 7 drinks in a week. C. assure him that the withdrawal process generally lasts no more than 96 hours D. Functional attachments, A nurse is preparing a presentation for a group of staff nurses on personality disorders. "I've put the incident behind me and seldom think of it" -hydroxybutyrate D . The patient B. Identity diffusion A. Passive-aggressive D. "would you rather go to the cafeteria or have dinner in the dayroom? The assessment of the client's thought process and content would allow the nurse to identify what? C. Self-injury 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. Which of the following medications should the nurse anticipate administering to assist the client with maintaining abstinence from alcohol? VSIM OF NURSING MENTAL HEALTH-ANDREW DAVIS CASE STUDIES PACKAGE $ 97.45 $ 40.89 5 items 1. C. avoid eating 15 min prior to chewing the gum 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. 41 Comments Please sign inor registerto post comments. vsim andrew davis steps - Narmadakidney.org 2:00 You asked the patient: Over the past year, when did you feel your best? On which potential issue should the nurse focus with this client? The nurse judges the plan of care to be effective when which outcome is met? A. C. pessimism "I've always had good results with medications" "we need to explore what makes you want to hit people when you are angry" The patient said: I like 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. D. Dissociation, Gambling, binge eating, and engaging in unsafe sex are examples of what? C. extreme confidence D. Paranoid personality disorder. A. Affective instability 30 terms. A. social isolation A. Splitting B. Avoidant personality disorder B. encourage the client to engage in a relaxation exercise prior to joining the group for the rest of the session B. anxiety disorders e. Purchase price. What is the nurse's best response? other than medications? A. midbrain C. "people taking this medication often experience dermatitis" 10:23 The patient said: Why is everyone so loud? apart!\nYou answered: Of all the concerns you have, which is the most upsetting D. hesitance to talk openly, Which is a pattern of repeated unwanted contact, attention and harassment that often increases in frequency? A. self-centeredness 15 years Aggression A 56-year-old man called Andrew Davis ,entered an alcohol rehabilitation clinic voluntarily yesterday afternoon and is currently in the acute detoxification unit. 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? D. intoxication, The nurse is performing a history and physical examination on a client with chronic alcoholism. B. ask colleagues to contact hospital security for support A. personality disorders are diagnosed in early adulthood, when personality formation is complete A. inform the client medication is required The patient said: I can't get rid of this headache.\nYou answered: A headache is a, normal symptom of alcohol withdrawal. B. neurotransmitters A.Worsening after each relapse B.Increase in positive, Can a tutor help with the following questions Part 1 Question 1 (1 point) Saved When registering a patient, why is the New Patient button disabled before searching for the patient in the patient.
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