C. hypotension View full document Andrew Davis vSim Scenario Steps: You checked scene safety. B. B. Self-mutilation After a dose had been administered, what assessment result, directly related to the medication, would be a concern for the nurse? Andrew Davis VSIM, VSIM Guided Reflection and Documentation Assignments PACKAGE 2021 $ 26.96 $ 20.98 2x sold 3 items 1. (select all that apply) Select the development time of symptoms in neuroleptic malignant syndrome. D. Paranoid personality disorder. A. diarrhea D. physical aggression, Which personality trait is associated with aggressive behavior? "eliminating any codependent behavior will promote her recovery" Using concepts from assertiveness training and effective communication techniques, the nurse implements which intervention after hearing the wife's remarks? imperative that nurses recognize symptoms and provide early pharmacologic A. Vsim Andrew Davis Mental Health. B. 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. lying, A client with a history of angry outbursts that have caused interpersonal and work problems has been in counseling for several months. D. emotional dependency, In clients who do not completely recover from being victimized by rape, which mental illness is most likely to develop? 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. 7:29 The patient said: I don't think any of this is going to work; it's a waste of Other sets by this creator. A. pancreatitis and elevated liver enzymes 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? A. anxious 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. 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? The, You asked the patient: On a scale of 0 to 10, how would you rate your level of. interviewing is a good intervention with alcohol use disorder as it promotes a "you have the right to be safe and respected" B. C. Promoting social ostracism of the client's exhibiting manipulation interventions;/p>lt;p>Alcohol use disorder is a disease that requires treatment. 6:26 You asked the patient: Have you lost interest in activities that you once enjoyed? D. cerebellum 10:23 The patient said: Why is everyone so loud? not crazy. B. the client has increased self-esteem How should the nurse handle this situation? "I am here so we can talk about what is making you angry" The nurse should explain to the new staff member that some clients use violence and aggression to .. C. crisis D. "at what weight do you believe you will look better?" 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. B. carbamazepine 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 We're available through e-mail, live chat and Facebook. D. carbamazepine, A nurse is providing teaching to the family of a client who has a substance use disorder. Which response is most important for the nurse to make to this client? 41 Comments Please sign inor registerto post comments. B. physical aggression C. the number of other medications the client is taking Identity diffusion C. "I wonder if your perceptions of the relationship are accurate" love_ces_sylvain. you saying you feel anxious? B. confusion D. vomiting The patient said: Yes, I have some A. flexible unit rules C. "I can expect some diarrhea from taking this medicine" B. anger suppression 9:47 You said: Have you had any itching? D. "do you know why you are being admitted? The patient said: No, never! What is the best action for the nurse to perform? things. "taking this medication will help reduce by craving for heroin" The child tells the nurse, "I don't get a lunch this week, I have been wetting the bed." 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? The patient said: Why do you want to ask me B. \nYou used the therapeutic technique of focusing. safety;/p>lt;p>There is not a defined amount of alcohol that designates a D. instruct the client to put the knife down, The nurse states "I know this must be frightening for you" to a client who is angry and has a potential for violence. Company Registration Number: 61965243 C. "I usually approach the person directly to talk about it" The patient said: I can't get rid of this headache. C. Self-injury The symptoms can be mild Which would be most therapeutic when the client's parents come in to discuss discharge plans? E. identifying triggers for alcohol consumption, A patient with a history of chronic alcohol abuse has begun to demonstrate signs and symptoms of delirium tremens (DTs). vSim for Nursing | Mental Health Mental Health Case: Li Na Chen, Part 2 Documentation Assignments. B. egocentricity C. the client reports increased feelings of self-control C. Loneliness A. he is likely currently experiencing the peak of his signs and symptoms C. catharsis A. lithium C. Highly social C. "would you describe your current eating habits?" A. B. avoidant A. shout and let the client know that this behavior is not tolerated "I can promote my client's sense of control by establishing a schedule" D. "I don't know what else I can do to keep him from getting angry at me", A nurse is assessing a client in a community clinic who reports feeling anxious lately because she is considering leaving her marriage. (select all that apply). A. - fibers, Select the correct description of a somatoform disorder. Which is an appropriate nursing action? 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. The patient said: Sometimes I wake up in the morning and I can't remember, things. C. Abuse E. occipital lobes, The prescription of clozapine requires weekly blood samples for which time frame? Case - Nur 3480 andrew davis vsim guided reflection 3. B. try to clarify what has upset the client Randy Adams prequiz Vsim. They need to be aware of how this can impact caring for patients C. anger A. amenorrhea D. monitor emotional responses 1:51 The patient said: Why are you asking me so many questions? B. wernicke-korsakoff syndrome (select all that apply) 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. You answered: Of all the concerns you have, which is the most upsetting to you? A. allow the client to select preferred meal times ), borderline personality disorder is categorized as a Cluster B disorder. An interactive, personalized simulation experience for every student. D. physical aggression, Which describes a strong emotional response to a real or perceived provocation? 2:29 You asked the patient: Do you have any pain? B. 2:25 You asked the patient: Do you have any difficulty with your breathing? C. "methadone can be used during opioid withdrawal and to maintain abstinence" D. carbamazepine, A new nurse asks the nurse manager about the best intervention to use when trying to de-escalate a potentially violent client. B. has difficulty making even simple decisions D. provide information regarding AA support groups patient said: It's about a 4. B. (select all that apply) D. mood disorders, A nurse manager is discussing the care of a client who has a personality disorder with a newly licensed nurse. A. motor vehicle accidents B. C. hallucinations After a dose had been administered, what assessment result, directly related to the medication, would be a concern for the nurse? D. Encourage the parents to discuss the possibility of the client going into a day-care program when the client goes home, When providing care to a client who consistently attempts to manipulate the staff, the nurse can best maintain the therapeutic milieu by doing what? A. inform the client medication is required D. dramatic, Which long-term patterns are consistent with a diagnosis of borderline personality disorder? Confront the client firmly about how the client's behavior makes the nurse feel. The patient said: The 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. The nurse would be correct in identifying which neurotransmitter decreased in this disease? actions without judgment;/p>lt;p>Alcohol use disorder is marked by the These are questions I ask all of the patients I see. C. "he doesn't like it when I go out with my girlfriends" A. lorazepam You identified the patient. C. observe the client for nonverbal indicators B. Everything is falling apart! 10:35 You said: Are you hearing anything that is disturbing to you? 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? You asked if the patient had any known allergies. fewer than 14 drinks during any given week, and for women, this means 3 or . D. request the presence of additional staff (select all that apply) clarify their own feelings and values related to individuals with substance use Course Hero is not sponsored or endorsed by any college or university. A. ", Which term is used to describe an activity used to release anger? As he moves into Stage II (24 to 72hours) and then into Stage III (after 72 hours), what behaviors should be assessed for and what safety measures should be initiated? A. social isolation D. Risk for self-mutilation, Which occurs when thinking, feeling, or behaviors occur outside a person's awareness? You asked the patient: Have you had any changes in your appetite over the past. C. 4 months C. observing seizure precautions 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!" had with friends or family with substance use disorder will affect these B. hypokalemia D. 8 months, A client has been prescribed clozapine for treatment of schizophrenia. A. the individual characteristics that change as one grows and experiences life situations 1 week C. 3 days D. 12 hours D It is important that nurses communicate in a nonjudgmental manner. vSim Andrew Davis: Alcohol Withdrawal Preview 2 out of 5 pages Getting your document ready. Attention seeking over use. A. Splitting C. splitting C. implement seizure precautions -hydroxybutyrate D . The patient said: I don't think I can keep this up anymore. B. anxiety disorders (headache, tremor) to severe (hallucinations, delirium tremens, seizures). D. use of the gum is limited to 90 days, A nurse is discussing the use of methadone with a newly licensed nurse. The client has a serious and formal demeanor. 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? D. "would you rather go to the cafeteria or have dinner in the dayroom? May I ask you these, The patient said: Why are you asking me so many questions? I wish they would shut up!\nYou Which class of medication is regularly prescribed to provide a gradual withdrawal from alcohol? 9:17 You said: Have you vomited? C. middle-aged, wealthy businessman C. neglect C. "if you don't calm down, I will need you to go to your room" Difficult temperament C. decreases cravings The client also talks in a loud voice. B. You shoul A. administer the clonidine on the prescribed schedule D. Lacking empathy, Based on psychological theories, which is believed to be critical to understanding personality disorders? C. sexual promiscuity D. hypertension, A nurse is teaching a female client who has tobacco use disorder about nicotine replacement therapy. It helped me a lot to clear my final semester exams. Which would the nurse include in the education plan for this client and family? A. try to subdue the client B. reduced use of restraints The nurse identifies that the client may have which style of anger expression related to this incident? priority in the patients life, to the exclusion of family, work, self-care, and often C. provide the client with a high-fat diet at the start of treatment think I'm nuts?!? The patient said: No, I don't have any 6:56 You asked the patient: Have you ever tried to harm or kill yourself? collaborative approach rather than a patriarchal/matriarchal approach to care. B. Devry University D. Stress, A client with borderline personality disorder (BPD) tells the nurse, "You are good but the nurse on the afternoon shift is bad. A. Which step should the nurse take? C. Dissociation The doctor is bad, too, but the therapist is good." C. inform the client that restraints may be applied 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. encourage participation in group therapy sessions, A nurse is caring for a client who has alcohol use disorder. B. blood urea nitrogen and creatinine The nurse should recognize the client's statement as an example of which of the following defense mechanisms? B. dopamine "what is your relationship like with your family?" distress? C. "I am sure your anger would be reduced by punching the pillows" Case - Andrew davis vsim 2. However, the dietitian will ensure that you don't get too many calories in your diet" D. identification, A client with borderline personality disorder has been admitted to the inpatient unit because the client has been engaging in wrist cutting. It was A. ", A nurse is caring for an adolescent client who has anorexia nervosa with recent rapid weight loss and a current weight of 90 lb. A. A. borderline A. tolerance break B. D. "do you have any questions about why you are taking this medication? D. women are more aware about the health consequences related to inappropriate anger expression, A nurse is assessing a Haitian client. A. asking personal questions when they are inappropriate B. blackout A. Anxiety B. Splitting A. culture is not a consideration when evaluating behaviors associated with personality disorders B. You asked the patient: Can you tell me a little bit more about what's going on with you. B. hunger and thirst C. ask the client if the client feels triggered by another client in the group pain. A. mood and affect Northwestern University C. "she should participate in an Al-Anon group to help her recover" A. middle-aged woman with a college degree A. personality disorders are diagnosed in early adulthood, when personality formation is complete \nYou used the therapeutic technique of encouraging expression. B. dim the lighting in his room Which is the nurse trying to prevent? "what works best is what fits the client and the situation" 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. validation used the therapeutic technique of giving information. The activation of the dopamine reward system is a primary source of Include his responses to your assessment. B. The nurse should anticipate prescriptions for which of the following medications to promote long-term abstinence for alcohol? You shoul presenting reality and giving information. C. shield oneself with a pillow The client tells the nurse that she is afraid she is going to gain weight. A. D. have a staff member stay with the client, A nurse is leading an anger management group in the inpatient program. B. escalation You used the therapeutic technique of focusing. C. avoid eating 15 min prior to chewing the gum E. acamprostate, A nurse is evaluating a client's understanding of a new prescription for clonidine for the treatment of opioid use disorder. In order for the nurse to perform the initial assessment, which approaches should the nurse use to manage the situation? What symptoms would the nurse expect to find in this client? 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. VSIM OF NURSING MENTAL HEALTH-ANDREW DAVIS CASE STUDIES PACKAGE $ 97.45 $ 40.89 5 items 1. 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? whoisthatgirl28 Plus. A. obtain a thorough client history "I'm scared that you're going to leave me" B. tolerance C. Sociopath A. 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. A. identity diffusion Do you 6:12 You asked the patient: Please tell me what today's date is. C. "Sometimes they do it to avoid the onslaught of delusional thinking." D. near continuous pacing 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. 8 terms. D. manipulation, The nurse caring for the client taking clozapine should advocate for monitoring using which diagnostic test? itching. 30 terms. Which communication technique is the nurse utilizing with this statement? A. experiencing tactile disturbances A. regression Students should 0:43 You identified the patient. vSim Pre Simulation Quiz - Linda Waterfield. 9:52 You said: Have you had any numbness? B. relive their childhood experiences B. risk for self-mutilation related to alcohol withdrawal and altered thought processes B. triggering The patient said: No, I am You are making my symptom of alcohol withdrawal. my work and it keeps me busy. 11:42 You said: Is the light's color different? Seizures - These are waves of abnormal electrical activity in the brain. Which response by the nurse would be most appropriate? C. disulfiram B. 2021-22, Toaz - importance of kartilya ng katipunan, 324069444 Introduction to Mastering Chemistry, Is sammy alive - in class assignment worth points, 1-2 short answer- Cultural Object and Their Culture, Carbon Cycle Simulation and Exploration Virtual Gizmos - 3208158, Leadership class , week 3 executive summary, I am doing my essay on the Ted Talk titaled How One Photo Captured a Humanitie Crisis https, School-Plan - School Plan of San Juan Integrated School, SEC-502-RS-Dispositions Self-Assessment Survey T3 (1), Techniques DE Separation ET Analyse EN Biochimi 1, Blessing-Rieman College of Nursing & Health Sciences. The client says, "the nurse on the evening shift is always nice! Which of these conditions are attributable to the client's history of alcohol abuse? Measure students' progress, identify weaknesses and deliver instant . A. anger B. admitting to visual hallucinations D. Exuberant. D. claiming to be more important than other persons B. give the client plenty of space B. patient reports a headache rated as 3/5 A. Obsessive-compulsive personality disorder