cravings and difficulty stopping the use of the substance. "Temperament is not changeable." Case - Andrew davis vsim 2. Which personality disorder best describes this client? Devry University 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. allow the client to select preferred meal times "what works best is what fits the client and the situation" The nurse in charge of an inpatient psychiatric unit is irritated with a client who has borderline personality disorder. Which assessment finding confirms that a patient is experiencing moderate alcohol withdrawal? "you will learn how to control your violent behavior" Added a new reaction type to model an arbitrary number of reactants and products. A. women have a greater threshold for controlling anger Which class of medication is regularly prescribed to provide a gradual withdrawal from alcohol? (select all that apply) B. substance abuse disorders "I can promote my client's sense of control by establishing a schedule" C. Passive-aggressive personality C. impulsive behaviors A. C. women express sadness instead of anger while facing unjust situations \nYou The patient said: No. you saying you feel anxious? C. methylphenidate 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. D. Scheduling staff one-on-one time with the client, Which personality disorder is characterized by an alteration between hostile self-assertion, such as stubbornness, and excessive dependence? C. the number of other medications the client is taking 6:26 You asked the patient: Have you lost interest in activities that you once enjoyed? C. reflection A. auditory hallucinations B. acceptance B. Depression . choose the best answer D. escalation, The nurse is assessing a client who is aggressive. Aggression B. assess and record heart rate every 4 hours B. client's primary care provider 9:41 You said: Have you had any pins and needles sensations? D. dramatic, Which long-term patterns are consistent with a diagnosis of borderline personality disorder? What clinical manifestations of alcohol withdrawal should the nurse expect him to demonstrate by 10 pm that night? B. egocentricity B. admitting to visual hallucinations 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. naltrexone A. older adults require higher doses of a substance to achieve a desired effect I don't drink more You shoul A . Motivational B. discuss with the family the need to place the client in restraints e. Purchase price. D. Arrange for the client to be transferred to another unit. C. older adults are at an increased risk for substance use following retirement C. Sociopath C. Personal identity disturbance Experiences students may have The patient said: Yes, I have some the 26th. 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? Identity diffusion dysfunctional use of alcohol. It helped me a lot to clear my final semester exams. love_ces_sylvain. C. "make sure that another colleague knows where you are at all times" Everything is falling B. risk for self-mutilation related to alcohol withdrawal and altered thought processes D. lying, A client with a history of angry outbursts that have caused interpersonal and work problems has been in counseling for several months. The patient said: Sometimes I wake up in the morning and I can't remember, things. Measure students' progress, identify weaknesses and deliver instant . Identity diffusion A. show an increased tolerance for frustration 2 months Which step should the nurse take? The nurse needs to work with the patient to address consequences of Do you said: I had some coffee and a bowl of cold cereal. 7:03 You asked the patient: Do you have any thoughts or wishes to harm anybody A. Passive-aggressive The assessment of the client's thought process and content would allow the nurse to identify what? B. used the therapeutic technique of seeking clarification. appropriate to ask the patient about when he felt his best. "while taking this medication, I should keep a pack of sugarless gum" 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. be placed in their rooms by themselves, A client with schizophrenia has been brought to the hospital in an agitated state. D. naltrexone "I've been known to fly off the handle when I'm angry" Which is the nurse trying to prevent? B. Parental alcohol abuse A. - fibers, Select the correct description of a somatoform disorder. allison041996. You asked the patient: Where is your pain located? D. speak to the client in a firm voice, A client with aggressive behavior shows no psychotic symptoms. 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. D. "The self-mutilation often slows the mood swings your sibling experiences. A. cytokines A. physical fewer than 14 drinks during any given week, and for women, this means 3 or A. patient reports ringing in his ears 7:32 You asked the patient: How do you understand your problems? C. "methadone can be used during opioid withdrawal and to maintain abstinence" C. orientation Course Hero is not sponsored or endorsed by any college or university. C. catharsis D. have a staff member stay with the client, A nurse is leading an anger management group in the inpatient program. B. rinse out the mouth immediately before chewing the gum A. identity diffusion D. "Temperamental differences among children can be observed very early in life. Which of the following nursing actions should the nurse include in the client's plan of care? B. women are expected not to express so-called negative feelings like anger 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? 11:36 You said: Who am I? The, You asked the patient: On a scale of 0 to 10, how would you rate your level of. to feelings. 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. B. The patient said: Not really sick to 3,4 - methylendedioxymethamphetamine B . C. sit in an open area A. scurvy The client describes a long history of partner abuse associated with this relationship. The patient said: A. orienting for time, place and person as needed I wish they would shut up!\nYou 6:18 You asked the patient: How would you describe your mood? B. Which of the following information should the nurse include in the teaching? C. provide the client with a high-fat diet at the start of treatment A. post traumatic distress syndrome It provides faculty with ideas to integrate vSim into existing curricula and offers ways to develop and/or enhance current teaching strategies. C. use should be limited to emergencies in which the risk of a client physically harming self, staff, or others is imminent Which would the nurse identify as one of the strongest risk factors for this disorder? Ketamine C . A. the client has gained insight into situations that trigger anger Andrew Davis- vSim Scenario Steps The nurse would be correct in identifying which neurotransmitter decreased in this disease? The, You asked the patient: Do you have any pain? Vsim Andrew Davis Mental Health. May I ask you these, The patient said: Why are you asking me so many questions? 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. C. manic behaviors Which of these conditions are attributable to the client's history of alcohol abuse? B. pons He makes me want to hurt him back." D. Maladaptive expression of emotions, A nursing instructor is teaching about the importance of bonding and how an easy temperament can serve as a protective factor against psychopathology. However, the dietitian will ensure that you don't get too many calories in your diet" Select the development time of symptoms in neuroleptic malignant syndrome. C. catharsis of anger NY Times Paywall - Case Analysis with questions and their answers. C. tolerance You performed medication reconciliation. D. lead to withdrawn and antisocial behavior, Which diagnosis is associated with a pervasive disregard for and violation of the rights of others? vSim for Nursing | Mental Health Mental Health Case: Li Na Chen, Part 2 Documentation Assignments. B. A. place the client in a separate room relapse. A. cardiac enzymes A. recovery B. assertive behavior 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. Which client response would indicate to the nurse that the client engages in anger suppression? A. hostility C. "do you feel that you can manage your reactions with anger?" D. request the presence of additional staff 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. A. 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? B. The patient said: I like I am going to ask you a series of. 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? this time? \nYou used the therapeutic technique of C. neurontin C. offer the client an antianxiolytic mediation D. becomes agitated if his personal area is not neat and orderly 10:23 The patient said: Why is everyone so loud? D. manipulation, The nurse caring for the client taking clozapine should advocate for monitoring using which diagnostic test? You checked scene safety. Which response by the nurse would be most appropriate? 1:51 The patient said: Why are you asking me so many questions? Exam (elaborations) - Vsim of nursing|mental health case: andrew davis guided reflection questions 4. 56 terms. 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. Which intervention would be most appropriate at this point? The patient said: No, it's just light. Which healthcare professional should the nurse contact to collect evidence of the assault? D. Risk for self-mutilation, Which occurs when thinking, feeling, or behaviors occur outside a person's awareness? things. The patient said: It is D. unstable personal relationships "remember to take this medication at the times we've discussed" "We need to understand that she is responsible for her disorder" Other sets by this creator. D. "you are not overweight, and the staff will ensure that you do not gain weight while you are in the hospital. collaborative approach rather than a patriarchal/matriarchal approach to care. D. Exuberant. A. minimize all sources of noise in his room 0:06 You introduced yourself. The client's sibling is visiting, and the sibling asks the nurse to explain why the client sometimes does this. D. meneire's disease, A nurse must assess for characteristics that are predictive of violent behavior. C. decreases cravings C. Invalidating Projective A. depression B. the way an individual reacts to situations and circumstances, over which he or she has little or no control D. carbamazepine, A new nurse asks the nurse manager about the best intervention to use when trying to de-escalate a potentially violent client. 2. They need to be aware of how this can impact caring for patients Which would the instructor most likely include as being involved when describing psychoneuroimmunology? 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 D. carbamazepine, A nurse is providing teaching to the family of a client who has a substance use disorder. love_ces_sylvain. The patient said: No, I am not seeing or hearing things that are not there. C. risk for other-directed violence related to alcohol withdrawal C. "I should practice limit-setting to help prevent client manipulation" C. "call the doctor immediately if you experience any of the side effects we talked about" head.\nYou answered: The lights can't hurt you. Karen. \nYou used the nontherapeutic A. immediately approach the client to engage in communication rsmb143. A. anger You asked the patient: Have you had any changes in your appetite over the past. C. haloperidol more questions? A. amenorrhea Mike T. With a profile at Docmerit you are definitely prepared well for your exams. The patient said: My appetite has been about the same. headache worse.\nYou answered: I appreciate how difficult it is to answer so Language Proficiency Assessment Committee. Mental Health . Which of the following statements indicates the client is experiencing the cognitive distortion of catastrophizing? Which condition was the client likely experiencing? "please do not damage the hospital's property" B. try to clarify what has upset the client B. rape Everything is falling, apart!\nYou answered: Of all the concerns you have, which is the most upsetting. Company Registration Number: 61965243 D. "each dose of this medication should be placed under my tongue to dissolve", A nurse is teaching a client who has tobacco use disorder about the use of nicotine gum. 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? "taking this medication will decrease your cravings for alcohol" Terms of Use B. dopamine Case - Vsim of nursing|andrew davis mental health post-quiz 3. E. difficulty understanding why it is inappropriate to have a personal relationship with staff, A nurse is preparing to obtain a nursing history from a client who has a new diagnosis of anorexia nervosa. C. "I can expect some diarrhea from taking this medicine" An interactive, personalized simulation experience for every student. C. disulfiram 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. The nurse should instruct the client to monitor for which of the following adverse effects? C. "she should participate in an Al-Anon group to help her recover" pain. Encouraging questions and discussing the client's concerns B. Include his responses to your assessment. C. anger C. "can you select an outfit to wear to group therapy?" B. intentional risk taking A. The patient said: Seven. Document the assessment finding related to Mrs. Chen's suicidality at discharge. Disturbed thought process A. motor vehicle accidents The nurse judges the plan of care to be effective when which outcome is met? B. Which response is most important for the nurse to make to this client? D. the behaviors demonstrated by an individual diagnosed with a personality disorder conform to cultural expectations, Which statement regarding the diagnosis of a personality disorder is accurate? C. "if you don't calm down, I will need you to go to your room" What is the priority nursing diagnosis for this client? "taking this medication will help reduce by craving for heroin" A. catharsis What question should the nurse ask to determine the effect of culture on the client's expression of anger? If you earn 6% per year on your bank account, how long will it take an account with $100 to double to$200? 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? 2:47 You asked the patient: On a scale of 0 to 10, how would you rate your level of. 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. interventions;/p>lt;p>Alcohol use disorder is a disease that requires treatment. C. "I usually approach the person directly to talk about it" What symptoms would the nurse expect to find in this client? A. experiencing tactile disturbances A. - fibers, Select the correct description of a somatoform disorder. 24-72 hours C. 4-7 days D.10-14 days QUESTION 62 1. B. his signs and symptoms will likely taper off in severity over the next 12 hours B. What should be the nurse's response to this behavior? 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. 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. 8:30 You said: Alcohol withdrawal can cause a variety of symptoms, some of which C. valproic acid The patient said: No, never! A. implement seizure precautions "methadone is a replacement for physical dependence to opioids" A. Obsessive-compulsive personality disorder 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. Despite being employed, the client verbalizes having low quality of life due to anxiety and isolation. The nurse is counseling a 28-year-old client with avoidant personality disorder. 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? You washed your hands. Sensitivity to sound is a common However, the diagnosis of substance use disorder is more focused on functional B. Direct the client to another staff member when the client tries to interact. to you? The patient said: Family is supposed to stick together through thick and thin, and they, You answered: What can you do while you are here to open communication with your. and relationship challenges secondary to the use of the substance, as well as (select all that apply). B. carbamazepine Which nursing diagnosis would be the priority? A. acetylcholine Confront the client firmly about how the client's behavior makes the nurse feel. (select all that apply) A. C. Self-injury B. anger It was correct to check scene safety in order to maintain your own safety. C. threatening a victim's dog The patient said: No. The patient said: No, not really. distress? What is the nurse's best response? D. Impulsivity, Which would be the priority nursing diagnosis for a client diagnosed with borderline personality disorder (BPD)? A. used the therapeutic technique of giving information. A. C. "this medication maintains your blood pressure at a normal level during alcohol withdrawal" begin 4 to 12 hours after cessation of alcohol intake. D. hypertension, A nurse is teaching a female client who has tobacco use disorder about nicotine replacement therapy. A. C. "I am sure your anger would be reduced by punching the pillows" B. hypokalemia For a truly unparalleled clinical education, Lippincott partnered with the National League for Nursing (NLN) to develop evidence-based nursing simulation patient scenarios for nursing students so they can receive the most realistic clinical education imaginable. D. asking for time alone when frustrated 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? "one of the side effects of this medication is breast engorgement" Ineffective coping B. confusion "I should encourage clients who have a schizoid personality disorder to increase socialization" C. postcrisis D. near continuous pacing patient said: It's about a 4. Exam (elaborations) - Andrew davis documentation assignments- mental health Show more By: priscyd27 1 year ago Uploaded on January 17, 2021 C. engaging in disputes over medication, supplies, or rules on the unit B. bupropion Which of the following actions should the nurse identify as the priority? C. ask the husband to discuss why he spends so much time with his friends A. C. monitor facial expressions B. older adults commonly use rationalization to cope with a substance use disorder with this diagnosis;/p>lt;p>Alcohol withdrawal has physical symptoms that It was B. provides a form of aversion therapy interviewing is a good intervention with alcohol use disorder as it promotes a (select all that apply) The class also includes a review of the anatomy and physiology of the neurological system. D. "methadone increases the risk for acetaldehyde syndrome" Which safety measures must the nurse ensure are in place prior to continuing the assessment? You are making my A. A. diarrhea 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. VSim Computational Engine (Vorpal) Added Euler fluid solver allowing for neutral fluid to evolve in time. Bluelizzard. Case - Nur 3480 andrew davis vsim guided reflection 3. You asked the patient: Where is your pain located? A. try to subdue the client Which statement by the nurse demonstrates appropriate offering of choices? C. splitting C. "if I could be skinny, I know I'd be popular" When considering medication for treatment, the nurse knows which will be the most effective? C. assure him that the withdrawal process generally lasts no more than 96 hours B. The activation of the dopamine reward system is a primary source of It's scary.\nYou answered: What are you concerned might happen? questions? D. emotional dependency, In clients who do not completely recover from being victimized by rape, which mental illness is most likely to develop? He was escorted out of a school board meeting after hurling racist and ethnic obscenities at pupils and their families. C. "the cost of the treatment is covered by insurance only if delivered in a hospital setting" The patient said: (select all that apply) Withdrawal Assessment, or CIWA. Which of the following statements by the client indicates an understanding of the teaching? Andrew Davis is currently in Stage I of alcohol withdrawal. Which is an appropriate nursing action? The nurse should plan to assess the client for symptoms of which mental health condition? 120 minutes B. Instructing the staff to enforce all unit rules consistently "I should avoid eating right before I chew a piece of nicotine gum" \nYou questions to assess your current health status and your level of alcohol The assessment tool is called the Clinical Institute D. "do you know why you are being admitted? appropriate to ask the patient about when he felt his best. A. demonstrates extreme anxiety when placed in a social situation C. Discuss the feelings with a colleague to promote coping. Which phase of the aggression cycle is this client experiencing? C. alcohol dependence with memory impairment C. "I need to feel that everyone admires me" Which statement made by a student demonstrates a need for further instruction? A. B. B. 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. \nYou used the therapeutic technique of encouraging expression. B. unemployed young woman who dropped out of high school C. 21 years A. D. slightly elevated body weight (select all that apply) used the therapeutic technique of giving information. A. he is likely currently experiencing the peak of his signs and symptoms 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? B. ridiculing "will your mother be available to help administer this medication for you?" B. the client has increased self-esteem 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? These are questions I ask all of the patients I see. One of the most useful resource available is 24/7 access to study guides and notes. It was correct to check scene safety in order to maintain your. Cross), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. 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A. Seizures - These are waves of abnormal electrical activity in the brain. A. have their needs met D. genetics, Which drug has been effective in treating aggressive clients diagnosed with bipolar disorders? Add to Cart. D. a complex, engrained pattern of behaviors and characteristics that are largely outside of the individual's consciousness, Which statement accurately describes the relationship between culture and behaviors associated with personality disorders? "Temperament is malleable." Which term should the nurse use to describe this drinking behavior? 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? The client continues to maintain a job and functions well in activities of daily living, relationships, and other aspects of social life. A. inform the client medication is required B. belief in the ability to become invisible during times of stress B. valproate C. scheduled unit activities What is the nurse's best response? B. Impulsivity A. remind him frequently that the signs and symptoms will lessen in severity What is the best action for the nurse to perform? C. Dissociation Which would be most therapeutic when the client's parents come in to discuss discharge plans? The child has severe uncontrollable temper outburst and repeatedly bangs the head on the wall or door. B. Overly friendly Defending Northwestern University A. "people say I withdraw and pout about the problem" "I'm scared that you're going to leave me" C. "people taking this medication often experience dermatitis" allison041996. (headache, tremor) to severe (hallucinations, delirium tremens, seizures). It's scary.\nYou answered: What are you concerned might happen? "we need to explore what makes you want to hit people when you are angry" The patient said: You are the nurse here. You answered: Of all the concerns you have, which is the most upsetting to you? C. disulfiram C. respiratory rate of 11 breaths/minute A. Anxiety 143 terms. (select all that apply) The nurse demonstrates understanding of the information by identifying which structures as components of the brain stem?
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