It was. The patient said: No. C. disulfiram 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. B. Impulsivity It provides faculty with ideas to integrate vSim into existing curricula and offers ways to develop and/or enhance current teaching strategies. However, the diagnosis of substance use disorder is more focused on functional This activation can be so overpowering that the alcohol becomes the A. 120 minutes B. Which is an appropriate nursing action? A. mindfulness 9:58 You said: Do you feel bugs crawling under your skin? 30 terms. Poor social skills 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. 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. D. ask another client in the group to respond to the client's comment, A nurse is considering using restraint and seclusion for a client who is acting out. "one of the side effects of this medication is breast engorgement" No. appropriate to ask the patient about when he felt his best. C. splitting I have already answered a lot of questions. A. self-centeredness "methadone is a replacement for physical dependence to opioids" symptom of alcohol withdrawal. 7:03 You asked the patient: Do you have any thoughts or wishes to harm anybody 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. C. diagnosis involves identifying significant impairment in forming self-confidence and appropriate self-esteem \nYou What clinical manifestations of alcohol withdrawal should the nurse expect him to demonstrate by 10 pm that night? Vsim Andrew Davis Mental Health Flashcards | Quizlet The client describes a long history of partner abuse associated with this relationship. There is a biological basis to dysfunctional alcohol Which of the following questions should the nurse include in the assessment? D. Impulsivity, Which would be the priority nursing diagnosis for a client diagnosed with borderline personality disorder (BPD)? 3. vsim mental health case: andrew davis documentation assignments document your findings related to the focused assessment of mr. alcohol withdrawal symptoms. D. meneire's disease, A nurse must assess for characteristics that are predictive of violent behavior. You even benefit from summaries made a couple of years ago. A. B. Self-mutilation 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. explore what is underlying the client's physical and emotional state 6 months other than medications? 11:29 You said: What is today's date? B. relive their childhood experiences Post-Simulation Quiz: Sandra Littleton Flashcards | Quizlet Which of the following findings should the nurse expect? D. Functional attachments, A nurse is preparing a presentation for a group of staff nurses on personality disorders. Just Tylenol. A. criticizing Cross), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. 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It was appropriate to ask the patient what was going on with him B. A. What symptom of alcohol withdrawal syndrome would be the most urgent for the nurse to address? 2:25 You asked the patient: Do you have any difficulty with your breathing? A. abuse B. dopamine 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? E. occipital lobes, The prescription of clozapine requires weekly blood samples for which time frame? A. motor vehicle accidents 2:47 You asked the patient: On a scale of 0 to 10, how would you rate your level of. 143 terms. "don't pretend like you don't know how fat I am" answered: Mr. Davis, no one here is loud. C. threatening a victim's dog A. - fibers, Select the correct description of a somatoform disorder. C. lead to aggression and violence Vsim Andrew Davis Mental Health. B. A. remind him frequently that the signs and symptoms will lessen in severity C. "methadone can be used during opioid withdrawal and to maintain abstinence" 3,4 - methylendedioxymethamphetamine B . Assume Karo Products, Inc., purchased conveyor-belt machinery. allison041996. B. Parental alcohol abuse C. impulsive behaviors C. Discuss the feelings with a colleague to promote coping. A. orienting for time, place and person as needed B. You asked if the patient had any known allergies. Disturbed thought process "his father physically abused his mother for years" Even though the client is not currently intoxicated, the client is combative and exhibits altered thought processes. 2:15 The patient said: Sometimes I wake up in the morning and I can't remember B. you are the meanest nurse ever!" Which of the following responses should the nurse make? It was correct to check scene safety in order to maintain your own safety. disorders, as well as their world view of alcohol. Karen. D. claiming to be more important than other persons B. blood urea nitrogen and creatinine "Temperament is not changeable." E. acamprosate, A nurse is providing teaching to a client who has a new prescription for clonidine to assist with maintenance of abstinence from opioids. D. "do you know why you are being admitted? B. anger 0 Comments D. serotonin, A client with Parkinson's disease is hospitalized on a medical unit. A. C. scheduled unit activities You introduced yourself. A. Other sets by this creator. 0:43 You identified the patient. 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. The patient said: No, I am not seeing or hearing things that are not there. C. hypothalamic axes to addiction. Classify the given expenditure as a capital expenditure or an immediate expense related to machinery: 2:36 You asked the patient: How would you rate your pain, on a scale of 0 to 10? You shoul vSim for Nursing | Virtual Simulation | Laerdal Medical 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!" priority in the patients life, to the exclusion of family, work, self-care, and often Randy Adams prequiz Vsim. C. neurontin A. administer the clonidine on the prescribed schedule Document the assessment finding related to Mrs. Chen's suicidality at discharge. "I'm scared that you're going to leave me" my stomach. "I should encourage clients who have a schizoid personality disorder to increase socialization" 0:48 You asked the patient: Can you tell me a little bit more about what's going on A. the client has gained insight into situations that trigger anger Withdrawal Assessment, or CIWA. 18 years than anyone else.\nYou answered: What are your feelings about your drinking? B. rape interviewing is a good intervention with alcohol use disorder as it promotes a B. reach out for the client's knife 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 patient said: No. B. take the client to the gym for exercise D. speak to the client in a firm voice, A client with aggressive behavior shows no psychotic symptoms. B. discuss with the family the need to place the client in restraints A. (select all that apply) A. inform the client medication is required 10:44 You said: Does the light appear to be too bright? C. "this medication maintains your blood pressure at a normal level during alcohol withdrawal" B. blackout The patient said: No, I am D. carbamazepine, A new nurse asks the nurse manager about the best intervention to use when trying to de-escalate a potentially violent client. You performed medication reconciliation. 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 patient said: Sometimes I wake up in the morning and I can't remember, things. C. sexual promiscuity distress? "I will need to stop using the nicotine gum after 1 year" B. use increased doses of medication to reach a desired effect withdrawal symptoms. A. asking personal questions when they are inappropriate (headache, tremor) to severe (hallucinations, delirium tremens, seizures). View full document Andrew Davis vSim Scenario Steps: You checked scene safety. D. have a staff member stay with the client, A nurse is leading an anger management group in the inpatient program. B. A. depression 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. 1 week C. 3 days D. 12 hours D D. young college graduate who recently gave birth to her first child, Which personality disorder would be placed in Cluster B? C. postcrisis When treated with thiamine, the client's symptoms greatly improve. Exam (elaborations) - Vsim of nursing|mental health case: andrew davis guided reflection questions 4. B. anger suppression The patient said: No. A. catharsis C. disulfiram C. "I need to feel that everyone admires me" 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 B. ask colleagues to contact hospital security for support A. 7:50 You asked the patient: Do you ever see or hear things that other people do not? C. Ask the parents to keep a written schedule of activities for each day for the client B. sexual 8:16 You said: Do you feel sick to your stomach? B. B. establish consequences for purging behavior They need to be aware of how this can impact caring for patients 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? ", A nurse is working with a client who has lost unit privileges due to inappropriate behavior. imperative that nurses recognize symptoms and provide early pharmacologic Which nursing diagnosis would be the priority? "what is your relationship like with your family?" 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? C. "if you don't calm down, I will need you to go to your room" You asked the patient: Do you have any difficulty with your breathing? A. risk for injury related to effects of alcohol abuse safety;/p>lt;p>There is not a defined amount of alcohol that designates a He makes me want to hurt him back." vSim Andrew Davis: Alcohol Withdrawal - VSim (VSIM) - Stuvia Which response would be most appropriate? Denial is a common defense mechanism, as is the cycle of abuse, remission, and A. \nYou used the therapeutic technique of verbalizing the implied. These are questions I ask all of the patients I see. The patient said: No, not really. ", Which staff behaviors are most likely to trigger clients who are predisposed to aggressive or violent behavior? Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew My Library Discovery Institutions University of California Los Angeles Miami Dade College Auburn University What is the nurse's best response? It is Exam One Practice Questions. 2 months Added a new reaction type to model an arbitrary number of reactants and products. Deliver instant online access, immersing students in virtual simulation wherever they prefer. C. catharsis B. try to clarify what has upset the client What is the nurse's best response? vSim for Nursing Simulation Scenarios - Wolters Kluwer The patient said: I can't get rid of this headache.\nYou answered: A headache is a, normal symptom of alcohol withdrawal. A. D. physical abuse, Which statement made by a client raises the greatest concern that the client may be experiencing relationship violence? "taking this medication will decrease your cravings for alcohol" The nurse needs to work with the patient to address consequences of Andrew Davis is currently in Stage I of alcohol withdrawal. C. pancreatitis, esophagitis, gastritis, and elevated liver enzymes A. experiencing tactile disturbances A. acetylcholine A client with a blood alcohol level of 0.20 mg% is at high risk for injury related to the impairment of which function? B. odd B. pons 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? 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. D. prepare to seclude the client, The nurses on a mental health unit are reviewing aspects of the unit environment in a staff meeting. B. assertive behavior Michaela_Marcello. Company Registration Number: 61965243 (review sheet 4), Philippine Politics and Governance W1 _ Grade 11/12 Modules SY. vSim Pre Simulation Quiz - Linda Waterfield. D. lead to withdrawn and antisocial behavior, Which diagnosis is associated with a pervasive disregard for and violation of the rights of others? C. practice assertiveness skills On which potential issue should the nurse focus with this client? C. Affective instability had with friends or family with substance use disorder will affect these A. C. hallucinations It was B. disassociation School Harvard University Course Title NURSING HEALTH ASS Uploaded By ConstableEchidnaMaster1985 Pages 7 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? B. my work and it keeps me busy. 9:52 You said: Have you had any numbness? C. display increasing motor activity patient said: It's about a 4. A. development of a therapeutic relationship C. observe the client for nonverbal indicators The patient said: B. hostility 6:18 You asked the patient: How would you describe your mood? B. Depression The child has severe uncontrollable temper outburst and repeatedly bangs the head on the wall or door. A. A. use should be limited to times when a client has demonstrated violence and has inflicted harm to self or others C. assure him that the withdrawal process generally lasts no more than 96 hours (select all that apply) The patient said: No, never! 11:42 You said: Is the light's color different? When discussing risk factors for child abusers, which would the nurse identify as the most likely profile of the perpetrator of fatal child abuse? A client says, "I'm feeling really tense, and I'm fidgety today." Devry University B. the diagnosis of personality disorders is extremely difficult because the individual doesn't acknowledge the illness 0:00 You checked scene safety. B. rinse out the mouth immediately before chewing the gum "please do not damage the hospital's property" apart!\nYou answered: Of all the concerns you have, which is the most upsetting Andrew Davis- vSim Scenario Steps.pdf - Course Hero Northwestern University B. B. assess and record heart rate every 4 hours Select the development time of symptoms in neuroleptic malignant syndrome. C. insomnia E. "can you discuss your feelings about your appearance? Which of the following nursing actions should the nurse include in the client's plan of care? A. patient reports ringing in his ears C. shield oneself with a pillow C. incest D. mood disorders, A nurse manager is discussing the care of a client who has a personality disorder with a newly licensed nurse. B. 6:49 You asked the patient: Do you have any thoughts or wishes to harm or kill A. Vsim Andrew Davis Mental Health. \nYou used the therapeutic technique of, You asked the patient: What other pain management strategies have you used. D. asking for time alone when frustrated C. the client reports increased feelings of self-control I just don't want to eat. The patient 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. D. encourage his family to spend time at his bedside, 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. A. C. "I am sure your anger would be reduced by punching the pillows" D. low self-esteem, To defuse a critical situation, the nurse can use the therapeutic communication techniques for which reason? The symptoms can be mild used the therapeutic technique of seeking clarification. What should be the nurse's response to this behavior? C. paranoid "I've been known to fly off the handle when I'm angry" 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? D. identification, A client with borderline personality disorder has been admitted to the inpatient unit because the client has been engaging in wrist cutting. 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? Which of the following information should the nurse include in the teaching? B. belief in the ability to become invisible during times of stress technique of using denial. A. lorazepam B. A. social isolation Just all of these questions. A. personality disorders are diagnosed in early adulthood, when personality formation is complete C. respiratory rate of 11 breaths/minute patient said: No. "Temperament is malleable." A. pancreatitis and elevated liver enzymes 12-24 hours B. C. Self-harm You used the therapeutic technique of focusing. A. allow the client to select preferred meal times You are making my Now is my chance to help others. A. patient reports ringing in his ears said: No. ), borderline personality disorder is categorized as a Cluster B disorder. B. diagnosis of alcohol use disorder. A. implement seizure precautions \nYou used the therapeutic technique of translating B. haloperidol D. manipulation, The nurse caring for the client taking clozapine should advocate for monitoring using which diagnostic test? C. ask the client if the client feels triggered by another client in the group C. client self-monitoring for anger cues Mental health Vsim. "eliminating any codependent behavior will promote her recovery" A. B. dopamine A. lorazepam 15 years A. anxious C. reflection 41 Comments Please sign inor registerto post comments. The nurse should anticipate prescriptions for which of the following medications to promote long-term abstinence for alcohol? self-aware of frustrations and expectations in working with this population;/p>, Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Give Me Liberty! The client has been in the psychiatric unit for 2 weeks and is scheduled to be discharged tomorrow. e. Purchase price. A. B. the way an individual reacts to situations and circumstances, over which he or she has little or no control A . You asked if the patient had any known allergies. The cell Anatomy and division. vSim for Nursing | Mental Health Mental Health Case: Li Na Chen, Part 2 Documentation Assignments. C. GABA A. lithium B. Dissociation A. Which of the following medications should the nurse anticipate administering to assist the client with maintaining abstinence from alcohol? 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. VSIM OF NURSING|MENTAL HEALTH- ANDREW DAVIS-Feedback Log : an American History (Eric Foner), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Psychology (David G. Myers; C. Nathan DeWall), Civilization and its Discontents (Sigmund Freud), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. David Smith. David Carter vsim questions. One of the most useful resource available is 24/7 access to study guides and notes. C. offer the client an antianxiolytic mediation 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. The client continues to maintain a job and functions well in activities of daily living, relationships, and other aspects of social life. Exam (elaborations) - Andrew davis documentation assignments- mental health Show more By: priscyd27 1 year ago Uploaded on January 17, 2021 C. methylphenidate You answered: A headache is a normal symptom of alcohol withdrawal. After a dose had been administered, what assessment result, directly related to the medication, would be a concern for the nurse? Identity diffusion Which of these conditions are attributable to the client's history of alcohol abuse? The client is no longer experiencing withdrawal manifestations. Andrew Davis- vSim Scenario Steps - Docmerit D. 8 months, A client has been prescribed clozapine for treatment of schizophrenia. The nurse should instruct the client to monitor for which of the following adverse effects? VSim Documentation v12.0.3 - Tech-X The patient said: None. A. A. have their needs met C. implement seizure precautions D. slightly elevated body weight However, the dietitian will ensure that you don't get too many calories in your diet" C. medulla D. Paranoid personality disorder. 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. It is important that nurses communicate in a nonjudgmental manner. C. Personal identity disturbance B. encourage the client to engage in a relaxation exercise prior to joining the group for the rest of the session C. haloperidol 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? A. insomnia A. chain smoking in this hospital because my wife said I couldn't come home. 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? you are feeling to help me better understand how together we can start to plan D. "the primary goal of her treatment is abstinence from substance use" A. B. The patient said: No, it's just light. B. After a dose had been administered, what assessment result, directly related to the medication, would be a concern for the nurse? Which client response would indicate to the nurse that the client engages in anger suppression? C. disulfiram 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. The nurse should recognize the client's statement as an example of which of the following defense mechanisms? D. schizoid, A personality disorder is defined as a collection of traits that do what? A. B. dry mouth You checked scene safety. D. liver function tests, A nurse is attending a review class on the neurologic basis of psychiatric disorders. A. D. Impulsivity, Clients with borderline personality disorder (BPD) are usually admitted to the inpatient setting because they exhibit what? During therapy the wife states, "he makes me so mad when he spends all his weekend time with his friends instead of us. C. "I can expect some diarrhea from taking this medicine" collaborative approach rather than a patriarchal/matriarchal approach to care. "people say I withdraw and pout about the problem" You answered: Of all the concerns you have, which is the most upsetting to you? Case - Vsim of nursing|andrew davis mental health post-quiz 3. Course Hero is not sponsored or endorsed by any college or university. C. catharsis of anger You asked the patient: Where is your pain located? rsmb143. Which statement by the nurse demonstrates appropriate offering of choices? D. use of the gum is limited to 90 days, A nurse is discussing the use of methadone with a newly licensed nurse. The doctor is bad, too, but the therapist is good." 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? C. Promoting social ostracism of the client's exhibiting manipulation B. neurotransmitters The patient said: You are the nurse here. E. encourage the client to talk about this situation, A client has lost emotional and physical control. 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. D. "do you have any questions about why you are taking this medication? head.\nYou answered: The lights can't hurt you.
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