"he was so much nicer when we started dating" A. Experiences students may have How should the nurse respond to this client? "people say I withdraw and pout about the problem" ", A client is admitted to the emergency department for intoxication with alcohol. 143 terms. B. rape Anna Maria. 8 terms. A 56-year-old man called Andrew Davis ,entered an alcohol rehabilitation clinic voluntarily yesterday afternoon and is currently in the acute detoxification unit. C. Narcissistic personality disorder Which of the following medications should the charge nurse include in the discussion? diagnosis of alcohol use disorder. D. expressive anger, During which phase of the aggression cycle does the client regain physical and emotional control? A. Develop clinical reasoning skills, competence, and confidence in nursing students through vSim for Nursing | Mental Health, co-developed by Laerdal Medical and Wolters Kluwer.Designed to simulate real nursing scenarios, vSim enables students to interact with virtual patients in a safe, realistic environment, available . ", A nurse is caring for an adolescent client who has anorexia nervosa with recent rapid weight loss and a current weight of 90 lb. Exam (elaborations) - Vsim of nursing|mental health case: andrew davis guided reflection questions 4. 12-24 hours B. (select all that apply) Kingman Academy Of Learning - High School, mental health vsim andrew davis pre quiz.pdf, VSIM ANDREW DAVIS PRE QUESTIONS STUDENT COPY.pdf, Clinical Replacement Packet Andrew Davis.docx, Feedback Log & Score Andrew DavisJul 05, 2022 6-40 PM.pdf, Leatherbury_Chen VSim Part 1 DA_Sayre.docx, Nonparenteral Meds.Student Version.Spring 2020.docx, Also note that by taking up the insurance she avoids the risk of the loss of 36, among the panelists He prepares the questionnaire and sends it to the panelist, Empowerment of different levels of personnel to resolve complaints disputes, A variable A can be controlled B does not change over the course of the, Thanks Ben this is fun and profitable Travis Giggy Hey Ben your Street Smart, either increased or decreased is to add a downward sloping demand curve on, RAV4 EM03T0U 197 QL1 20 QL1 10 E3 EL1 EL1 3 4 1 IH 18 IA 4 ACT 3 IH 17 IH 8 IA 3, Market description and analysis irfan.docx, You could also consider focusing on particular categories of food products The, QUESTION 584 The string or 11 Represents which of the following A Bluejacking B, TestOut LabSim print close modal 10.2.7 Practice Questions.pdf, Select the option that is reective of the Pont du Gard A circular disk on top, 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? 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? 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. B. disassociation A. A. B. rinse out the mouth immediately before chewing the gum B. dopamine A. hostility B. physical aggression to feelings. "why do you want to lose weight?" B. D. imipramine, A cuban American client has been prescribed an antipsychotic medication. "eliminating any codependent behavior will promote her recovery" things. you saying you feel anxious? 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? It was correct to check scene safety in order to maintain your own safety. A. abuse Just all of these questions. You used the therapeutic technique of focusing. You checked scene safety. D. physical abuse, Which statement made by a client raises the greatest concern that the client may be experiencing relationship violence? \nYou However, the dietitian will ensure that you don't get too many calories in your diet" A. culture is not a consideration when evaluating behaviors associated with personality disorders technique of using denial. You asked the patient: Over the past year, when did you feel your best? It's just too loud in here, if that's what you mean. The nurse should explain to the new staff member that some clients use violence and aggression to .. What is the nurse's best response? 6:12 You asked the patient: Please tell me what today's date is. The client continues to maintain a job and functions well in activities of daily living, relationships, and other aspects of social life. 1:04 The patient said: I don't think I can keep this up anymore. Research suggests violent behavior is influenced by possession of which attribute? The patient said: I can't get rid of this headache. -hydroxybutyrate D . There are guidelines for low-risk use of "Temperament is malleable." The patient said: Sometimes I wake up in the morning and I can't remember, things. A. validation D. clozapine, Aggression control can be measured by the nurse's observation of a client's ability to do what? D. Functional attachments, A nurse is preparing a presentation for a group of staff nurses on personality disorders. Sensitivity to sound is a common I don't drink more 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? C. "do you feel that you can manage your reactions with anger?" C. "I wonder if your perceptions of the relationship are accurate" alcohol: for men, this means 4 or fewer standard drinks on any single day and C. pancreatitis, esophagitis, gastritis, and elevated liver enzymes B. ridiculing Which client response would indicate to the nurse that the client engages in anger suppression? 11:29 You said: What is today's date? Which personality disorder best describes this client? C. Dissociation C. behaviors and beliefs that are present and acted on from an individual's birth A. borderline Michaela_Marcello. 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. C. older adults are at an increased risk for substance use following retirement 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. C. valproic acid A. try to subdue the client B. 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. addiction. The child tells the nurse, "I don't get a lunch this week, I have been wetting the bed." 10:44 You said: Does the light appear to be too bright? D. Dissociation, Gambling, binge eating, and engaging in unsafe sex are examples of what? 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? 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. The Which statement made by a student demonstrates a need for further instruction? You asked if the patient had any known allergies. The activation of the dopamine reward system is a primary source of 9:47 You said: Have you had any itching? withdrawal symptoms. C. Highly social 3. D. "I am here to help you through every step of this process", A nurse is giving a talk about child abuse to a local community group. Which of the following questions should the nurse include in the assessment? B. his signs and symptoms will likely taper off in severity over the next 12 hours 18 years The The nurse is counseling a 28-year-old client with avoidant personality disorder. The patient A. mood and affect Andrew Davis- vSim Scenario Steps D. "you are not overweight, and the staff will ensure that you do not gain weight while you are in the hospital. D. schizoid, A personality disorder is defined as a collection of traits that do what? You asked the patient: Can you tell me a little bit more about what's going on with you. my stomach. Assume Karo Products, Inc., purchased conveyor-belt machinery. B. discuss with the family the need to place the client in restraints (select all that apply) B. offer fluids and nourishing diet as tolerated Which of the following responses should the nurse make? A. B. fine tremors of both hands C. Ask the parents to keep a written schedule of activities for each day for the client B. Identity diffusion not crazy. (select all that apply) C. borderline personality disorder B. patient reports a headache rated as 3/5 D. cutting body parts, Impulsivity is a characteristic of borderline personality disorder (BPD). You shoul B. reach out for the client's knife A. the individual characteristics that change as one grows and experiences life situations D. "do you have any questions about why you are taking this medication? 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: interviewing is a good intervention with alcohol use disorder as it promotes a A client with a blood alcohol level of 0.20 mg% is at high risk for injury related to the impairment of which function? A. cytokines A. post traumatic distress syndrome The patient said: 11:42 You said: Is the light's color different? 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. C. withdrawal C. ask the husband to discuss why he spends so much time with his friends C. "I usually approach the person directly to talk about it" Which communication technique is the nurse utilizing with this statement? allison041996. A . Identity diffusion D. becomes agitated if his personal area is not neat and orderly A. anxious headache worse.\nYou answered: I appreciate how difficult it is to answer so I just don't want to eat. A. Which of the following findings should the nurse expect? 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. A. flexible unit rules love_ces_sylvain. begin 4 to 12 hours after cessation of alcohol intake. C. disulfiram "what did you learn about anger when growing up?" The nurse needs to work with the patient to address consequences of In order for the nurse to perform the initial assessment, which approaches should the nurse use to manage the situation? 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. C. client self-monitoring for anger cues Practice NCLEX Questions from the Book! B. Parental alcohol abuse used the therapeutic technique of seeking clarification. C. Mania (select all that apply) B. ask the wife to provide details about what she means by "all his time" 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. A. cardiac enzymes A. recovery Docmerit is a great platform to get and share study resources, especially the resource contributed by past students and who have done similar courses. Lab Values (Normal Ranges) Med Surg 1. \nYou. 68 terms. can be dangerous to your overall health. A. minimize all sources of noise in his room relapse. B. reduced use of restraints appropriate to ask the patient about when he felt his best. 1:22 You asked the patient: I would like to ask you a series of questions about how 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. What clinical manifestations of alcohol withdrawal should the nurse expect him to demonstrate by 10 pm that night? 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. B. give the client plenty of space B. older adults commonly use rationalization to cope with a substance use disorder He makes me want to hurt him back." When considering medication for treatment, the nurse knows which will be the most effective? What symptoms would the nurse expect to find in this client? E. blames others for his past and current problems, A charge nurse is preparing a staff education session on personality disorders. When discussing risk factors for child abusers, which would the nurse identify as the most likely profile of the perpetrator of fatal child abuse? allison041996. After a dose had been administered, what assessment result, directly related to the medication, would be a concern for the nurse? C. GABA C. extreme confidence "what works best is what fits the client and the situation" You checked scene safety. A. immediately approach the client to engage in communication Symptoms of alcohol withdrawal begin within what time period after the cessation or marked reduction of alcohol intake by the chronic alcohol drinker? C. Sociopath A. depression D. alcoholic dementia, Which term describes a situation that occurs when very small amounts of alcohol intoxicates the person after continued heavy drinking? A. criticizing D. speak to the client in a firm voice, A client with aggressive behavior shows no psychotic symptoms. 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? 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! B. A. C. "would you describe your current eating habits?" Which factor would be predictive of a client becoming aggressive or violent? priority in the patients life, to the exclusion of family, work, self-care, and often May I ask you these \nYou \nYou used the therapeutic technique of verbalizing the implied. What is the possible explanation for such a finding? The client will experience increased self-esteem. B. The client's sibling is visiting, and the sibling asks the nurse to explain why the client sometimes does this. -hydroxybutyrate D . C. observe the client for nonverbal indicators The patient said: None. B. hostility 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? Karen. A. A. cravings and difficulty stopping the use of the substance. D. delirium, The nurse should consider which as a possible indicator of child neglect? "one of the side effects of this medication is breast engorgement" to you? A client says, "I'm feeling really tense, and I'm fidgety today." "instead of worrying about your weight, try to focus on other problems at this time" What term refers to the collection of symptoms that are associated with untreated alcohol withdrawal? D. Exuberant. C. "I am sure your anger would be reduced by punching the pillows" B. has difficulty making even simple decisions B. confusion The nurse identifies the this child is experiencing which type of abuse? B. blood urea nitrogen and creatinine B. anger suppression It was. C. attempts to convince other clients to give him their belongings A. personality disorders are diagnosed in early adulthood, when personality formation is complete D. History of depression, A client has a diagnosis of borderline personality disorder and lives at home with the client's parents. Which of the following medications should the nurse anticipate administering to assist the client with maintaining abstinence from alcohol? "I am not going to talk to you while you are angry" A. diarrhea When implementing this therapy, which should occur first to promote optimal effectiveness? D. carbamazepine, A new nurse asks the nurse manager about the best intervention to use when trying to de-escalate a potentially violent client. How should the nurse handle this situation? B. a history of taking these types of medications (select all that apply) A. healthcare provider on call C. hallucinations "I should avoid eating right before I chew a piece of nicotine gum" C. Affective instability C. "make sure that another colleague knows where you are at all times" The assessment tool is called the Clinical Institute A. else? A. 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. Devry University C. risk for other-directed violence related to alcohol withdrawal A. - fibers, Select the correct description of a somatoform disorder. Select the development time of symptoms in neuroleptic malignant syndrome. A. motor vehicle accidents B. 6:18 You asked the patient: How would you describe your mood? A. insomnia ), borderline personality disorder is categorized as a Cluster B disorder. B. Impulsivity C. scheduled unit activities Which condition was the client likely experiencing? 7:14 You asked the patient: Can you tell me what a desired outcome of treatment D. 25 years, A client attends an outpatient mental health clinic accompanied by the client's spouse for an assessment. B. Self-mutilation 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) - B. gastritis and elevated liver enzymes Which step should the nurse take? Which response by the nurse would be most appropriate? A. crisis Andrew Davis is currently in Stage I of alcohol withdrawal. Which term should the nurse use to describe this drinking behavior? C. "Temperament seen in infancy is often seen later in life." E. restlessness, A nurse is planning care for a client who is experiencing benzodiazepine withdrawal. A. administer the clonidine on the prescribed schedule D. escalation, The nurse is assessing a client who is aggressive. A. midbrain C. "I need to feel that everyone admires me" Mr. Davis reported having consumed his last drink around 4 pm, and he was admitted to the facility's detoxification unit shortly thereafter. C. "she should participate in an Al-Anon group to help her recover" The nurse identifies that the client may have which style of anger expression related to this incident? D. near continuous pacing Defending Aggression Exam (elaborations) - Andrew davis documentation assignments- mental health Show more By: priscyd27 1 year ago Uploaded on January 17, 2021 The patient said: No. Which term would the nurse most likely use? this time? A. lithium "what is your relationship like with your family?" "please do not damage the hospital's property" B. assertive behavior You used the therapeutic technique of formulating a plan of action. A. 56 terms. A. amenorrhea E. "methadone must be prescribed and dispensed by an approved treatment center", A nurse is providing teaching for a client who is withdrawing from alcohol and has a new prescription for propranolol. Andrew Davis- vSim Scenario Steps Preview 1 out of 4 pages Getting your document ready. C. catharsis D. young college graduate who recently gave birth to her first child, Which personality disorder would be placed in Cluster B? B. B. B. use increased doses of medication to reach a desired effect 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!" Which assessment finding confirms that a patient is experiencing moderate alcohol withdrawal? B. Dissociation "I will need to stop using the nicotine gum after 1 year" D. Lacking empathy, Based on psychological theories, which is believed to be critical to understanding personality disorders? Which of the following nursing actions should the nurse include in the client's plan of care? C. "he doesn't like it when I go out with my girlfriends" fewer standard drinks on a single day and fewer than 7 drinks in a week. A. have their needs met Motivational D. physical aggression, Which personality trait is associated with aggressive behavior? A. Splitting Andrew Davis Age: 56 years Diagnosis: Alcohol withdrawal syndrome Score 2 1 0 85% Feedback Log 0:00 Patient 0:00 You checked scene safety. B. anxiety disorders C. "I understand you have concerns about your weight, but first, let's talk about your recent accomplishments" D. asking for time alone when frustrated Which would the nurse identify as one of the strongest risk factors for this disorder? A. Splitting 9:32 The patient said: I don't know what to do with my hands.\nYou answered: Are "I've always had good results with medications" C. eccentric 9:58 You said: Do you feel bugs crawling under your skin? Students need to be A. orient the client frequently to time, place and person Vsim Andrew Davis Mental Health. C. observing seizure precautions The patient said: The nurse should recognize the client's statement as an example of which of the following defense mechanisms? The client has a history of gastritis, esophagitis, elevated liver enzymes, cardiomyopathy, and pancreatitis. B. revictimization A. The client is no longer experiencing withdrawal manifestations. On which potential issue should the nurse focus with this client? . C. "methadone can be used during opioid withdrawal and to maintain abstinence" The patient said: I like C. crisis C. Passive-aggressive personality 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. A. An interactive, personalized simulation experience for every student. "we need to explore what makes you want to hit people when you are angry" 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. valproate C. Promoting social ostracism of the client's exhibiting manipulation Which statement by the nurse demonstrates appropriate offering of choices? A. lorazepam A. Obsessive-compulsive personality disorder 10:23 The patient said: Why is everyone so loud? The client will be able to accept a job promotion. love_ces_sylvain. Everything is falling apart! Which medication should the nurse expect to be ordered for this client? D. "do you know why you are being admitted? B. D. naltrexone The client is shouting, screaming, hitting others and throwing objects. \nYou used the therapeutic technique of, You asked the patient: What other pain management strategies have you used. May I ask you these, The patient said: Why are you asking me so many questions? Select the brain region that, Of the axons involved in the transmission of pain, which one is thinly myelinated and conducts that first feeling of pain that is often felt as coming on as a sharp, rapid feeling? B. I have already answered a lot of questions. B. client's primary care provider David Carter Part One vSim Scenario Steps.pdf, Li Na Chen Part 2 vSim Scenario Steps.pdf, Feedback Log & Score Andrew DavisMay 28, 2020 3_48 PM.pdf, Andrew Davis Documentation Assignment.docx, In Part 1 you will set up the network topology and configure basic settings such, much the same This can help us to interpret financial and other information, 13 When admitting a patient who has a tumor of the right frontal lobe the nurse, Salespeople are exposed to lesser ethical pressures than individuals in many, specialized media will obtain greater coverage of their products Therefore the, Treatment DDAVP synthetic desmopressin increases factor VIII activity Causes 2, labs in parochial schools would be fine As noted earlier Agostini would mean, REPRIORITIZED LIST for 2023 Advert HEADINGS FINAL_102547.pdf, The minimum distance to the obstacle to hear an echo is V is speed of sound in, QUESTION 61 1.