"I should encourage clients who have a schizoid personality disorder to increase socialization" C. paranoid Ask the parents how they have coped with the client's behaviors over the years The nurse should recognize the client's statement as an example of which of the following defense mechanisms? A. inform the client medication is required A. A. personality disorders are diagnosed in early adulthood, when personality formation is complete The patient said: No, I am They need to be aware of how this can impact caring for patients D. naltrexone The symptoms can be mild A. B. fine tremors of both hands The patient said: Sometimes I wake up in the morning and I can't remember, things. 2:00 You asked the patient: Over the past year, when did you feel your best? D. hypertension, A nurse is teaching a female client who has tobacco use disorder about nicotine replacement therapy. D. talking excessively with the client in front of other clients, The nurse is counseling a client couple who are trying to reconcile and hold their marriage together. Exam One Practice Questions. D. use of the gum is limited to 90 days, A nurse is discussing the use of methadone with a newly licensed nurse. C. shield oneself with a pillow A. obtain a thorough client history Mental Health . An interactive, personalized simulation experience for every student. D. claiming to be more important than other persons D. "patients prefer to be isolated from family and friends when experiencing the severe symptoms of withdrawal", A nurse is planning a staff education program on substance use in older adults. head.\nYou answered: The lights can't hurt you. A. "I can promote my client's sense of control by establishing a schedule" "Temperament is not changeable." C. Dissociation B. avoidant The assessment tool is called the Clinical Institute C. "I should practice limit-setting to help prevent client manipulation" 9:17 You said: Have you vomited? D. identification, A client with borderline personality disorder has been admitted to the inpatient unit because the client has been engaging in wrist cutting. B. confusion A. you are feeling to help me better understand how together we can start to plan You asked the patient: Is it OK for your family to be here, while we talk? A. recovery The patient said: B. Ecstasy 2.Select all the criteria for what is considered "At-Risk, L. J. is a 55-year-old male who attended a funeral and found himself laughing during the service, but later that evening he was irritated with himself for what he had done. It is important that nurses communicate in a nonjudgmental manner. headache worse.\nYou answered: I appreciate how difficult it is to answer so C. "call the doctor immediately if you experience any of the side effects we talked about" The nurse should explain to the new staff member that some clients use violence and aggression to .. It was correct to check scene safety in order to There are guidelines for low-risk use of (select all that apply) (select all that apply) Experiences students may have vSim Andrew Davis: Alcohol Withdrawal Preview 2 out of 5 pages Getting your document ready. D. 8 months, A client has been prescribed clozapine for treatment of schizophrenia. The patient said: I can't get rid of this headache. D. the client uses adaptive coping to manage anger impulses, A client visits the clinic and tells the nurse that no matter how difficult the client's child acts, the client simply cannot express any anger. A. middle-aged woman with a college degree "you will learn how to control your violent behavior" The client's sibling is visiting, and the sibling asks the nurse to explain why the client sometimes does this. D. alcoholic dementia, Which term describes a situation that occurs when very small amounts of alcohol intoxicates the person after continued heavy drinking? D. identification of measures to disrupt the anger response, The nurse is caring for a client with dementia who has become increasingly agitated. A . (select all that apply) D. risk for delayed development related to chronic effects of alcohol intoxication, A nurse must assess a client's thought process and content to identify risk for aggression. You used the therapeutic technique of focusing. cravings and difficulty stopping the use of the substance. Students need to be These are questions I ask all of the patients I see. to you? B. D. serotonin, A nurse is assessing a child with a diagnosis of autism spectrum disorder. Which of these conditions are attributable to the client's history of alcohol abuse? "I should avoid eating right before I chew a piece of nicotine gum" 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. Denial is a common defense mechanism, as is the cycle of abuse, remission, and 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. to feelings. Ketamine C . Aggression 6:18 You asked the patient: How would you describe your mood? Which statement made by a student demonstrates a need for further instruction? You used the therapeutic technique of formulating a plan of action. The patient said: Not really sick to The cell Anatomy and division. 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? B. than anyone else.\nYou answered: What are your feelings about your drinking? 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. 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? D. "survivors of sexual assault deserve the best care I can give them", The school health nurse is asked to see a child who has been coming to school with no lunch for the past week. There is a biological basis to dysfunctional alcohol Andrew Davis is currently in Stage I of alcohol withdrawal. C. "would you describe your current eating habits?" 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. You answered: A headache is a normal symptom of alcohol withdrawal. During therapy the wife states, "he makes me so mad when he spends all his weekend time with his friends instead of us. The patient said: Yes, I have some (select all that apply). B. A client with a blood alcohol level of 0.20 mg% is at high risk for injury related to the impairment of which function? He makes me want to hurt him back." A. Anxiety C. angry outbursts 3,4 - methylendedioxymethamphetamine B . However, the diagnosis of substance use disorder is more focused on functional You asked the patient: Can you tell me a little bit more about what's going on with you. A. teach the client to make "I" statements The nurse would be correct in identifying which neurotransmitter decreased in this disease? D. manipulation, The nurse caring for the client taking clozapine should advocate for monitoring using which diagnostic test? What clinical manifestations of alcohol withdrawal should the nurse expect him to demonstrate by 10 pm that night? : 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. C. "the cost of the treatment is covered by insurance only if delivered in a hospital setting" 8:30 You said: Alcohol withdrawal can cause a variety of symptoms, some of which C. crisis Andrew Davis has recruited technical content developers in the SF Bay Area since 1995. (select all that apply) B. A. tolerance break 68 terms. C. anger A. implement seizure precautions Nurses interface with patients at different levels of readiness to access treatment. B. anger He was escorted out of a school board meeting after hurling racist and ethnic obscenities at pupils and their families. Add to Cart. perceptions. A. A. motor vehicle accidents B. Self-mutilation D. "the primary goal of her treatment is abstinence from substance use" The patient said: C. "I've been supported by health care professionals and now I want to support other survivors" D. expressive anger, During which phase of the aggression cycle does the client regain physical and emotional control? "please do not damage the hospital's property" 11:36 You said: Who am I? A. demonstrates extreme anxiety when placed in a social situation B. sexual B. His wife said this was, Patient is a 10-year-old female with diagnosed ADHD who was started on Ritalin 5 mg twice a day over 2 months ago. C. provide the client with a high-fat diet at the start of treatment A. acetylcholine D. Arrange for the client to be transferred to another unit. C. falls B. C. the number of other medications the client is taking Language Proficiency Assessment Committee. You identified the patient. A. 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? A. Splitting "I am here so we can talk about what is making you angry" A. risk for injury related to effects of alcohol abuse D. Paranoid personality disorder. "instead of worrying about your weight, try to focus on other problems at this time" ", A nurse is working with a client who has lost unit privileges due to inappropriate behavior. 6:33 You asked the patient: Name an activity that you enjoy. C. observing seizure precautions Which healthcare professional should the nurse contact to collect evidence of the assault? B. You performed medication reconciliation. The patient "will your mother be available to help administer this medication for you?" E. unrealistic self-image, Which behavior is most associated with a borderline personality disorder (BPD) and the tendency to self-harm? 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. "I'll go to group therapy if you'll let me smoke" 9:58 You said: Do you feel bugs crawling under your skin? The patient said: No. Case - Vsim of nursing|mental health- andrew davis-feedback log 2. 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. interventions;/p>lt;p>Alcohol use disorder is a disease that requires treatment. Identity diffusion 1:22 You asked the patient: I would like to ask you a series of questions about how B. his signs and symptoms will likely taper off in severity over the next 12 hours 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. B. acceptance The nurse interprets this statement as reflecting what? imperative that nurses recognize symptoms and provide early pharmacologic B. The patient said: I can't get rid of this headache.\nYou answered: A headache is a, normal symptom of alcohol withdrawal. 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? (select all that apply) Andrew Davis- vSim Scenario Steps Document findings related to the screening of Mrs. Chen with the Hamilton Rating Scale for Depression. A. immediately approach the client to engage in communication Which of the following is an expected finding? had with friends or family with substance use disorder will affect these D. serotonin, A client with Parkinson's disease is hospitalized on a medical unit. B. neurotransmitters this time? B. Dissociation D. intoxication, A nursing student is aware that which accounts for more deaths, illnesses, and disabilities across the life span than any other preventable condition? C. Self-injury D. "you are not overweight, and the staff will ensure that you do not gain weight while you are in the hospital. B. offer fluids and nourishing diet as tolerated "we need to explore what makes you want to hit people when you are angry" A. \nYou used the nontherapeutic vSim for Nursing | Mental Health Mental Health Case: Li Na Chen, Part 2 Documentation Assignments. pain. more questions? 143 terms. B. B. unemployed young woman who dropped out of high school Everything is falling apart! allison041996. A. anxiety It was correct to check scene safety in order to maintain your own safety. C. white blood cell count C. scheduled unit activities Encouraging questions and discussing the client's concerns other than medications? When discussing risk factors for child abusers, which would the nurse identify as the most likely profile of the perpetrator of fatal child abuse? D. 25 years, A client attends an outpatient mental health clinic accompanied by the client's spouse for an assessment. Terms of Use "most often, neither families nor friends are willing and capable of managing the patient during the withdrawal" C. valproic acid How do generally accepted accounting principles (GAAP) differ from the laws of mathematics? View full document Andrew Davis vSim Scenario Steps: You checked scene safety. A. Which is the nurse trying to prevent? The nurse judges the plan of care to be effective when which outcome is met? A. After a dose had been administered, what assessment result, directly related to the medication, would be a concern for the nurse? C. "I wonder if your perceptions of the relationship are accurate" month? 6:26 You asked the patient: Have you lost interest in activities that you once enjoyed? C. hallucinations Even though the client is not currently intoxicated, the client is combative and exhibits altered thought processes. Exam (elaborations) - Andrew davis documentation assignments- mental health Show more By: priscyd27 1 year ago Uploaded on January 17, 2021 (select all that apply) A. healthcare provider on call The nurse identifies that the client may have which style of anger expression related to this incident? A. lorazepam You checked scene safety. Assessment reveals that the client was diagnosed with borderline personality disorder 6 months ago, for which the client has been receiving outpatient treatment. C. Personal identity disturbance ", Which staff behaviors are most likely to trigger clients who are predisposed to aggressive or violent behavior? You asked the patient: Over the past year, when did you feel your best? A. women have a greater threshold for controlling anger 7:03 You asked the patient: Do you have any thoughts or wishes to harm anybody C. ask the husband to discuss why he spends so much time with his friends Which response is most important for the nurse to make to this client? A. "one of the side effects of this medication is breast engorgement" addiction. 10:07 You said: Are you more aware of sounds around you? \nYou Which term should the nurse use to describe this drinking behavior? apart!\nYou answered: Of all the concerns you have, which is the most upsetting Withdrawal Assessment, or CIWA. D. vomiting E. blames others for his past and current problems, A charge nurse is preparing a staff education session on personality disorders. 2. B. wernicke-korsakoff syndrome B. revictimization yourself? E. "she needs to discuss her feelings about substance use to help her recover", A nurse is providing teaching to a client who has alcohol use disorder and a new prescription for carbamazepine. B. A. amenorrhea B. try to clarify what has upset the client C. practice assertiveness skills Alcohol use disorder is a disease that carries social stigma. C. display increasing motor activity Case - Andrew davis vsim 2. What is the nurse's best response? Which of the following statements by the client indicates an understanding of the teaching? maintain your own safety. A. hostility The patient said: Why do you want to ask me The child has severe uncontrollable temper outburst and repeatedly bangs the head on the wall or door. Case - Nur 3480 andrew davis vsim guided reflection 3. The client is shouting, screaming, hitting others and throwing objects. A. patient reports ringing in his ears B. rinse out the mouth immediately before chewing the gum 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. 7:29 The patient said: I don't think any of this is going to work; it's a waste of 18 years B. dry mouth D. low self-esteem, To defuse a critical situation, the nurse can use the therapeutic communication techniques for which reason? A. orient the client frequently to time, place and person B. blackout 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). Everything is falling, apart!\nYou answered: Of all the concerns you have, which is the most upsetting. It helped me a lot to clear my final semester exams. A. B. dopamine ", A nurse is caring for an adolescent client who has anorexia nervosa with recent rapid weight loss and a current weight of 90 lb. "life isn't worth living if I gain weight" D. "methadone increases the risk for acetaldehyde syndrome" Andrew Davis VSIM, VSIM Guided Reflection and Documentation Assignments PACKAGE 2021 $ 26.96 $ 20.98 2x sold 3 items 1. B. anxiety disorders Identity diffusion Other sets by this creator. ), borderline personality disorder is categorized as a Cluster B disorder. (review sheet 4), Philippine Politics and Governance W1 _ Grade 11/12 Modules SY. "We need to understand that she is responsible for her disorder" B. ask the client about the client's living situation D. near continuous pacing C. the majority of his withdrawal will consist of signs and symptoms similar to the current ones The client has an unsteady gait, myopathy, and neuropathy and cannot remember past or recent events. "would you like to have your family come visit you in your room today?" D. prepare to seclude the client, The nurses on a mental health unit are reviewing aspects of the unit environment in a staff meeting. C. "he doesn't like it when I go out with my girlfriends" VSIM OF NURSING MENTAL HEALTH-ANDREW DAVIS CASE STUDIES PACKAGE $ 97.45 $ 40.89 5 items 1. C. sit in an open area Which of the following findings should the nurse expect? Which therapeutic goals does the nurse establish as priority? 11:29 You said: What is today's date? Poor social skills "eliminating any codependent behavior will promote her recovery" (select all that apply) A. pancreatitis and elevated liver enzymes A. anger B. older adults commonly use rationalization to cope with a substance use disorder B. B. use increased doses of medication to reach a desired effect Other sets by this creator. The, You asked the patient: On a scale of 0 to 10, how would you rate your level of. D. cutting body parts, Impulsivity is a characteristic of borderline personality disorder (BPD). The patient said: You are the nurse here. would be for you? 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. A. bradycardia A. physical C. pessimism C. medulla A. lorazepam 24-72 hours C. 4-7 days D.10-14 days QUESTION 62 1. E. encourage the client to talk about this situation, A client has lost emotional and physical control. A. 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