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. you are the meanest nurse ever!" Classify the given expenditure as a capital expenditure or an immediate expense related to machinery: You are making my, headache worse.\nYou answered: I appreciate how difficult it is to answer so, many questions; however, I need to complete an assessment of you today. C. incest (select all that apply). You asked the patient: Can you tell me a little bit more about what's going on with you. B. provides a form of aversion therapy Just all of these questions. Mental Health . A. recovery Which of the following is an expected finding? D. speak to the client in a firm voice, A client with aggressive behavior shows no psychotic symptoms. E. encourage the client to talk about this situation, A client has lost emotional and physical control. A. risk for injury related to effects of alcohol abuse D. cerebellum Document the assessment finding related to Mrs. Chen's suicidality at discharge. Which healthcare professional should the nurse contact to collect evidence of the assault? Despite being employed, the client verbalizes having low quality of life due to anxiety and isolation. What is the possible explanation for such a finding? D. "the primary goal of her treatment is abstinence from substance use" C. monitor facial expressions 6:56 You asked the patient: Have you ever tried to harm or kill yourself? A. hostility Which of the following medications should the nurse anticipate administering to assist the client with maintaining abstinence from alcohol? During therapy the wife states, "he makes me so mad when he spends all his weekend time with his friends instead of us. D. dramatic, Which long-term patterns are consistent with a diagnosis of borderline personality disorder? A. 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What should be the nurse's response to this behavior? Which of the following information should the nurse to include in the teaching? 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. B. The nurse needs to work with the patient to address consequences of 2:36 You asked the patient: How would you rate your pain, on a scale of 0 to 10? 2:00 You asked the patient: Over the past year, when did you feel your best? A. D. "do you know why you are being admitted? "we need to explore what makes you want to hit people when you are angry" E. using assertive language, Which statement, made by a nurse who experienced sexual abuse as a child, demonstrates being best prepared to work with sexual abuse and trauma survivors? C. disulfiram C. "Sometimes they do it to avoid the onslaught of delusional thinking." 10:55 The patient said: The lights in here are too bright; they are hurting my B. Assessment reveals that the client was diagnosed with borderline personality disorder 6 months ago, for which the client has been receiving outpatient treatment. B. hypokalemia C. "if you don't calm down, I will need you to go to your room" Do you 3. Case - Vsim of nursing|mental health- andrew davis-feedback log 2. 2. 7:14 You asked the patient: Can you tell me what a desired outcome of treatment Andrew Davis Documentation Assignments- Mental Health B. try to clarify what has upset the client 2 months A. inform the client medication is required B. 56 terms. The client has been in the psychiatric unit for 2 weeks and is scheduled to be discharged tomorrow. C. respiratory rate of 11 breaths/minute 1:51 The patient said: Why are you asking me so many questions? Which of the following personality characteristics associated with all of the personality disorders should the charge nurse include in the teaching? Which nursing diagnosis would be the priority? "I am here so we can talk about what is making you angry" B. impulsivity D. The client will form a romantic relationship. perceptions. C. angry outbursts Research suggests violent behavior is influenced by possession of which attribute? C. splitting C. postcrisis D. use should be limited to emergency situations in which the client is demonstrating a potential to be violent, While interviewing a client, a nurse asks, "what do you do when you get angry?" "I'm scared that you're going to leave me" The patient said: Sometimes I wake up in the morning and I can't remember, things. 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. Antisocial personality C. diagnosis involves identifying significant impairment in forming self-confidence and appropriate self-esteem D. Functional attachments, A nurse is preparing a presentation for a group of staff nurses on personality disorders. D. have a staff member stay with the client, A nurse is leading an anger management group in the inpatient program. C. women express sadness instead of anger while facing unjust situations Which is an appropriate nursing action? "instead of worrying about your weight, try to focus on other problems at this time" A. depression A. C. cultural norms determine the behaviors that are associated with personality disorders A. Anxiety B. blood urea nitrogen and creatinine C. "I am sure your anger would be reduced by punching the pillows" A. diarrhea 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. 2021-22, Toaz - importance of kartilya ng katipunan, 324069444 Introduction to Mastering Chemistry, Is sammy alive - in class assignment worth points, 1-2 short answer- Cultural Object and Their Culture, Carbon Cycle Simulation and Exploration Virtual Gizmos - 3208158, Leadership class , week 3 executive summary, I am doing my essay on the Ted Talk titaled How One Photo Captured a Humanitie Crisis https, School-Plan - School Plan of San Juan Integrated School, SEC-502-RS-Dispositions Self-Assessment Survey T3 (1), Techniques DE Separation ET Analyse EN Biochimi 1, Blessing-Rieman College of Nursing & Health Sciences. A. The patient said: Seven. 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. Which would the nurse include in the education plan for this client and family? NY Times Paywall - Case Analysis with questions and their answers. questions to assess your current health status and your level of alcohol 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. The most serious consequence of behaviors seen in borderline personality disorder includes what? What is the nurse's best response? C. implement seizure precautions D. monitor emotional responses disorders, as well as their world view of alcohol. said: No. cravings and difficulty stopping the use of the substance. The child has severe uncontrollable temper outburst and repeatedly bangs the head on the wall or door. A. explore what is underlying the client's physical and emotional state Case - Vsim of nursing|andrew davis mental health post-quiz 3. A. immediately approach the client to engage in communication to addiction. dysfunctional use of alcohol. C. neglect 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. My mood would be better if I was home. "will your mother be available to help administer this medication for you?" The 19 terms. Add to Cart. The client is shouting, screaming, hitting others and throwing objects. No. C. 4 months I just don't want to eat. \nYou used the therapeutic technique of C. observe the client for nonverbal indicators (select all that apply) D. Paranoid personality disorder. Defending (select all that apply) B. Psychopath Ketamine C . C. Promoting social ostracism of the client's exhibiting manipulation Mr. Davis reported having consumed his last drink around 4 pm, and he was admitted to the facility's detoxification unit shortly thereafter. Which step should the nurse take? Identity diffusion rsmb143. D. "why do you think I am not being respectful to you? D. Stress, A client with borderline personality disorder (BPD) tells the nurse, "You are good but the nurse on the afternoon shift is bad. The patient said: No, never! ", A client in the emergency department has self-inflicted wounds on both arms. A. insomnia A. B. rape As he moves into Stage II (24 to 72hours) and then into Stage III (after 72 hours), what behaviors should be assessed for and what safety measures should be initiated? C. "I need to feel that everyone admires me" C. educate the client on the effects of clonidine distress? \nYou used the therapeutic technique of focusing. A. mood and affect You asked if the patient had any known allergies. What is the nurse's best response? C. practice assertiveness skills B. provide ice chips at the client's bedside whoisthatgirl28 Plus. questions? vSim Andrew Davis: Alcohol Withdrawal - VSim (VSIM) - Stuvia A. physical D. "methadone increases the risk for acetaldehyde syndrome" begin 4 to 12 hours after cessation of alcohol intake. Everything is falling D. young college graduate who recently gave birth to her first child, Which personality disorder would be placed in Cluster B? 10:35 You said: Are you hearing anything that is disturbing to you? D. meneire's disease, A nurse must assess for characteristics that are predictive of violent behavior. Added a new reaction type to model an arbitrary number of reactants and products. else? 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. D. hostility, The nurse working in a psychology clinic finds that suppression of anger is more common in women than in men. 120 minutes B. C. Self-injury A. B. reduced use of restraints Which of the following statements by the newly licensed nurse indicates an understanding of the teaching? A. teach the client to make "I" statements (select all that apply) "do you need to take your medication to help calm down?" love_ces_sylvain. priority in the patients life, to the exclusion of family, work, self-care, and often C. "I understand you have concerns about your weight, but first, let's talk about your recent accomplishments" You introduced yourself. B. What is the priority nursing diagnosis for this client? C. display of defense mechanisms when routines are changed A. D. Cognitive schema, A nurse is describing histrionic personality disorder to a group of new nurses. You washed your hands. 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. "what did you learn about anger when growing up?" D. Lacking empathy, Based on psychological theories, which is believed to be critical to understanding personality disorders? 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? 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. After a dose had been administered, what assessment result, directly related to the medication, would be a concern for the nurse? D. identification, A nurse is assisting with a court-ordered evaluation of a client who has antisocial personality disorder. A. abuse It is important that nurses communicate in a nonjudgmental manner. "you will learn how to control your violent behavior" 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. "you have the right to be safe and respected" Which of the following questions should the nurse include in the assessment? would be for you? The patient said: My appetite has been about the same. Andrew Davis- vSim Scenario Steps - Andrew Davis- vSim Scenario Steps relapse. A. - fibers, Select the correct description of a somatoform disorder. "what works best is what fits the client and the situation" A. shout and let the client know that this behavior is not tolerated technique of using denial. Confront the client firmly about how the client's behavior makes the nurse feel. (select all that apply) C. catharsis of anger You asked the patient: Do you have any pain? ", Which staff behaviors are most likely to trigger clients who are predisposed to aggressive or violent behavior? A. minimize all sources of noise in his room Which of the following statements by the client indicates understanding of the teaching? "We need to understand that she is responsible for her disorder" C. paranoid B. anger B. unemployed young woman who dropped out of high school vsim andrew davis steps. 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C. suction equipment is kept at the bedside 30 terms. 68 terms. to you? 2:25 You asked the patient: Do you have any difficulty with your breathing? A. pemoline think I'm nuts?!? C. "I can expect some diarrhea from taking this medicine" B. Select the development time of symptoms in neuroleptic malignant syndrome. 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? A. acetylcholine 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). B. dim the lighting in his room You are making my A. development of a therapeutic relationship C. inform the client that restraints may be applied The nurse should instruct the client to monitor for which of the following adverse effects? B. vsim andrew davis steps - Doctormachin.ir appropriate to ask the patient about when he felt his best. \nYou used the therapeutic technique of, You asked the patient: What other pain management strategies have you used. C. Narcissistic personality disorder A. scurvy A. increases the risk for seizure activity 6:33 You asked the patient: Name an activity that you enjoy. (select all that apply) Poor social skills B. 9:47 You said: Have you had any itching? Which therapeutic goals does the nurse establish as priority? You identified the patient. C. Self-harm maintain your own safety. "I've been known to fly off the handle when I'm angry" C. shield oneself with a pillow B. gastritis and elevated liver enzymes "taking this medication will decrease your cravings for alcohol" E. "can you discuss your feelings about your appearance? A. Splitting C. "call the doctor immediately if you experience any of the side effects we talked about" used the therapeutic technique of giving information. C. Highly social 2:47 You asked the patient: On a scale of 0 to 10, how would you rate your level of. vsim andrew davis steps - HAZ Rental Center The patient said: No. \nYou. The patient said: No. B. However, the dietitian will ensure that you don't get too many calories in your diet" B. paranoid tendencies After a dose had been administered, what assessment result, directly related to the medication, would be a concern for the nurse? \nYou C. scheduled unit activities Difficult temperament 24-72 hours C. 4-7 days D.10-14 days QUESTION 62 1. A. identity diffusion B. confusion addiction. C. falls 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. engaging in disputes over medication, supplies, or rules on the unit C. valproic acid VSIM Andrew Davis Flashcards | Quizlet B. hunger and thirst B. the client has increased self-esteem 6 months He was escorted out of a school board meeting after hurling racist and ethnic obscenities at pupils and their families. 8:30 You said: Alcohol withdrawal can cause a variety of symptoms, some of which A. criticizing C. decreases cravings E. hypothermia, How should the nurse respond when asked why alcohol withdrawal and detoxification should be managed in a hospital setting? C. Ask the parents to keep a written schedule of activities for each day for the client C. methylphenidate Which class of medication is regularly prescribed to provide a gradual withdrawal from alcohol? 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? The patient said: I can't get rid of this headache. more questions? VSim Computational Engine (Vorpal) Added Euler fluid solver allowing for neutral fluid to evolve in time. Andrew Davis- vSim Scenario Steps Preview 1 out of 3 pages Generating Your Document Report Copyright Violation Case Details $12.45 Add To Cart Add To Wishlist Trusted by 40,000+ Students Money Back Guarantee 24/7 Download is directly available 71 0 Specifications Institution Virginia State University Study Nursing Course D. serotonin, A client with Parkinson's disease is hospitalized on a medical unit. You used the therapeutic technique of formulating a plan of action. A. asking personal questions when they are inappropriate "Sometimes the self-injurious behavior is undertaken to relieve stress." C. white blood cell count C. "I know that nicotine gum is a safe alternative to smoking if I become pregnant" NUR 406: Exam Three. 1 week C. 3 days D. 12 hours D Andrew Davis VSIM, VSIM Guided Reflection and Documentation Assignments PACKAGE 2021 $ 26.96 $ 20.98 2x sold 3 items 1. C. neurontin Attempt to discuss placing the client into an assisted living environment I don't drink more A. Now is my chance to help others. my work and it keeps me busy. to get an understanding of this. B. ridiculing B. assess and record heart rate every 4 hours Experiences students may have D. "at what weight do you believe you will look better?" D. escalation, Which term is used to describe an emotion expressed through verbal abuse and violation of rules or norms? You answered: A headache is a normal symptom of alcohol withdrawal. A. D. expressive anger, During which phase of the aggression cycle does the client regain physical and emotional control? Anna Maria. 6:12 You asked the patient: Please tell me what today's date is. VSIM OF NURSING MENTAL HEALTH-ANDREW DAVIS CASE STUDIES PACKAGE $ 97.45 $ 40.89 5 items 1. 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. A. lorazepam B. use increased doses of medication to reach a desired effect Davis documentation vsim.docx - Mental Health Case: Andrew E. restlessness, A nurse is planning care for a client who is experiencing benzodiazepine withdrawal. The assessment tool is called the Clinical Institute 12-24 hours B. A. The nurse understands that which of the following is the primary behavioral characteristic of this cluster of disorders? A. request a routine anti-anxiety medication for the client A.Worsening after each relapse B.Increase in positive, Can a tutor help with the following questions Part 1 Question 1 (1 point) Saved When registering a patient, why is the New Patient button disabled before searching for the patient in the patient. "methadone reduces the unpleasant effects associated with abstinence syndrome" things. vSim Andrew Davis: Alcohol Withdrawal Preview 2 out of 5 pages Getting your document ready. D. liver function tests, A nurse is attending a review class on the neurologic basis of psychiatric disorders. C. ask the client if the client feels triggered by another client in the group You shoul C. reflection B. avoidance of stimuli that provoke the anger C. "she should participate in an Al-Anon group to help her recover" B. a history of taking these types of medications 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. 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. A. administer the clonidine on the prescribed schedule 10:07 You said: Are you more aware of sounds around you? \nYou used the nontherapeutic 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. B. carbamazepine A. he is likely currently experiencing the peak of his signs and symptoms (select all that apply) Andrew davis vsim steps - Aug 26, 2022 6:55 PM Andrew Davis Age: 56 A. lorazepam There are guidelines for low-risk use of 2:15 The patient said: Sometimes I wake up in the morning and I can't remember