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It is important that nurses communicate in a nonjudgmental manner. C. avoid eating 15 min prior to chewing the gum The client has an unsteady gait, myopathy, and neuropathy and cannot remember past or recent events. D. imipramine, A cuban American client has been prescribed an antipsychotic medication. 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? 7:14 You asked the patient: Can you tell me what a desired outcome of treatment 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! \nYou. The patient said: You are the nurse here. 1:51 The patient said: Why are you asking me so many questions? Terms of Use Deliver instant online access, immersing students in virtual simulation wherever they prefer. B. diazepam D. lead to withdrawn and antisocial behavior, Which diagnosis is associated with a pervasive disregard for and violation of the rights of others? A. orienting for time, place and person as needed 15 years The patient said: No. C. Poverty A. hostility The client will experience increased self-esteem. B. Parental alcohol abuse B. D. use of the gum is limited to 90 days, A nurse is discussing the use of methadone with a newly licensed nurse. B. I wish they would shut up!\nYou A 56-year-old man called Andrew Davis ,entered an alcohol rehabilitation clinic voluntarily yesterday afternoon and is currently in the acute detoxification unit. The, You asked the patient: On a scale of 0 to 10, how would you rate your level of. D. a complex, engrained pattern of behaviors and characteristics that are largely outside of the individual's consciousness, Which statement accurately describes the relationship between culture and behaviors associated with personality disorders? 1 week C. 3 days D. 12 hours D A. amenorrhea B. A. shout and let the client know that this behavior is not tolerated ", A nurse is caring for an adolescent client who has anorexia nervosa with recent rapid weight loss and a current weight of 90 lb. C. offer the client an antianxiolytic mediation -hydroxybutyrate D . B. pons C. borderline personality disorder "instead of worrying about your weight, try to focus on other problems at this time" Just all of these questions. questions to assess your current health status and your level of alcohol 10:44 You said: Does the light appear to be too bright? Cross), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. 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B. anger suppression \nYou used the therapeutic technique of focusing. NY Times Paywall - Case Analysis with questions and their answers. The patient said: I can't get rid of this headache.\nYou answered: A headache is a, normal symptom of alcohol withdrawal. Which of the following responses should the nurse make? C. the number of other medications the client is taking 0:43 You identified the patient. A. have their needs met 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. A. he is likely currently experiencing the peak of his signs and symptoms Which factor would be predictive of a client becoming aggressive or violent? D. "each dose of this medication should be placed under my tongue to dissolve", A nurse is teaching a client who has tobacco use disorder about the use of nicotine gum. A. allow the client to select preferred meal times A client says, "I'm feeling really tense, and I'm fidgety today." B. bupropion Which clinical manifestations confirm that a patient is experiencing Stage I (mild) of alcohol withdrawal syndrome? A. The cell Anatomy and division. C. the majority of his withdrawal will consist of signs and symptoms similar to the current ones things. C. Passive-aggressive personality What is the possible explanation for such a finding? A. Chaotic families A. regression Ask the parents how they have coped with the client's behaviors over the years else? A. B. VSim Computational Engine (Vorpal) Added Euler fluid solver allowing for neutral fluid to evolve in time. A. insomnia 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. his signs and symptoms will likely taper off in severity over the next 12 hours She is still experiencing the triad of symptoms associated with ADHD (impaired. used the therapeutic technique of giving information. choose the best answer What should be the nurse's response to this behavior? ", A nurse is working with a client who has lost unit privileges due to inappropriate behavior. (select all that apply) C. valproic acid C. display increasing motor activity D. near continuous pacing A. A. obtain a thorough client history A. show an increased tolerance for frustration (select all that apply) "you may experience hypertension while taking this medication" D. liver function tests, A nurse is attending a review class on the neurologic basis of psychiatric disorders. 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. Which of these conditions are attributable to the client's history of alcohol abuse? technique of using denial. School Harvard University Course Title NURSING HEALTH ASS Uploaded By ConstableEchidnaMaster1985 Pages 7 D. becomes agitated if his personal area is not neat and orderly He makes me want to hurt him back." 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. 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? The nurse should recognize the client's statement as an example of which of the following defense mechanisms? B. gastritis and elevated liver enzymes Which of the following interventions should the nurse identify as the priority? relapse. How do generally accepted accounting principles (GAAP) differ from the laws of mathematics? B. dopamine 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. collaborative approach rather than a patriarchal/matriarchal approach to care. priority in the patients life, to the exclusion of family, work, self-care, and often The patient said: C. the client reports increased feelings of self-control Which client response would indicate to the nurse that the client engages in anger suppression? A. acetylcholine 8:16 You said: Do you feel sick to your stomach? There is a biological basis to dysfunctional alcohol 8:30 You said: Alcohol withdrawal can cause a variety of symptoms, some of which The patient said: I can't get rid of this headache. 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. This activation can be so overpowering that the alcohol becomes the C. 21 years D. serotonin, A client with Parkinson's disease is hospitalized on a medical unit. to addiction. B. has difficulty making even simple decisions Sensitivity to sound is a common A. restrain the client We're available through e-mail, live chat and Facebook. The patient said: Seven. 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. Motivational A. validation C. undoing C. "call the doctor immediately if you experience any of the side effects we talked about" 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. 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. dramatic, Which long-term patterns are consistent with a diagnosis of borderline personality disorder? Mike T. With a profile at Docmerit you are definitely prepared well for your exams. B. avoidance of stimuli that provoke the anger 9:52 You said: Have you had any numbness? 24-72 hours C. 4-7 days D.10-14 days QUESTION 62 1. . C. Self-harm C. decreases cravings D. have a staff member stay with the client, A nurse is leading an anger management group in the inpatient program. cravings and difficulty stopping the use of the substance. D. carbamazepine, A new nurse asks the nurse manager about the best intervention to use when trying to de-escalate a potentially violent client. 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. D. "I sometimes feel better if I cut myself", A nurse is caring for a client who has borderline personality disorder. What is the nurse's best response? Which of the following statements by the newly licensed nurse indicates an understanding of the teaching? "I've put the incident behind me and seldom think of it" used the therapeutic technique of seeking clarification. 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? A. B. ask the client about the client's living situation 68 terms. It was correct to check scene safety in order to maintain your own safety. Identity diffusion B. neurotransmitters The patient said: No, I don't have any 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). patient said: No. 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. Everything is falling A. B. use should be limited to times when medications have been unsuccessful in de-escalating a situation What is the priority nursing diagnosis for this client? However, the diagnosis of substance use disorder is more focused on functional D. "you need to confront the client to show you are in charge", A client is attending anger management class and wants to know how the class will help. C. observe the client for nonverbal indicators D. hesitance to talk openly, Which is a pattern of repeated unwanted contact, attention and harassment that often increases in frequency? D. serotonin, A nurse is assessing a child with a diagnosis of autism spectrum disorder. A. motor vehicle accidents appropriate to ask the patient about when he felt his best. You used the therapeutic technique of formulating a plan of action. A. inform the client medication is required (select all that apply) D. low self-esteem, To defuse a critical situation, the nurse can use the therapeutic communication techniques for which reason? D. "would you rather go to the cafeteria or have dinner in the dayroom? "why do you want to lose weight?" Alcohol use disorder is a disease that carries social stigma. A. 1:22 You asked the patient: I would like to ask you a series of questions about how interventions;/p>lt;p>Alcohol use disorder is a disease that requires treatment. The nurse needs to work with the patient to address consequences of The client says, "the nurse on the evening shift is always nice! The patient said: No, I am Karen. VSim Computational Engine (Vorpal) Bug Fixes Visual Setup Bug Fixes New and Updated VSim 8.2 Features VSim Computational Engine (Vorpal) VSim Graphical User Interface (VSimComposer) VSim Macros and Translator Other Known Issues in VSim 8.2 New and Updated VSim 8.1 Features VSim Computational Engine (Vorpal) VSim Examples VSim Macros and Translator C. 4 months Company Registration Number: 61965243 (select all that apply) D. delirium, The nurse should consider which as a possible indicator of child neglect? Which term should the nurse use to describe this drinking behavior? B. Withdrawal Assessment, or CIWA. : 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. B. avoidant C. "Sometimes they do it to avoid the onslaught of delusional thinking." The client tells the nurse that she is afraid she is going to gain weight. B. discuss with the family the need to place the client in restraints C. "would you describe your current eating habits?" B. acceptance A. receiving education and information about the medication "I'll go to group therapy if you'll let me smoke" You answered: Of all the concerns you have, which is the most upsetting to you? B. haloperidol 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 . \nYou used the therapeutic technique of verbalizing the implied. B. assessing for auditory and visual hallucinations frequently vsim andrew davis steps. C. "methadone can be used during opioid withdrawal and to maintain abstinence" itching. B. carbamazepine Just Tylenol. 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. E. restlessness, A nurse is planning care for a client who is experiencing benzodiazepine withdrawal. A. try to subdue the client Confront the client firmly about how the client's behavior makes the nurse feel. C. "I know that nicotine gum is a safe alternative to smoking if I become pregnant" A. Affective instability (select all that apply) A. crisis A. B. give the client plenty of space A. anger 7:32 You asked the patient: How do you understand your problems? May I ask you these Which of the following medications should the nurse anticipate administering to assist the client with maintaining abstinence from alcohol? D. psychological, The nurse is assessing a victim who is brought into the hospital after being found badly beaten and raped by an unknown person. would be for you? -hydroxybutyrate D . 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. (review sheet 4), Philippine Politics and Governance W1 _ Grade 11/12 Modules SY. 6:33 You asked the patient: Name an activity that you enjoy. "what did you learn about anger when growing up?" A. Which therapeutic goals does the nurse establish as priority? Ketamine C . Which response would be most appropriate? Which of the following information should the nurse include in the teaching? D. Impulsivity, Clients with borderline personality disorder (BPD) are usually admitted to the inpatient setting because they exhibit what? month? (select all that apply) (select all that apply) The nurse identifies that the client may have which style of anger expression related to this incident? D. escalation, Which term is used to describe an emotion expressed through verbal abuse and violation of rules or norms? D. "you are not overweight, and the staff will ensure that you do not gain weight while you are in the hospital. B. ridiculing D. women are more aware about the health consequences related to inappropriate anger expression, A nurse is assessing a Haitian client. Which of the following is an expected finding? The activation of the dopamine reward system is a primary source of Everything is falling, apart!\nYou answered: Of all the concerns you have, which is the most upsetting. B. Borderline personality D. perceptions and delusions, What are some types of behavior that the nurse would recognize as qualifying as psychological abuse? (select all that apply) You asked the patient: Is it OK for your family to be here, while we talk? You asked the patient: Can you tell me a little bit more about what's going on with you. D. carbamazepine, A nurse is providing teaching to the family of a client who has a substance use disorder. 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. A. cardiac enzymes What term refers to the collection of symptoms that are associated with untreated alcohol withdrawal? 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. C. engaging in disputes over medication, supplies, or rules on the unit 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 C. eccentric 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. D. "The self-mutilation often slows the mood swings your sibling experiences. I have already answered a lot of questions. B. B. Overly friendly "taking this medication will decrease your cravings for alcohol" You asked if the patient had any known allergies. "Temperament is malleable." You introduced yourself. Mental health Vsim. Case - Andrew davis vsim 2. A. social isolation A. C. disoriented by more than 2 calendar days D. claiming to be more important than other persons B. hypokalemia A. C. hallucinations A. 1:04 The patient said: I don't think I can keep this up anymore. (select all that apply) The patient said: My appetite has been about the same. Which of the following statements by the client indicates understanding of the teaching? 11:29 You said: What is today's date? You asked the patient: Over the past year, when did you feel your best? 2 months B. ensure that his needs are met in a nonjudgmental manner Which of the following statements by a family member indicate an understanding of the teaching? A. self-centeredness A. physical Direct the client to another staff member when the client tries to interact. A. chlordiazepoxide B. said: No. C. anger Other sets by this creator. E. blames others for his past and current problems, A charge nurse is preparing a staff education session on personality disorders. Narmada Kidney Foundation > Uncategorized > vsim andrew davis steps. B. 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. risk for injury related to effects of alcohol abuse A. If you earn 6% per year on your bank account, how long will it take an account with $100 to double to$200? imperative that nurses recognize symptoms and provide early pharmacologic 2:15 The patient said: Sometimes I wake up in the morning and I can't remember By cogdell memorial hospital ceo. Which of the following information should the nurse to include in the teaching? "I'm scared that you're going to leave me" A. development of a therapeutic relationship headache worse.\nYou answered: I appreciate how difficult it is to answer so The patient said: I like Which of the following is appropriate for the nurse to include in the presentation? The nurse demonstrates understanding of the information by identifying which structures as components of the brain stem? C. catharsis 9:41 You said: Have you had any pins and needles sensations? more questions? B. belief in the ability to become invisible during times of stress B. anger 30 terms. 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. 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. Dissociation A. B. provide ice chips at the client's bedside use that makes some patients more susceptible to having diminished self-control A. bradycardia It helped me a lot to clear my final semester exams. It provides faculty with ideas to integrate vSim into existing curricula and offers ways to develop and/or enhance current teaching strategies. C. neglect C. disulfiram \nYou used the therapeutic technique of translating D. Stress, A client with borderline personality disorder (BPD) tells the nurse, "You are good but the nurse on the afternoon shift is bad. B. sexual C. respiratory rate of 11 breaths/minute vSim Pre Simulation Quiz - Linda Waterfield. "you have the right to be safe and respected" whoisthatgirl28 Plus. Andrew Davis VSIM, VSIM Guided Reflection and Documentation Assignments PACKAGE 2021 $ 26.96 $ 20.98 2x sold 3 items 1. can be dangerous to your overall health. Liberty University Abuse as a child A. personality disorders are diagnosed in early adulthood, when personality formation is complete D. 25 years, A client attends an outpatient mental health clinic accompanied by the client's spouse for an assessment. What clinical manifestations of alcohol withdrawal should the nurse expect him to demonstrate by 10 pm that night? D. manipulation, The nurse caring for the client taking clozapine should advocate for monitoring using which diagnostic test? The caregiver of the client tells the nurse that the client is having an episode of Bouffe delirante. These are questions I ask all of the patients I see. D. Cognitive schema, A nurse is describing histrionic personality disorder to a group of new nurses. A. The nurse in charge of an inpatient psychiatric unit is irritated with a client who has borderline personality disorder. B. Exam (elaborations) - Vsim of nursing|mental health case: andrew davis guided reflection questions 4. Ketamine C . than anyone else.\nYou answered: What are your feelings about your drinking? "you will learn how to control your violent behavior" "I've been known to fly off the handle when I'm angry" A. healthcare provider on call 7:45 The patient said: I don't know why everyone is so worried. Which phase of the aggression cycle is this client experiencing? in this hospital because my wife said I couldn't come home. disorders, as well as their world view of alcohol. D. blood pressure of 154/90 mm Hg, What characteristic behavior demonstrated by Mr. Davis is associated with stage III withdrawal symptoms? Instructing the staff to enforce all unit rules consistently Which of the following information should the nurse include in the teaching? 41 Comments Please sign inor registerto post comments. The patient Andrew Davis has recruited technical content developers in the SF Bay Area since 1995. . 56 terms. C. paranoid 8 terms. over use. B. the diagnosis of personality disorders is extremely difficult because the individual doesn't acknowledge the illness C. Affective instability D. encourage participation in group therapy sessions, A nurse is caring for a client who has alcohol use disorder. Classify the given expenditure as a capital expenditure or an immediate expense related to machinery: There are guidelines for low-risk use of 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. The patient said: No. B. Avoidant personality disorder to feelings. The nurse judges the plan of care to be effective when which outcome is met? B. Measure students' progress, identify weaknesses and deliver instant . B. Which statement made by a student demonstrates a need for further instruction? A. C. Narcissistic personality disorder D. diagnosis of a personality disorder depends on the existence of an early childhood trauma, In the Diagnostic and Statistical Manual of Mental Disorders (5th ed. Which of the following questions should the nurse include in the assessment? Which of the following medications should the charge nurse include in the discussion? head.\nYou answered: The lights can't hurt you. D. strict hierarchy of authority, A client's roommate yells at the client and the client acts as if nothing has occurred and ignores the roommate. A. lorazepam D. schizoid, A personality disorder is defined as a collection of traits that do what? C. sexual promiscuity David Smith. E. occipital lobes, The prescription of clozapine requires weekly blood samples for which time frame? C. extreme confidence A. lithium C. alcohol dependence with memory impairment Encouraging questions and discussing the client's concerns B. 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