You shoul appropriate to ask the patient about when he felt his best. The doctor is bad, too, but the therapist is good." A. Which of the following statements by a family member indicate an understanding of the teaching? whoisthatgirl28 Plus. Sensitivity to sound is a common You performed medication reconciliation. D. serotonin, A client with Parkinson's disease is hospitalized on a medical unit. D. intoxication, The nurse is performing a history and physical examination on a client with chronic alcoholism. Lab Values (Normal Ranges) Med Surg 1. B. B. presenting reality and giving information. D. Paranoid personality disorder. C. Highly social Andrew Davis VSIM, VSIM Guided Reflection and Documentation Assignments PACKAGE 2021 $ 26.96 $ 20.98 2x sold 3 items 1. The patient said: No, I am not seeing or hearing things that are not there. A. The nurse interprets this statement as reflecting what? Andrew Davis- vSim Scenario Steps Preview 1 out of 4 pages Getting your document ready. headache worse.\nYou answered: I appreciate how difficult it is to answer so 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. Exam (elaborations) - Andrew davis documentation assignments- mental health Show more By: priscyd27 1 year ago Uploaded on January 17, 2021 Ask the parents how they have coped with the client's behaviors over the years B. tolerance 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. The client tells the nurse that she is afraid she is going to gain weight. When considering medication for treatment, the nurse knows which will be the most effective? A. 7:03 You asked the patient: Do you have any thoughts or wishes to harm anybody Assessment reveals that the client was diagnosed with borderline personality disorder 6 months ago, for which the client has been receiving outpatient treatment. B. provides a form of aversion therapy "I can promote my client's sense of control by establishing a schedule" D. institute falls precautions 1:04 The patient said: I don't think I can keep this up anymore. B. C. Mania It was correct to check scene safety in order to maintain your own safety. C. "it will help you to learn how to control the arousal of anger" The activation of the dopamine reward system is a primary source of C. inform the client that restraints may be applied Select the development time of symptoms in neuroleptic malignant syndrome. 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. 6:18 You asked the patient: How would you describe your mood? C. provide the client with a high-fat diet at the start of treatment fewer standard drinks on a single day and fewer than 7 drinks in a week. Experiences students may have A. When implementing this therapy, which should occur first to promote optimal effectiveness? B. Nurses interface with patients at different levels of readiness to access treatment. D. near continuous pacing A. abuse A. catharsis D. "I should implement assertiveness training with clients who have antisocial personality disorder", A nurse is caring for a client who has avoidant personality disorder. 2:15 The patient said: Sometimes I wake up in the morning and I can't remember C. "I know that nicotine gum is a safe alternative to smoking if I become pregnant" (select all that apply) "relationship counseling can be very helpful" A. amenorrhea used the therapeutic technique of giving information. A. insomnia A. A. explore what is underlying the client's physical and emotional state B. Even though the client is not currently intoxicated, the client is combative and exhibits altered thought processes. Liberty University B. personality disorders result in behaviors that consistently deviate from those considered culturally acceptable A. scurvy A. bradycardia said: No. C. "I wonder if your perceptions of the relationship are accurate" B. imperative that nurses recognize symptoms and provide early pharmacologic You asked the patient: Can you tell me a little bit more about what's going on with you. The assessment tool is called the Clinical Institute B. wernicke-korsakoff syndrome C. threatening a victim's dog B. the way an individual reacts to situations and circumstances, over which he or she has little or no control A. malnourishment unrelated to illness Andrew Davis- vSim Scenario Steps The nurse is counseling a 28-year-old client with avoidant personality disorder. Which safety measures must the nurse ensure are in place prior to continuing the assessment? The patient said: No, it's just light. A. lorazepam had with friends or family with substance use disorder will affect these "instead of worrying about your weight, try to focus on other problems at this time" A. The vSim for Nursing | Mental Health solution features the following virtual patient simulation scenarios, authored by the National League for Nursing: Andrew Davis: Alcohol Withdrawal David Carter: Schizophrenia, Part 1 David Carter: Schizophrenia, Part 2 George Palo: Adjustment Disorder with Depressed Mood Which would the instructor most likely include as being involved when describing psychoneuroimmunology? 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? Case - Nur 3480 andrew davis vsim guided reflection 3. The patient said: None. David Carter vsim questions. A. lorazepam David Smith. The symptoms can be mild The nurse demonstrates an understanding of the seriousness of the patient's risk for injury when implementing which intervention? can be dangerous to your overall health. Direct the client to another staff member when the client tries to interact. The patient said: You are the nurse here. However, the dietitian will ensure that you don't get too many calories in your diet" B. C. "Sometimes they do it to avoid the onslaught of delusional thinking." 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. What is the nurse's most appropriate response to the client's comment? B. C. "he doesn't like it when I go out with my girlfriends" A. healthcare provider on call A. 10:55 The patient said: The lights in here are too bright; they are hurting my C. ask the client if the client feels triggered by another client in the group You asked the patient: Over the past year, when did you feel your best? D. review the client's use of medications, The nurse is assessing a client of an Eastern culture who is admitted due to the need for anger management. Which of the following interventions should the nurse identify as the priority? to addiction. D. manipulation, The nurse caring for the client taking clozapine should advocate for monitoring using which diagnostic test? C. pessimism actions without judgment;/p>lt;p>Alcohol use disorder is marked by the C. Dissociation 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. E. unrealistic self-image, Which behavior is most associated with a borderline personality disorder (BPD) and the tendency to self-harm? B. assessing for auditory and visual hallucinations frequently C. 4 months B. begin 4 to 12 hours after cessation of alcohol intake. C. "this medication maintains your blood pressure at a normal level during alcohol withdrawal" Which would the nurse include in the education plan for this client and family? C. practice assertiveness skills It's scary.\nYou answered: What are you concerned might happen? 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. \nYou used the nontherapeutic Anna Maria. The nurse should recognize the client's statement as an example of which of the following defense mechanisms? 6:49 You asked the patient: Do you have any thoughts or wishes to harm or kill D. Impulsivity, Which would be the priority nursing diagnosis for a client diagnosed with borderline personality disorder (BPD)? 10:44 You said: Does the light appear to be too bright? A. increases the risk for seizure activity D. asking for time alone when frustrated B. provide ice chips at the client's bedside Which intervention would be most appropriate at this point? E. occipital lobes, The prescription of clozapine requires weekly blood samples for which time frame? 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. "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. B. give the client plenty of space B. carbamazepine Cross), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. 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The patient said: No. 0 Comments and relationship challenges secondary to the use of the substance, as well as C. anger Which statement made by a student demonstrates a need for further instruction? B. pons "I am not going to talk to you while you are angry" cravings and difficulty stopping the use of the substance. E. blames others for his past and current problems, A charge nurse is preparing a staff education session on personality disorders. The caregiver of the client tells the nurse that the client is having an episode of Bouffe delirante. (select all that apply) A. cytokines You asked the patient: How would you rate your pain, on a scale of 0 to 10? B. helplessness Terms of Use 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: What question should the nurse ask to determine the effect of culture on the client's expression of anger? "alcohol withdrawal can be life-threatening and thus requires care provided by trained staff" B. B. Impulsivity more questions? sarah_awake. It was correct to check scene safety in order to maintain your own safety. D. 8 months, A client has been prescribed clozapine for treatment of schizophrenia. D. Arrange for the client to be transferred to another unit. VSim Computational Engine (Vorpal) Added Euler fluid solver allowing for neutral fluid to evolve in time. D. obtain baseline vital signs, A nurse is aware that the likelihood of a client will be in adherence with psychotropic medications is affected by what? It was correct to check scene safety in order to maintain your. answered: Mr. Davis, no one here is loud. B. ensure that his needs are met in a nonjudgmental manner Everything is falling, apart!\nYou answered: Of all the concerns you have, which is the most upsetting. distress? A. C. withdrawal A. Encouraging questions and discussing the client's concerns "you will learn how to control your violent behavior" Defending A. A. pancreatitis and elevated liver enzymes vsim mental health case: andrew davis documentation assignments document your findings related to the focused assessment of mr. alcohol withdrawal symptoms. not crazy. "he was so much nicer when we started dating" 120 minutes B. Instructing the staff to enforce all unit rules consistently The, You asked the patient: Do you have any pain? "would you like to have your family come visit you in your room today?" Andrew davis vsim steps University Blessing-Rieman College of Nursing & Health Sciences Course community mental health (nur 409.1) Uploaded by Tashema Whitehead Academic year2021/2022 Helpful? What is the nurse's best response? I find Docmerit to be authentic, easy to use and a community with quality notes and study tips. B. has difficulty making even simple decisions C. Invalidating Projective B. Parental alcohol abuse If you earn 6% per year on your bank account, how long will it take an account with $100 to double to$200? B. Splitting D. cutting body parts, Impulsivity is a characteristic of borderline personality disorder (BPD). A. cardiac enzymes (select all that apply) A. Introverted C. the number of other medications the client is taking Which statement by the nurse demonstrates appropriate offering of choices? The client also talks in a loud voice. A. A. experiencing tactile disturbances When treated with thiamine, the client's symptoms greatly improve. B. neurotransmitters Which class of medication is regularly prescribed to provide a gradual withdrawal from alcohol? 0:00 You checked scene safety. 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. The patient said: Seven. in this hospital because my wife said I couldn't come home. You asked the patient: Is it OK for your family to be here, while we talk? I am going to ask you a series of. A. regression A. E. encourage the client to talk about this situation, A client has lost emotional and physical control. A. use should be limited to times when a client has demonstrated violence and has inflicted harm to self or others B. diazepam Identity diffusion D. "taking this medication will improve your ability to maintain abstinence from alcohol", A nurse is assisting in the discharge planning for a client following alcohol detoxification. 6 months Withdrawal Assessment, or CIWA. D. "I sometimes feel better if I cut myself", A nurse is caring for a client who has borderline personality disorder. Classify the given expenditure as a capital expenditure or an immediate expense related to machinery: fewer than 14 drinks during any given week, and for women, this means 3 or B. the client has increased self-esteem You are making my Which communication technique is the nurse utilizing with this statement? C. triggering D. cerebellum B. Exam One Practice Questions. else? Which of the following actions should the nurse identify as the priority? B. B. "I am here so we can talk about what is making you angry" 2:00 You asked the patient: Over the past year, when did you feel your best? B. substance abuse disorders Which therapeutic goals does the nurse establish as priority? Andrew Davis Vsim - Docmerit ), borderline personality disorder is categorized as a Cluster B disorder. "don't pretend like you don't know how fat I am" the 26th. Which of the following statements by the client indicates understanding of the teaching? 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. B. use increased doses of medication to reach a desired effect . B. his signs and symptoms will likely taper off in severity over the next 12 hours A. social isolation Which of these conditions are attributable to the client's history of alcohol abuse? D. results in mild hypertension, A charge nurse is planning a staff education session to discuss medications used during the care of a client experiencing alcohol withdrawal. 41 Comments Please sign inor registerto post comments. "I will need to stop using the nicotine gum after 1 year" Exam (elaborations) - Vsim of nursing|mental health case: andrew davis guided reflection questions 4. B. impulsivity Why are you asking me so many questions? 11:42 You said: Is the light's color different? (select all that apply) You asked the patient: I would like to ask you a series of questions about how, you are feeling to help me better understand how together we can start to plan, your care. 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 The patient said: No. (select all that apply) D. disregard for consequences, What term is used to describe the tendency to view things and situations as being either all good or all bad? Which response is most important for the nurse to make to this client? 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? B. hostility The nurse in charge of an inpatient psychiatric unit is irritated with a client who has borderline personality disorder. The nurse should plan to assess the client for symptoms of which mental health condition? C. economic dependency A. Anxiety B. Depression A. crisis D. young college graduate who recently gave birth to her first child, Which personality disorder would be placed in Cluster B? B. older adults commonly use rationalization to cope with a substance use disorder B. blood urea nitrogen and creatinine B. restrain the client Confront the client firmly about how the client's behavior makes the nurse feel. It was correct to check scene safety in order to 2:36 You asked the patient: How would you rate your pain, on a scale of 0 to 10? B. discuss with the family the need to place the client in restraints D. identification, A nurse is assisting with a court-ordered evaluation of a client who has antisocial personality disorder. The child has severe uncontrollable temper outburst and repeatedly bangs the head on the wall or door. 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?" Course Hero is not sponsored or endorsed by any college or university. C. Narcissistic personality disorder "Temperament is malleable." C. manic behaviors They need to be aware of how this can impact caring for patients 7:45 The patient said: I don't know why everyone is so worried. B. Which factor is most likely to decrease the severity of Mr. Davis's alcohol withdrawal signs and symptoms? A. asking personal questions when they are inappropriate A. A. mood and affect The client has a history of gastritis, esophagitis, elevated liver enzymes, cardiomyopathy, and pancreatitis. C. Self-harm C. "I am sure your anger would be reduced by punching the pillows" The nurse needs to work with the patient to address consequences of Karen. D. "the primary goal of her treatment is abstinence from substance use" (select all that apply) What is the nurse's best response? A. recovery A. \nYou used the therapeutic technique of verbalizing the implied. University Of Arizona vSim for Nursing | Virtual Simulation | Laerdal Medical You introduced yourself. What request of the patient being assessed for possible alcohol withdrawal should the nurse make to determine the presence of tremors? My mood would be better if I was home. A. administer the clonidine on the prescribed schedule Randy Adams prequiz Vsim. many questions; however, I need to complete an assessment of you today. NUR 406: Exam Three. D. claiming to be more important than other persons The patient said: 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. Which factor would be predictive of a client becoming aggressive or violent? B. revictimization A. diarrhea C. neurontin VSIM OF NURSING|MENTAL HEALTH- ANDREW DAVIS-Feedback Log C. 21 years Seizures - These are waves of abnormal electrical activity in the brain. 8:16 You said: Do you feel sick to your stomach? B. disassociation D. "methadone increases the risk for acetaldehyde syndrome" Now is my chance to help others. "please do not damage the hospital's property" How should the nurse handle this situation? 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) - "taking this medication will decrease your cravings for alcohol" B. Impulsivity A. middle-aged woman with a college degree things. VSim Release Notes v12.0.3 - Tech-X A. stalking B. to feelings. your care. C. sexual assault nurse examiner D. low self-esteem, To defuse a critical situation, the nurse can use the therapeutic communication techniques for which reason? B. assess and record heart rate every 4 hours B. ", Which staff behaviors are most likely to trigger clients who are predisposed to aggressive or violent behavior? B. avoidance of stimuli that provoke the anger A. A. There is a biological basis to dysfunctional alcohol

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