said: I had some coffee and a bowl of cold cereal. Added a new reaction type to model an arbitrary number of reactants and products. A. patient reports ringing in his ears B. diazepam A. middle-aged woman with a college degree C. 4 months D. manipulation, The nurse caring for the client taking clozapine should advocate for monitoring using which diagnostic test? headache worse.\nYou answered: I appreciate how difficult it is to answer so E. ensure availability of assistance, The nurse is caring for a client with rheumatoid arthritis. 11:29 You said: What is today's date? B. C. neurontin 7:32 You asked the patient: How do you understand your problems? 56 terms. 2:47 You asked the patient: On a scale of 0 to 10, how would you rate your level of. D. clozapine, Aggression control can be measured by the nurse's observation of a client's ability to do what? Which of the following responses should the nurse make? I wish they would shut up!\nYou C. "this medication maintains your blood pressure at a normal level during alcohol withdrawal" B. confusion Which of the following statements by a family member indicate an understanding of the teaching? use that makes some patients more susceptible to having diminished self-control A. anger Document the assessment finding related to Mrs. Chen's suicidality at discharge. B. rinse out the mouth immediately before chewing the gum B. ask the wife to provide details about what she means by "all his time" D. Impulsivity, Clients with borderline personality disorder (BPD) are usually admitted to the inpatient setting because they exhibit what? A. C. "Temperament seen in infancy is often seen later in life." D. low self-esteem, To defuse a critical situation, the nurse can use the therapeutic communication techniques for which reason? 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? A. tolerance break begin 4 to 12 hours after cessation of alcohol intake. You used the therapeutic technique of focusing. D. liver function tests, A nurse is attending a review class on the neurologic basis of psychiatric disorders. If you earn 6% per year on your bank account, how long will it take an account with $100 to double to$200? Select the development time of symptoms in neuroleptic malignant syndrome. Add to Cart. A. obtain a thorough client history A. inform the client medication is required said: No. 6:12 You asked the patient: Please tell me what today's date is. E. acamprostate, A nurse is evaluating a client's understanding of a new prescription for clonidine for the treatment of opioid use disorder. A. chlordiazepoxide E. encourage the client to talk about this situation, A client has lost emotional and physical control. C. provide the client with a high-fat diet at the start of treatment C. haloperidol It was correct to check scene safety in order to maintain your own safety. 9:47 You said: Have you had any itching? Other sets by this creator. D. naltrexone "I've been known to fly off the handle when I'm angry" "please do not damage the hospital's property" 10:44 You said: Does the light appear to be too bright? (select all that apply) technique of using denial. Andrew Davis is currently in Stage I of alcohol withdrawal. C. disulfiram D. "The self-mutilation often slows the mood swings your sibling experiences. 8:16 You said: Do you feel sick to your stomach? Attempt to discuss placing the client into an assisted living environment Even though the client is not currently intoxicated, the client is combative and exhibits altered thought processes. D. "at what weight do you believe you will look better?" C. women express sadness instead of anger while facing unjust situations The client has a history of gastritis, esophagitis, elevated liver enzymes, cardiomyopathy, and pancreatitis. A. amenorrhea Michaela_Marcello. C. suction equipment is kept at the bedside A. anxiety C. extreme confidence Exam One Practice Questions. "one of the side effects of this medication is breast engorgement" D. The client will form a romantic relationship. Which of the following statements by the client indicates understanding of the teaching? 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. D. "Temperamental differences among children can be observed very early in life. You asked the patient: Is it OK for your family to be here, while we talk? Vsim Andrew Davis Mental Health. C. middle-aged, wealthy businessman A. you are the meanest nurse ever!" Which would the nurse identify as one of the strongest risk factors for this disorder? B. escalation yourself? 19 terms. 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? One of the most useful resource available is 24/7 access to study guides and notes. A. older adults require higher doses of a substance to achieve a desired effect 2 months The client tells the nurse that she is afraid she is going to gain weight. B. The patient said: No, I am Which of the following medications should the nurse anticipate administering to assist the client with maintaining abstinence from alcohol? 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? C. Ask the parents to keep a written schedule of activities for each day for the client A. explore what is underlying the client's physical and emotional state (select all that apply) 3,4 - methylendedioxymethamphetamine B . 9:32 The patient said: I don't know what to do with my hands.\nYou answered: Are "you may experience hypertension while taking this medication" B. Parental alcohol abuse 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. A. remind him frequently that the signs and symptoms will lessen in severity The client is no longer experiencing withdrawal manifestations. There are guidelines for low-risk use of C. catharsis B. Which therapeutic goals does the nurse establish as priority? 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?" D. carbamazepine, A new nurse asks the nurse manager about the best intervention to use when trying to de-escalate a potentially violent client. You asked the patient: Do you have any difficulty with your breathing? D. implement one-to-one observation during meal times, A nurse is caring for a client who has bulimia nervosa and has stopped purging behavior. Which of these conditions are attributable to the client's history of alcohol abuse? A. 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. Which of the following medications should the charge nurse include in the discussion? The nurse needs to work with the patient to address consequences of 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. give the client plenty of space B. restrain the client Dependent The nurse understands that which of the following is the primary behavioral characteristic of this cluster of disorders? think I'm nuts?!? B. panic disorder A. teach the client to make "I" statements The child has severe uncontrollable temper outburst and repeatedly bangs the head on the wall or door. B. anger C. "would you describe your current eating habits?" B. provide ice chips at the client's bedside 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 1:04 The patient said: I don't think I can keep this up anymore. B. personality disorders result in behaviors that consistently deviate from those considered culturally acceptable apart!\nYou answered: Of all the concerns you have, which is the most upsetting Poor social skills A 56-year-old man called Andrew Davis ,entered an alcohol rehabilitation clinic voluntarily yesterday afternoon and is currently in the acute detoxification unit. B. wernicke-korsakoff syndrome A. acetylcholine D. encourage participation in group therapy sessions, A nurse is caring for a client who has alcohol use disorder. B. Depression D. "I appreciate that you are experiencing anger in an appropriate manner", An aggressive client is holding a weapon and threatening to harm other clients in the unit. The to you? A. B. blood urea nitrogen and creatinine When treated with thiamine, the client's symptoms greatly improve. C. orientation "I am not going to talk to you while you are angry" The patient said: Yes, I have some pain. A. catharsis Case - Vsim of nursing|andrew davis mental health post-quiz 3. "what did you learn about anger when growing up?" C. hallucinations Chaotic families C. "I wonder if your perceptions of the relationship are accurate" B. use should be limited to times when medications have been unsuccessful in de-escalating a situation B. Dissociation 7:45 The patient said: I don't know why everyone is so worried. A. It helped me a lot to clear my final semester exams. It was correct to check scene safety in order to answered: Mr. Davis, no one here is loud. B. admitting to visual hallucinations Andrew Davis VSIM, VSIM Guided Reflection and Documentation Assignments PACKAGE 2021 $ 26.96 $ 20.98 2x sold 3 items 1. C. 21 years A. bradycardia Mental Health . B. his signs and symptoms will likely taper off in severity over the next 12 hours 18 years Everything is falling The activation of the dopamine reward system is a primary source of used the therapeutic technique of seeking clarification. C. "do you feel that you can manage your reactions with anger?" Andrew Davis vSim Scenario Steps: You checked scene safety. B. assessing for auditory and visual hallucinations frequently your care. A. cause behavioral dysfunction and inner distress Andrew Davis- vSim Scenario Steps 0:48 You asked the patient: Can you tell me a little bit more about what's going on When discussing risk factors for child abusers, which would the nurse identify as the most likely profile of the perpetrator of fatal child abuse? Upon entering the client's room, the nurse finds the the client is very angry and is punching pillows to express the anger. 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. "while taking this medication, I should keep a pack of sugarless gum" C. risk for other-directed violence related to alcohol withdrawal A. have their needs met C. therapeutic relationship 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. C. the majority of his withdrawal will consist of signs and symptoms similar to the current ones A. abuse Which clinical manifestations confirm that a patient is experiencing Stage I (mild) of alcohol withdrawal syndrome? The patient said: None. Randy Adams prequiz Vsim. B. client's primary care provider Assume Karo Products, Inc., purchased conveyor-belt machinery. D. women are more aware about the health consequences related to inappropriate anger expression, A nurse is assessing a Haitian client. D. blood pressure of 154/90 mm Hg, What characteristic behavior demonstrated by Mr. Davis is associated with stage III withdrawal symptoms? B. avoidant vSim for Nursing | Mental Health Mental Health Case: Li Na Chen, Part 2 Documentation Assignments. C. catharsis of anger A. Obsessive-compulsive personality disorder C. disoriented by more than 2 calendar days C. medulla "people say I withdraw and pout about the problem" 68 terms. No. Students need to be An interactive, personalized simulation experience for every student. Ask the parents how they have coped with the client's behaviors over the years 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. B. Which of the following information should the nurse include in the teaching? things. B. establish consequences for purging behavior 0:06 You introduced yourself. D. physical abuse, Which statement made by a client raises the greatest concern that the client may be experiencing relationship violence? B. The nurse is counseling a 28-year-old client with avoidant personality disorder. 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. D. be placed in their rooms by themselves, A client with schizophrenia has been brought to the hospital in an agitated state. D. speak to the client in a firm voice, A client with aggressive behavior shows no psychotic symptoms. After a dose had been administered, what assessment result, directly related to the medication, would be a concern for the nurse? ", Which term is used to describe an activity used to release anger? A. auditory hallucinations C. "people taking this medication often experience dermatitis" C. undoing "I'll go to group therapy if you'll let me smoke" (select all that apply) $12.45 C. disulfiram C. falls A. vsim andrew davis steps. A. shout and let the client know that this behavior is not tolerated C. Dissociation B. tolerance Which would the nurse include in the education plan for this client and family? What question should the nurse ask to determine the effect of culture on the client's expression of anger? Which response would be most appropriate? than anyone else.\nYou answered: What are your feelings about your drinking? Docmerit is super useful, because you study and make money at the same time! allison041996. B. reach out for the client's knife "most often, neither families nor friends are willing and capable of managing the patient during the withdrawal" my stomach. C. diagnosis involves identifying significant impairment in forming self-confidence and appropriate self-esteem D. recovery, A nurse is beginning the process of providing therapy to a client with anger management problems. B. discuss with the family the need to place the client in restraints A. D. 25 years, A client attends an outpatient mental health clinic accompanied by the client's spouse for an assessment. Which is the primary guideline for the use of restraint and seclusion? "what happens when you get angry?" symptom of alcohol withdrawal. 6 months "working with survivors of sexual trauma is very fulfilling work" Which of the following findings should the nurse expect? B. neurotransmitters D. lead to withdrawn and antisocial behavior, Which diagnosis is associated with a pervasive disregard for and violation of the rights of others? 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. itching. A. motor vehicle accidents B. sexual Other sets by this creator. It's scary.\nYou answered: What are you concerned might happen? 120 minutes B. 6:41 You asked the patient: Can you tell me what you ate for breakfast? 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? D. becomes agitated if his personal area is not neat and orderly D. vomiting (headache, tremor) to severe (hallucinations, delirium tremens, seizures). A. depression Case - Nur 3480 andrew davis vsim guided reflection 3. Alcohol use disorder is a disease that carries social stigma. C. Personal identity disturbance 6:56 You asked the patient: Have you ever tried to harm or kill yourself? 6:33 You asked the patient: Name an activity that you enjoy. B. 3,4 - methylendedioxymethamphetamine B . B. assess and record heart rate every 4 hours Withdrawal Assessment, or CIWA. B. Borderline personality B. A. A. show an increased tolerance for frustration my work and it keeps me busy. Case - Andrew davis vsim 2. A. cytokines The nurse identifies the this child is experiencing which type of abuse? D. Stress, A client with borderline personality disorder (BPD) tells the nurse, "You are good but the nurse on the afternoon shift is bad. School Harvard University Course Title NURSING HEALTH ASS Uploaded By ConstableEchidnaMaster1985 Pages 7 1 week C. 3 days D. 12 hours D A. Splitting B. ask the client about the client's living situation C. pancreatitis, esophagitis, gastritis, and elevated liver enzymes The nurse demonstrates an understanding of the seriousness of the patient's risk for injury when implementing which intervention? C. Dissociation \nYou. A. Affective instability B. belief in the ability to become invisible during times of stress You washed your hands. D. dramatic, Which long-term patterns are consistent with a diagnosis of borderline personality disorder? (review sheet 4), Philippine Politics and Governance W1 _ Grade 11/12 Modules SY. B. C. assure him that the withdrawal process generally lasts no more than 96 hours 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? VSim Computational Engine (Vorpal) Added Euler fluid solver allowing for neutral fluid to evolve in time. C. sexual assault nurse examiner C. anger 9:17 You said: Have you vomited? C. "I usually approach the person directly to talk about it" (select all that apply) A. restrain the client (select all that apply) B. encourage the client to engage in a relaxation exercise prior to joining the group for the rest of the session B. assertive behavior C. scheduled unit activities 2:15 The patient said: Sometimes I wake up in the morning and I can't remember D. Impulsivity, Which would be the priority nursing diagnosis for a client diagnosed with borderline personality disorder (BPD)? Which term should the nurse use to describe this drinking behavior? The patient said: I can't get rid of this headache. C. methylphenidate 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? What is the nurse's best response? 2:00 You asked the patient: Over the past year, when did you feel your best? A. development of a therapeutic relationship actions without judgment;/p>lt;p>Alcohol use disorder is marked by the Confront the client firmly about how the client's behavior makes the nurse feel. B. take the client to the gym for exercise A. acetylcholine in this hospital because my wife said I couldn't come home. 9:41 You said: Have you had any pins and needles sensations? Which is an appropriate nursing action? A. he is likely currently experiencing the peak of his signs and symptoms The nurse should anticipate prescriptions for which of the following medications to promote long-term abstinence for alcohol? "this medication will help prevent seizures during alcohol withdrawal" Identity diffusion Liberty University D. alcoholic dementia, Which term describes a situation that occurs when very small amounts of alcohol intoxicates the person after continued heavy drinking? View full document Andrew Davis vSim Scenario Steps: You checked scene safety. A. difficulty in getting along with other members of a group 8 terms. A. C. Loneliness Aggression Which healthcare professional should the nurse contact to collect evidence of the assault? "I will need to stop using the nicotine gum after 1 year" C. angry outbursts "taking this medication will decrease your cravings for alcohol" 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. pain. ), borderline personality disorder is categorized as a Cluster B disorder. \nYou used the therapeutic technique of verbalizing the implied. "taking this medication will help reduce by craving for heroin" Which of the following statements by the newly licensed nurse indicates an understanding of the teaching? ", A nurse is reviewing the medical record of a female client diagnosed with borderline personality disorder (BPD). (select all that apply) "do you need to take your medication to help calm down?" The patient said: No. 6:49 You asked the patient: Do you have any thoughts or wishes to harm or kill 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. Which class of medication is regularly prescribed to provide a gradual withdrawal from alcohol? Identity diffusion B. C. impulsive behaviors "will your mother be available to help administer this medication for you?" B. D. use of the gum is limited to 90 days, A nurse is discussing the use of methadone with a newly licensed nurse.