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Other sets by this creator. The patient said: No, never! B. provides a form of aversion therapy The patient said: Yes, I have some pain. D. Encourage the parents to discuss the possibility of the client going into a day-care program when the client goes home, When providing care to a client who consistently attempts to manipulate the staff, the nurse can best maintain the therapeutic milieu by doing what? D. lead to withdrawn and antisocial behavior, Which diagnosis is associated with a pervasive disregard for and violation of the rights of others? 24-72 hours C. 4-7 days D.10-14 days QUESTION 62 1. A. D. cerebellum C. the number of other medications the client is taking I wish they would shut up!\nYou Mental health Vsim. Liberty University A. use should be limited to times when a client has demonstrated violence and has inflicted harm to self or others Alcohol use disorder is a disease that carries social stigma. Students should C. disulfiram C. alcohol dependence with memory impairment B. C. engaging in disputes over medication, supplies, or rules on the unit The patient said: Family is supposed to stick together through thick and thin, and they, You answered: What can you do while you are here to open communication with your. The child tells the nurse, "I don't get a lunch this week, I have been wetting the bed." Docmerit is a great platform to get and share study resources, especially the resource contributed by past students and who have done similar courses. 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: "relationship counseling can be very helpful" ", Which term is used to describe an activity used to release anger? A. abuse A. A. 3,4 - methylendedioxymethamphetamine B . over use. Identity diffusion D. escalation, Which term is used to describe an emotion expressed through verbal abuse and violation of rules or norms? "most often, neither families nor friends are willing and capable of managing the patient during the withdrawal" 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. and relationship challenges secondary to the use of the substance, as well as other than medications? 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? vSim for Nursing Simulation Scenarios - Wolters Kluwer B. belief in the ability to become invisible during times of stress 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! C. orientation E. unrealistic self-image, Which behavior is most associated with a borderline personality disorder (BPD) and the tendency to self-harm? distress? A. chew the gum for no more than 10 min The client will be able to accept a job promotion. "what happens when you get angry?" B. Overly friendly A. catharsis Vsim Andrew Davis Mental Health. D. Impulsivity, Which would be the priority nursing diagnosis for a client diagnosed with borderline personality disorder (BPD)? C. respiratory rate of 11 breaths/minute Students also viewed B. dopamine "what did you learn about anger when growing up?" You asked the patient: Can you tell me a little bit more about what's going on with you. School Harvard University Course Title NURSING HEALTH ASS Uploaded By ConstableEchidnaMaster1985 Pages 7 A. criticizing symptom of alcohol withdrawal. B. hunger and thirst Seizures - These are waves of abnormal electrical activity in the brain. There is a biological basis to dysfunctional alcohol E. hypothermia, How should the nurse respond when asked why alcohol withdrawal and detoxification should be managed in a hospital setting? "taking this medication will decrease your cravings for alcohol" C. impulsive behaviors Add to Cart. ", A nurse is working with a client who has lost unit privileges due to inappropriate behavior. B. admitting to visual hallucinations to feelings. "we need to explore what makes you want to hit people when you are angry" Confront the client firmly about how the client's behavior makes the nurse feel. VSIM OF NURSING|MENTAL HEALTH- ANDREW DAVIS-Feedback Log A. "you have the right to be safe and respected" Attempt to discuss placing the client into an assisted living environment A. cytokines C. "if you don't calm down, I will need you to go to your room" A. A. mindfulness (select all that apply) Which of the following statements is expected from a client who has this type of personality disorder? B. wernicke-korsakoff syndrome many questions; however, I need to complete an assessment of you today. D. the support the client has at home for taking medications, While discussing the CNS, the nursing instructor tells the students that the major inhibitory neurotransmitter in the CNS is what? A. - fibers, Select the correct description of a somatoform disorder. B. take the client to the gym for exercise Which of the following is appropriate for the nurse to include in the presentation? 18 terms. D. identification, A client with borderline personality disorder has been admitted to the inpatient unit because the client has been engaging in wrist cutting. 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. "I am sure your anger would be reduced by punching the pillows" D. "do you know why you are being admitted? 30 terms. Denial is a common defense mechanism, as is the cycle of abuse, remission, and The nurse understands that which of the following is the primary behavioral characteristic of this cluster of disorders? 2:47 You asked the patient: On a scale of 0 to 10, how would you rate your level of. B. substance abuse disorders . C. methylphenidate "eliminating any codependent behavior will promote her recovery" Which of the following information should the nurse to include in the teaching? D. recovery, A nurse is beginning the process of providing therapy to a client with anger management problems. C. "methadone can be used during opioid withdrawal and to maintain abstinence" things. A. A. mood and affect Course Hero is not sponsored or endorsed by any college or university. Which would the instructor most likely include as being involved when describing psychoneuroimmunology? When implementing this therapy, which should occur first to promote optimal effectiveness? C. "I usually approach the person directly to talk about it" vSim for Nursing | Virtual Simulation | Laerdal Medical A. triggering VSim Release Notes v12.0.3 - Tech-X Andrew Davis- vSim Scenario Steps Preview 1 out of 4 pages Getting your document ready. vsim andrew davis steps. D. Exuberant. 1:22 You asked the patient: I would like to ask you a series of questions about how Which response is most important for the nurse to make to this client? D. speak to the client in a firm voice, A client with aggressive behavior shows no psychotic symptoms. B. to get an understanding of this. You asked the patient: Do you have any difficulty with your breathing? ", A client is admitted to the emergency department for intoxication with alcohol. B. A. regression C. Discuss the feelings with a colleague to promote coping. B. a history of taking these types of medications 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. Andrew Dave documents - vsim - Mental Health Case: Andrew Davis C. extreme confidence 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. acetylcholine 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. Other sets by this creator. D. "at what weight do you believe you will look better?" A. bradycardia C. crisis 15 years Ketamine C . It was correct to check scene safety in order to maintain your own safety. 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. Which intervention would be most appropriate at this point? B. confusion C. Affective instability B. itching. The class also includes a review of the anatomy and physiology of the neurological system. D. slightly elevated body weight What is the best action for the nurse to perform? "I'm scared that you're going to leave me" vSim Pre Simulation Quiz - Linda Waterfield. 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) - This system is more intensely activated in patients with a vulnerability Which of the following medications should the nurse anticipate administering to assist the client with maintaining abstinence from alcohol? A. The client has been in the psychiatric unit for 2 weeks and is scheduled to be discharged tomorrow. B. B. D. near continuous pacing 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. E. restlessness, A nurse is planning care for a client who is experiencing benzodiazepine withdrawal. 7:14 You asked the patient: Can you tell me what a desired outcome of treatment Which of the following statements indicates the client is experiencing the cognitive distortion of catastrophizing? A. orienting for time, place and person as needed C. Loneliness C. middle-aged, wealthy businessman D. mood disorders, A nurse manager is discussing the care of a client who has a personality disorder with a newly licensed nurse. C. disulfiram The patient said: No, it's just light. C. anger The most serious consequence of behaviors seen in borderline personality disorder includes what? B. discuss with the family the need to place the client in restraints Terms of Use Which of the following statements by the newly licensed nurse indicates an understanding of the teaching? priority in the patients life, to the exclusion of family, work, self-care, and often B. acceptance C. Invalidating Projective head.\nYou answered: The lights can't hurt you. 8:16 You said: Do you feel sick to your stomach? than anyone else.\nYou answered: What are your feelings about your drinking? collaborative approach rather than a patriarchal/matriarchal approach to care. "will your mother be available to help administer this medication for you?" 11:36 You said: Who am I? A. anger A. show an increased tolerance for frustration C. Dissociation Which phase of the aggression cycle is this client experiencing? C. "do you feel that you can manage your reactions with anger?" These are questions I ask all of the patients I see. B. B. anger suppression Which nursing diagnosis would be the priority? D. meneire's disease, A nurse must assess for characteristics that are predictive of violent behavior. The nurse needs to work with the patient to address consequences of B. escalation B. Andrew_Davis_Vsim - Docmerit interventions;/p>lt;p>Alcohol use disorder is a disease that requires treatment. Research suggests violent behavior is influenced by possession of which attribute? (select all that apply) . C. use should be limited to emergencies in which the risk of a client physically harming self, staff, or others is imminent How do generally accepted accounting principles (GAAP) differ from the laws of mathematics? D. instruct the client to put the knife down, The nurse states "I know this must be frightening for you" to a client who is angry and has a potential for violence. "remember to take this medication at the times we've discussed" The patient said: None. C. avoid eating 15 min prior to chewing the gum D. "The self-mutilation often slows the mood swings your sibling experiences. (select all that apply) NUR 406: Exam Three. Aggression Why are you asking me so many questions? fewer than 14 drinks during any given week, and for women, this means 3 or ", A nurse is reviewing the medical record of a female client diagnosed with borderline personality disorder (BPD). Which of the following nursing actions should the nurse include in the client's plan of care? 6:56 You asked the patient: Have you ever tried to harm or kill yourself? The nurse identifies that the client may have which style of anger expression related to this incident? D. perceptions and delusions, What are some types of behavior that the nurse would recognize as qualifying as psychological abuse? B. assessing for auditory and visual hallucinations frequently A. Andrew Davis- vSim Scenario Steps Exam (elaborations) - Andrew davis documentation assignments- mental health Show more By: priscyd27 1 year ago Uploaded on January 17, 2021 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. B. gastritis and elevated liver enzymes Which therapeutic goals does the nurse establish as priority? C. "I understand you have concerns about your weight, but first, let's talk about your recent accomplishments" "Temperament is malleable." Attention seeking Which of the following responses should the nurse make? What is the priority nursing diagnosis for this client? C. provide the client with a high-fat diet at the start of treatment Andrew Davis has recruited technical content developers in the SF Bay Area since 1995. B. Borderline personality C. catharsis B. 6:26 You asked the patient: Have you lost interest in activities that you once enjoyed? B. intentional risk taking What symptom of alcohol withdrawal syndrome would be the most urgent for the nurse to address? Select the development time of symptoms in neuroleptic malignant syndrome. The client has a history of gastritis, esophagitis, elevated liver enzymes, cardiomyopathy, and pancreatitis. 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. VSim Documentation v12.0.3 - Tech-X D. naltrexone 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? Sensitivity to sound is a common B. Self-mutilation A. D. "Temperamental differences among children can be observed very early in life. Do you \nYou B. bupropion C. the client reports increased feelings of self-control 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? What is the nurse's best response? The patient. Document the assessment finding related to Mrs. Chen's suicidality at discharge. She is still experiencing the triad of symptoms associated with ADHD (impaired. The patient said: No. interviewing is a good intervention with alcohol use disorder as it promotes a The child has severe uncontrollable temper outburst and repeatedly bangs the head on the wall or door. How should the nurse handle this situation? 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. (select all that apply) 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. It's scary.\nYou answered: What are you concerned might happen? C. "make sure that another colleague knows where you are at all times" B. You asked the patient: Is it OK for your family to be here, while we talk? A. teach the client to make "I" statements 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? B. provide ice chips at the client's bedside Randy Adams prequiz Vsim. you are feeling to help me better understand how together we can start to plan vSim Andrew Davis: Alcohol Withdrawal Preview 2 out of 5 pages Getting your document ready. answered: Mr. Davis, no one here is loud. E. provide him with high protein, low fat meals, How can the nurse caring for Mr. Davis best provide the appropriate emotional care during his alcohol withdrawal? disorders, as well as their world view of alcohol. your care. The patient said: No. can be dangerous to your overall health. 11:42 You said: Is the light's color different? After a dose had been administered, what assessment result, directly related to the medication, would be a concern for the nurse? D. low self-esteem, To defuse a critical situation, the nurse can use the therapeutic communication techniques for which reason? What term refers to the collection of symptoms that are associated with untreated alcohol withdrawal? B. After a dose had been administered, what assessment result, directly related to the medication, would be a concern for the nurse? C. implement seizure precautions A. recovery e. Purchase price. A. risk for injury related to effects of alcohol abuse Chaotic families You identified the patient. B. ask the client about the client's living situation D. use of the gum is limited to 90 days, A nurse is discussing the use of methadone with a newly licensed nurse. Ask the parents how they have coped with the client's behaviors over the years Which clinical manifestations confirm that a patient is experiencing Stage I (mild) of alcohol withdrawal syndrome? vSim Andrew Davis: Alcohol Withdrawal - VSim (VSIM) - Stuvia Which of the following information should the nurse include in the teaching? The patient said: No. However, the dietitian will ensure that you don't get too many calories in your diet" 9:32 The patient said: I don't know what to do with my hands.\nYou answered: Are B. The client's spouse reports the client is easily irritated if the home is not maintained in a specific order and when the client is unable to complete a "to do" list on time. D. have a staff member stay with the client, A nurse is leading an anger management group in the inpatient program. He was escorted out of a school board meeting after hurling racist and ethnic obscenities at pupils and their families. (select all that apply) Even though the client is not currently intoxicated, the client is combative and exhibits altered thought processes. Andrew Davis- vSim Scenario Steps - Browsegrades.net Which aspect of this behavior is most likely to cause problems for the patient? B. dim the lighting in his room A. pemoline choose the best answer Using concepts from assertiveness training and effective communication techniques, the nurse implements which intervention after hearing the wife's remarks? The client tells the nurse that she is afraid she is going to gain weight. B. ask the wife to provide details about what she means by "all his time" You introduced yourself. B. Dissociation D. "why do you think I am not being respectful to you? B. the way an individual reacts to situations and circumstances, over which he or she has little or no control Which medication should the nurse expect to be ordered for this client? Practice NCLEX Questions from the Book! said: I had some coffee and a bowl of cold cereal. A. orient the client frequently to time, place and person A. constructive anger discussion A. chain smoking A. Passive-aggressive B. physical aggression pain. (select all that apply) Andrew Davis Vsim - Docmerit C. older adults are at an increased risk for substance use following retirement C. "call the doctor immediately if you experience any of the side effects we talked about" C. offer the client an antianxiolytic mediation I find Docmerit to be authentic, easy to use and a community with quality notes and study tips. May I ask you these, The patient said: Why are you asking me so many questions? Devry University B. impulsivity Which of the following is an expected finding? \nYou used the therapeutic technique of encouraging expression. vSim for Nursing Mental Health | Laerdal Medical C. Dissociation The nurse demonstrates understanding of the information by identifying which structures as components of the brain stem? A. 9:52 You said: Have you had any numbness? used the therapeutic technique of giving information. The caregiver of the client tells the nurse that the client is having an episode of Bouffe delirante. C. "I've been supported by health care professionals and now I want to support other survivors" C. "this medication maintains your blood pressure at a normal level during alcohol withdrawal" D. genetics, Which drug has been effective in treating aggressive clients diagnosed with bipolar disorders? 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 actions without judgment;/p>lt;p>Alcohol use disorder is marked by the May I ask you these It's just too loud in here, if that's what you mean. Docmerit is super useful, because you study and make money at the same time! 19 terms. yourself? D. expressive anger, During which phase of the aggression cycle does the client regain physical and emotional control? It is important that nurses communicate in a nonjudgmental manner. 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. A. What is the possible explanation for such a finding? D. intoxication, The nurse is performing a history and physical examination on a client with chronic alcoholism. 10:23 The patient said: Why is everyone so loud? 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. "his father physically abused his mother for years" C. behaviors and beliefs that are present and acted on from an individual's birth 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. headache worse.\nYou answered: I appreciate how difficult it is to answer so B. recovery love_ces_sylvain. (select all that apply) C. inform client that the nurse is in charge of situation A. Splitting C. attempts to convince other clients to give him their belongings