The assessment of the client's thought process and content would allow the nurse to identify what? The client has a serious and formal demeanor. \nYou used the therapeutic technique of verbalizing the implied. ", A client in the emergency department has self-inflicted wounds on both arms. C. orientation The symptoms can be mild 0:48 You asked the patient: Can you tell me a little bit more about what's going on A. Introverted C. threatening a victim's dog A. B. splitting B. provides a form of aversion therapy 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? vsim andrew davis steps. ", A nurse is caring for an adolescent client who has anorexia nervosa with recent rapid weight loss and a current weight of 90 lb. Defending Course Hero is not sponsored or endorsed by any college or university. D. identification, A nurse is assisting with a court-ordered evaluation of a client who has antisocial personality disorder. Dependent 6:49 You asked the patient: Do you have any thoughts or wishes to harm or kill D. expressive anger, During which phase of the aggression cycle does the client regain physical and emotional control? C. "Temperament seen in infancy is often seen later in life." C. neurontin fewer standard drinks on a single day and fewer than 7 drinks in a week. -hydroxybutyrate D . Confront the client firmly about how the client's behavior makes the nurse feel. Students also viewed Which safety measures must the nurse ensure are in place prior to continuing the assessment? Which would be most therapeutic when the client's parents come in to discuss discharge plans? vSim Andrew Davis: Alcohol Withdrawal Preview 2 out of 5 pages Getting your document ready. It was correct to check scene safety in order to maintain your. A. administer the clonidine on the prescribed schedule A. amenorrhea (select all that apply) "people say I withdraw and pout about the problem" B. women are expected not to express so-called negative feelings like anger One of the most useful resource available is 24/7 access to study guides and notes. ", A nurse is reviewing the medical record of a female client diagnosed with borderline personality disorder (BPD). D. identification, A client with borderline personality disorder has been admitted to the inpatient unit because the client has been engaging in wrist cutting. Privacy Statement, Stuvia is not sponsored or endorsed by any college or university, Pennsylvania State University - All Campuses, Rutgers University - New Brunswick/Piscataway, University Of Illinois - Urbana-Champaign, Essential Environment: The Science Behind the Stories, Everything's an Argument with 2016 MLA Update, Managerial Economics and Business Strategy, Primates of the World: An Illustrated Guide, The State of Texas: Government, Politics, and Policy, IELTS - International English Language Testing System, TOEFL - Test of English as a Foreign Language, USMLE - United States Medical Licensing Examination. C. "she should participate in an Al-Anon group to help her recover" "I can promote my client's sense of control by establishing a schedule" D. "would you rather go to the cafeteria or have dinner in the dayroom? 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 . VSIM OF NURSING MENTAL HEALTH-ANDREW DAVIS CASE STUDIES PACKAGE $ 97.45 $ 40.89 5 items 1. D. naltrexone Despite being employed, the client verbalizes having low quality of life due to anxiety and isolation. Which of the following is an expected finding? collaborative approach rather than a patriarchal/matriarchal approach to care. 6 months A. flexible unit rules D. "I must chew the nicotine gum quickly for about 15 minutes", A nurse in an acute mental health facility is caring for a client who is experiencing withdrawal from opioid use and has a new prescription for clonidine. C. use should be limited to emergencies in which the risk of a client physically harming self, staff, or others is imminent When discussing risk factors for child abusers, which would the nurse identify as the most likely profile of the perpetrator of fatal child abuse? C. "if I could be skinny, I know I'd be popular" C. sexual promiscuity 7:50 You asked the patient: Do you ever see or hear things that other people do not? Which of the following personality characteristics associated with all of the personality disorders should the charge nurse include in the teaching? "life isn't worth living if I gain weight" 0:43 You identified the patient. D. "you may experience noticeable weight gain while taking this medication", A nursing instructor is reviewing the various biologic theories related to the etiology of depression. What is the nurse's best response? headache worse.\nYou answered: I appreciate how difficult it is to answer so allison041996. You asked the patient: How would you rate your pain, on a scale of 0 to 10? 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. 11:36 You said: Who am I? The patient said: No, I am D. lying, A client with a history of angry outbursts that have caused interpersonal and work problems has been in counseling for several months. Which of the following interventions should the nurse identify as the priority? A. patient reports ringing in his ears D. serotonin, A nurse is assessing a child with a diagnosis of autism spectrum disorder. "Temperament is not changeable." B. Psychopath "most often, neither families nor friends are willing and capable of managing the patient during the withdrawal" 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. The nurse interprets this statement as reflecting what? C. diagnosis involves identifying significant impairment in forming self-confidence and appropriate self-esteem 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? with you today? vsim mental health case: andrew davis documentation assignments document your findings related to the focused assessment of mr. alcohol withdrawal symptoms. 8:30 You said: Alcohol withdrawal can cause a variety of symptoms, some of which You asked the patient: Where is your pain located? B. odd Andrew Davis VSIM, VSIM Guided Reflection and Documentation Assignments PACKAGE 2021 $ 26.96 $ 20.98 2x sold 3 items 1. Research suggests violent behavior is influenced by possession of which attribute? You are making my C. undoing It was correct to check scene safety in order to maintain your own safety. A. The caregiver of the client tells the nurse that the client is having an episode of Bouffe delirante. When implementing this therapy, which should occur first to promote optimal effectiveness? Everything is falling apart! C. sit in an open area A. The doctor is bad, too, but the therapist is good." C. inform client that the nurse is in charge of situation ", Which staff behaviors are most likely to trigger clients who are predisposed to aggressive or violent behavior? A. mood and affect C. "he doesn't like it when I go out with my girlfriends" \nYou C. catharsis You performed medication reconciliation. ", A client is admitted to the emergency department for intoxication with alcohol. Just all of these questions. B. Splitting Experiences students may have 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? When considering medication for treatment, the nurse knows which will be the most effective? C. "Sometimes they do it to avoid the onslaught of delusional thinking." presenting reality and giving information. C. Personal identity disturbance B. dim the lighting in his room B. love_ces_sylvain. B. C. Invalidating Projective C. engaging in disputes over medication, supplies, or rules on the unit A. A. "I should avoid eating right before I chew a piece of nicotine gum" The client has a history of gastritis, esophagitis, elevated liver enzymes, cardiomyopathy, and pancreatitis. A. lorazepam 0 Comments 41 Comments Please sign inor registerto post comments. C. educate the client on the effects of clonidine Include his responses to your assessment. with this diagnosis;/p>lt;p>Alcohol withdrawal has physical symptoms that 2:25 You asked the patient: Do you have any difficulty with your breathing? The patient said: No. No. C. "methadone can be used during opioid withdrawal and to maintain abstinence" "Sometimes the self-injurious behavior is undertaken to relieve stress." 143 terms. C. postcrisis cravings and difficulty stopping the use of the substance. A. abuse C. cultural norms determine the behaviors that are associated with personality disorders allison041996. It was correct to check scene safety in order to A. hostility You shoul Identity diffusion The patient said: Not really sick to . (select all that apply) Withdrawal Assessment, or CIWA. It helped me a lot to clear my final semester exams. This activation can be so overpowering that the alcohol becomes the C. "I've been supported by health care professionals and now I want to support other survivors" D. "methadone increases the risk for acetaldehyde syndrome" 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? She is still experiencing the triad of symptoms associated with ADHD (impaired. "working with survivors of sexual trauma is very fulfilling work" It was. How do generally accepted accounting principles (GAAP) differ from the laws of mathematics? The nurse is counseling a 28-year-old client with avoidant personality disorder. Which term should the nurse use to describe this drinking behavior? 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. A. use should be limited to times when a client has demonstrated violence and has inflicted harm to self or others They need to be aware of how this can impact caring for patients \nYou disorders, as well as their world view of alcohol. than anyone else.\nYou answered: What are your feelings about your drinking? 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. Vsim Andrew Davis Mental Health. E. encourage the client to talk about this situation, A client has lost emotional and physical control. Symptoms of alcohol withdrawal begin within what time period after the cessation or marked reduction of alcohol intake by the chronic alcohol drinker? A. anxiety You even benefit from summaries made a couple of years ago. Bluelizzard. D. "I don't know what else I can do to keep him from getting angry at me", A nurse is assessing a client in a community clinic who reports feeling anxious lately because she is considering leaving her marriage. B. assess and record heart rate every 4 hours Vsim Andrew Davis Mental Health. A. culture is not a consideration when evaluating behaviors associated with personality disorders B. provide ice chips at the client's bedside Identity diffusion "eliminating any codependent behavior will promote her recovery" "why do you want to lose weight?" It's scary.\nYou answered: What are you concerned might happen? A. tolerance break A. show an increased tolerance for frustration What symptoms would the nurse expect to find in this client? Cross), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), The Methodology of the Social Sciences (Max Weber), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Develop a list of cues you identified from viewing the assessment, JadenuSodium Glucose Linked Transporter 2 Inhibitors, Test Bank for Davis Advantage for Psychiatric Mental Health Nursing 10th Edition by Morgan 9780803699670 TEST BANK, Fundamentals of Nursing 9th Edition Taylor Test Bank-1-10, Test Bank for Foundations for Population Health in Community Public Health Nursing 6th Edition by Stanhope 9780323776882 TEST BANK, Test bank Fundamentals of Nursing 10th Edition, Understanding Pathophysiology 7th Edition Test Bank, Test Bank for Ebersole and Hess Gerontological Nursing and Healthy Aging 6th Edition by Touhy 9780323698030 TEST BANK, Test Bank For Pediatric Nursing The Critical Components of Nursing Care 2nd Edition, Educational Psychology and Development of Children Adolescents (D094), Anatomy & Physiology I With Lab (BIOS-251), Business and Society (proctored course) (BUS 3306), Professional Nursing Concepts III (5-8-8) (HSNS 2118), Managing Business Communications and Change (MGT-325), Professional Application in Service Learning I (LDR-461), Advanced Anatomy & Physiology for Health Professions (NUR 4904), Principles Of Environmental Science (ENV 100), Operating Systems 2 (proctored course) (CS 3307), Comparative Programming Languages (CS 4402), Business Core Capstone: An Integrated Application (D083), ECO 201 - Chapter 5 Elasticity and Its Applications, ATI System Disorder Template Heart Failure, CH 13 - Summary Maternity and Pediatric Nursing. 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. A. cardiac enzymes "remember to take this medication at the times we've discussed" 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. C. "I know that nicotine gum is a safe alternative to smoking if I become pregnant" B. use should be limited to times when medications have been unsuccessful in de-escalating a situation Which is an appropriate nursing action? B. Which of the following statements is expected from a client who has this type of personality disorder? "this medication will help prevent seizures during alcohol withdrawal" D. Exuberant. I have already answered a lot of questions. B. Overly friendly 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? You washed your hands. You checked scene safety. B. Parental alcohol abuse C. inform the client that restraints may be applied The child has severe uncontrollable temper outburst and repeatedly bangs the head on the wall or door. D. institute falls precautions The patient D. claiming to be more important than other persons A. restrain the client 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. substance abuse disorders D. "The self-mutilation often slows the mood swings your sibling experiences. Which response would be most appropriate? Nurses interface with patients at different levels of readiness to access treatment. A. chain smoking B. relapse. 7:45 The patient said: I don't know why everyone is so worried. A. implement seizure precautions (select all that apply) else? Which of the following medications should the charge nurse include in the discussion? B. D. unstable personal relationships A. physical Company Registration Number: 61965243 to get an understanding of this. 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! A. pemoline D. schizoid, A personality disorder is defined as a collection of traits that do what? C. "can you select an outfit to wear to group therapy?" Other sets by this creator. A. C. manic behaviors priority in the patients life, to the exclusion of family, work, self-care, and often 2. You identified the patient. The nurse identifies the this child is experiencing which type of abuse? You asked the patient: Where is your pain located? month? B. B. The patient said: I can't get rid of this headache.\nYou answered: A headache is a, normal symptom of alcohol withdrawal. "methadone reduces the unpleasant effects associated with abstinence syndrome" Even though the client is not currently intoxicated, the client is combative and exhibits altered thought processes. B. Impulsivity B. physical aggression Which of the following findings should the nurse expect? B. relive their childhood experiences D. Impulsivity, Which would be the priority nursing diagnosis for a client diagnosed with borderline personality disorder (BPD)? C. 21 years C. Discuss the feelings with a colleague to promote coping. 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. Denial is a common defense mechanism, as is the cycle of abuse, remission, and C. angry outbursts 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. mindfulness Measure students' progress, identify weaknesses and deliver instant . Attention seeking "one of the side effects of this medication is breast engorgement" Which of the following information should the nurse include in the teaching? vSim for Nursing | Mental Health Mental Health Case: Li Na Chen, Part 2 Documentation Assignments. 6:18 You asked the patient: How would you describe your mood? C. "I need to feel that everyone admires me" B. C. pancreatitis, esophagitis, gastritis, and elevated liver enzymes answered: Mr. Davis, no one here is loud. C. "I can expect some diarrhea from taking this medicine" D. Lacking empathy, Based on psychological theories, which is believed to be critical to understanding personality disorders? B. C. Loneliness The client is no longer experiencing withdrawal manifestations. 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). You checked scene safety. Added a new reaction type to model an arbitrary number of reactants and products. B. D. Stress, A client with borderline personality disorder (BPD) tells the nurse, "You are good but the nurse on the afternoon shift is bad. The nurse should recognize the client's statement as an example of which of the following defense mechanisms? However, the dietitian will ensure that you don't get too many calories in your diet" C. "I am sure your anger would be reduced by punching the pillows" used the therapeutic technique of seeking clarification. B. panic disorder C. Dissociation What is the nurse's most appropriate response to the client's comment? -hydroxybutyrate D . B. In order for the nurse to perform the initial assessment, which approaches should the nurse use to manage the situation? Now is my chance to help others. Exam (elaborations) - Vsim of nursing|mental health case: andrew davis guided reflection questions 4. D. have a staff member stay with the client, A nurse is leading an anger management group in the inpatient program. A. recovery C. impulsive behaviors The patient D. physical abuse, Which statement made by a client raises the greatest concern that the client may be experiencing relationship violence? B. his signs and symptoms will likely taper off in severity over the next 12 hours interventions;/p>lt;p>Alcohol use disorder is a disease that requires treatment. Using concepts from assertiveness training and effective communication techniques, the nurse implements which intervention after hearing the wife's remarks? A. C. white blood cell count Which intervention would be most appropriate at this point? (select all that apply). B. hostility Which response by the nurse would be most appropriate? A. identity diffusion B.

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