10:44 You said: Does the light appear to be too bright? C. suction equipment is kept at the bedside D. "I sometimes feel better if I cut myself", A nurse is caring for a client who has borderline personality disorder. A. regression Include his responses to your assessment. These are questions I ask all of the patients I see. C. "people taking this medication often experience dermatitis" C. sit in an open area The patient. B. dopamine A. scurvy The patient said: (select all that apply) ", A client is admitted to the emergency department for intoxication with alcohol. \nYou 2:36 You asked the patient: How would you rate your pain, on a scale of 0 to 10? D. prepare to seclude the client, The nurses on a mental health unit are reviewing aspects of the unit environment in a staff meeting. C. 21 years 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. patient reports ringing in his ears E. restlessness, A nurse is planning care for a client who is experiencing benzodiazepine withdrawal. 2:15 The patient said: Sometimes I wake up in the morning and I can't remember 9:47 You said: Have you had any itching? D. "you are not overweight, and the staff will ensure that you do not gain weight while you are in the hospital. D. "do you have any questions about why you are taking this medication? Symptoms of alcohol withdrawal begin within what time period after the cessation or marked reduction of alcohol intake by the chronic alcohol drinker? D. asking for time alone when frustrated 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. patient reports ringing in his ears (select all that apply) 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. B. risk for self-mutilation related to alcohol withdrawal and altered thought processes The client is shouting, screaming, hitting others and throwing objects. NY Times Paywall - Case Analysis with questions and their answers. The doctor is bad, too, but the therapist is good." C. valproic acid Which of the following findings should the nurse expect? C. "would you describe your current eating habits?" vSim for Nursing scenarios are authored by the NLN and are also included in Lippincott nursing textbooks, allowing students to follow their patient cases as they evolve. The client has a history of gastritis, esophagitis, elevated liver enzymes, cardiomyopathy, and pancreatitis. The assessment tool is called the Clinical Institute C. Discuss the feelings with a colleague to promote coping. B. haloperidol The class also includes a review of the anatomy and physiology of the neurological system. Which aspect of this behavior is most likely to cause problems for the patient? C. "can you select an outfit to wear to group therapy?" A. 8:30 You said: Alcohol withdrawal can cause a variety of symptoms, some of which You are making my Select the development time of symptoms in neuroleptic malignant syndrome. think I'm nuts?!? D. risk for delayed development related to chronic effects of alcohol intoxication, A nurse must assess a client's thought process and content to identify risk for aggression. 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. allow the client to select preferred meal times 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. 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. therapeutic relationship D. "the primary goal of her treatment is abstinence from substance use" Case - Nur 3480 andrew davis vsim guided reflection 3. C. Dissociation C. medulla appropriate to ask the patient about when he felt his best. 9:17 You said: Have you vomited? C. disulfiram The client's sibling is visiting, and the sibling asks the nurse to explain why the client sometimes does this. 68 terms. D. near continuous pacing You answered: Of all the concerns you have, which is the most upsetting to you? 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. allison041996. A. The patient said: A. A. mindfulness Which is the nurse trying to prevent? you saying you feel anxious? E. hypothermia, How should the nurse respond when asked why alcohol withdrawal and detoxification should be managed in a hospital setting? Terms of Use 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? Which of the following personality characteristics associated with all of the personality disorders should the charge nurse include in the teaching? B. C. anger B. "I should encourage clients who have a schizoid personality disorder to increase socialization" What question should the nurse ask to determine the effect of culture on the client's expression of anger? Anna Maria. (select all that apply) What is the priority nursing diagnosis for this client? "I should avoid eating right before I chew a piece of nicotine gum" A. C. GABA B. ask the client about the client's living situation "I've been known to fly off the handle when I'm angry" D. Lacking empathy, Based on psychological theories, which is believed to be critical to understanding personality disorders? A. social isolation 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! B. VSim Computational Engine (Vorpal) Added Euler fluid solver allowing for neutral fluid to evolve in time. B. neurotransmitters you are the meanest nurse ever!" The activation of the dopamine reward system is a primary source of 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. B. dim the lighting in his room 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. C. inform client that the nurse is in charge of situation Ecstasy 2.Select all the criteria for what is considered "At-Risk, L. J. is a 55-year-old male who attended a funeral and found himself laughing during the service, but later that evening he was irritated with himself for what he had done. answered: Mr. Davis, no one here is loud. C. Self-harm B. has difficulty making even simple decisions 0 Comments used the therapeutic technique of seeking clarification. B. dopamine 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. 7:45 The patient said: I don't know why everyone is so worried. D. History of depression, A client has a diagnosis of borderline personality disorder and lives at home with the client's parents. Using concepts from assertiveness training and effective communication techniques, the nurse implements which intervention after hearing the wife's remarks? The client describes a long history of partner abuse associated with this relationship. 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. A. Obsessive-compulsive personality disorder A. B. B. blood urea nitrogen and creatinine B. reach out for the client's knife A. amenorrhea C. undoing month? 1:04 The patient said: I don't think I can keep this up anymore. A. A. C. neglect 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? You washed your hands. C. behaviors and beliefs that are present and acted on from an individual's birth my stomach. not crazy. The, You asked the patient: Do you have any pain? B. dry mouth E. ensure availability of assistance, The nurse is caring for a client with rheumatoid arthritis. "I've put the incident behind me and seldom think of it" A. pancreatitis and elevated liver enzymes allison041996. sarah_awake. It was appropriate to ask the patient what was going on with him "which activity would you like to participate in today?" 10:23 The patient said: Why is everyone so loud? Ketamine C . B. Exam One Practice Questions. C. the majority of his withdrawal will consist of signs and symptoms similar to the current ones B. "most often, neither families nor friends are willing and capable of managing the patient during the withdrawal" (select all that apply) A. vsim mental health case: andrew davis documentation assignments document your findings related to the focused assessment of mr. alcohol withdrawal symptoms. A. place the client in a separate room D. claiming to be more important than other persons 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. "do you know why you are being admitted? A. C. haloperidol Practice NCLEX Questions from the Book! Which is an appropriate nursing action? Which response by the nurse would be most appropriate? The patient said: I can't get rid of this headache.\nYou answered: A headache is a, normal symptom of alcohol withdrawal. A. - fibers, Select the correct description of a somatoform disorder. What is the possible explanation for such a finding? B. patient reports a headache rated as 3/5 B. the client has increased self-esteem (select all that apply) View full document Andrew Davis vSim Scenario Steps: You checked scene safety. Which factor is most likely to decrease the severity of Mr. Davis's alcohol withdrawal signs and symptoms? 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. "We need to understand that she is responsible for her disorder" C. Mania B. avoidance of stimuli that provoke the anger \nYou used the therapeutic technique of encouraging expression. B. the way an individual reacts to situations and circumstances, over which he or she has little or no control dysfunctional use of alcohol. D. recovery, A nurse is beginning the process of providing therapy to a client with anger management problems. relapse. 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. Withdrawal Assessment, or CIWA. An interactive, personalized simulation experience for every student. B. What is the best action for the nurse to perform? Ineffective coping Mental Health . B. 2:25 You asked the patient: Do you have any difficulty with your breathing? The nurse understands that which of the following is the primary behavioral characteristic of this cluster of disorders? Despite being employed, the client verbalizes having low quality of life due to anxiety and isolation. The client tells the nurse that she is afraid she is going to gain weight. A. flexible unit rules C. cultural norms determine the behaviors that are associated with personality disorders D. Maladaptive expression of emotions, A nursing instructor is teaching about the importance of bonding and how an easy temperament can serve as a protective factor against psychopathology. A. B. avoidant Assessment reveals that the client was diagnosed with borderline personality disorder 6 months ago, for which the client has been receiving outpatient treatment. C. diagnosis involves identifying significant impairment in forming self-confidence and appropriate self-esteem Which of the following statements by the client indicates understanding of the teaching? What symptoms would the nurse expect to find in this client? Course Hero is not sponsored or endorsed by any college or university. 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). 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. I wish they would shut up!\nYou used the therapeutic technique of giving information. Mike T. With a profile at Docmerit you are definitely prepared well for your exams. C. observing seizure precautions Nurses interface with patients at different levels of readiness to access treatment. Seizures - These are waves of abnormal electrical activity in the brain. B. try to clarify what has upset the client D. "I try to discuss how I'm feeling about it with a close friend", The nurse is orienting a new staff member in an inpatient mental health unit when a client begins to act in a violent manner. symptom of alcohol withdrawal. A. What is the nurse's most appropriate response to the client's comment? used the therapeutic technique of seeking clarification. patient said: It's about a 4. June 16, 2022. B. his signs and symptoms will likely taper off in severity over the next 12 hours The nurse is counseling a 28-year-old client with avoidant personality disorder. (select all that apply) The child has severe uncontrollable temper outburst and repeatedly bangs the head on the wall or door. However, the dietitian will ensure that you don't get too many calories in your diet" C. withdrawal You asked if the patient had any known allergies. B. anxiety disorders VSIM OF NURSING MENTAL HEALTH-ANDREW DAVIS CASE STUDIES PACKAGE $ 97.45 $ 40.89 5 items 1. C. "methadone can be used during opioid withdrawal and to maintain abstinence" 10:07 You said: Are you more aware of sounds around you? "he was so much nicer when we started dating" The patient Everything is falling, apart!\nYou answered: Of all the concerns you have, which is the most upsetting. D. naltrexone A. chew the gum for no more than 10 min B. B. Avoidant personality disorder 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. A. tolerance break 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. A. shout and let the client know that this behavior is not tolerated 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. use should be limited to times when medications have been unsuccessful in de-escalating a situation D. Impulsivity, Which would be the priority nursing diagnosis for a client diagnosed with borderline personality disorder (BPD)? Denial is a common defense mechanism, as is the cycle of abuse, remission, and 11:29 You said: What is today's date? A. criticizing Disturbed thought process A. catharsis C. hallucinations (select all that apply) Lab Values (Normal Ranges) Med Surg 1. A. D. young college graduate who recently gave birth to her first child, Which personality disorder would be placed in Cluster B? C. Promoting social ostracism of the client's exhibiting manipulation B. Overly friendly Other sets by this creator. 15 years The client will experience increased self-esteem. Upon entering the client's room, the nurse finds the the client is very angry and is punching pillows to express the anger. maintain your own safety. alcohol: for men, this means 4 or fewer standard drinks on any single day and The nurse should anticipate prescriptions for which of the following medications to promote long-term abstinence for alcohol? University Of Arizona A. -hydroxybutyrate D . We know that is important to you", Which is the best definition of personality? 6:41 You asked the patient: Can you tell me what you ate for breakfast? This system is more intensely activated in patients with a vulnerability "why do you want to lose weight?" C. extreme confidence 143 terms. 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? 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. D. low self-esteem, To defuse a critical situation, the nurse can use the therapeutic communication techniques for which reason? Which of the following information should the nurse include in the teaching? B. "I've always had good results with medications" 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. A. validation The client has been in the psychiatric unit for 2 weeks and is scheduled to be discharged tomorrow. "I can promote my client's sense of control by establishing a schedule" D. liver function tests, A nurse is attending a review class on the neurologic basis of psychiatric disorders. Exam (elaborations) - Vsim of nursing|mental health case: andrew davis guided reflection questions 4. A. A. auditory hallucinations The nurse judges the plan of care to be effective when which outcome is met? 0:48 You asked the patient: Can you tell me a little bit more about what's going on C. middle-aged, wealthy businessman What symptom of alcohol withdrawal syndrome would be the most urgent for the nurse to address? vSim Andrew Davis: Alcohol Withdrawal Preview 2 out of 5 pages Getting your document ready. "I am not going to talk to you while you are angry" A. depression C. the number of other medications the client is taking C. Personal identity disturbance 10:35 You said: Are you hearing anything that is disturbing to you? You checked scene safety. You asked the patient: Where is your pain located? Encouraging questions and discussing the client's concerns C. "I know that nicotine gum is a safe alternative to smoking if I become pregnant" C. keep SpO2 probe at bedside 0:00 You checked scene safety. A. show an increased tolerance for frustration The patient said: No, I don't have any D. 8 months, A client has been prescribed clozapine for treatment of schizophrenia. A. C. provide the client with a high-fat diet at the start of treatment 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 technique of using denial. 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. neurontin A. experiencing tactile disturbances \nYou used the nontherapeutic The patient said: Yes, I have some, You asked the patient: How would you rate your pain, on a scale of 0 to 10? $12.45 B. older adults commonly use rationalization to cope with a substance use disorder D. meneire's disease, A nurse must assess for characteristics that are predictive of violent behavior. B. A. diarrhea C. hypothalamic axes A. explore what is underlying the client's physical and emotional state Difficult temperament 8 terms. Which would be most therapeutic when the client's parents come in to discuss discharge plans? Liberty University "alcohol withdrawal can be life-threatening and thus requires care provided by trained staff" D. physical abuse, Which statement made by a client raises the greatest concern that the client may be experiencing relationship violence? The nurse would be correct in identifying which neurotransmitter decreased in this disease? 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 C. place the client on a regular toileting schedule C. catharsis my work and it keeps me busy. Which would the nurse identify as one of the strongest risk factors for this disorder? The cell Anatomy and division. C. "Temperament seen in infancy is often seen later in life." 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? The nurse demonstrates an understanding of the seriousness of the patient's risk for injury when implementing which intervention? "I am here so we can talk about what is making you angry" Which step should the nurse take? C. angry outbursts Defending (select all that apply) D. delirium, The nurse should consider which as a possible indicator of child neglect? D. naltrexone E. unrealistic self-image, Which behavior is most associated with a borderline personality disorder (BPD) and the tendency to self-harm? C. methylphenidate (select all that apply) C. "call the doctor immediately if you experience any of the side effects we talked about" (select all that apply) C. Narcissistic personality disorder C. "Sometimes they do it to avoid the onslaught of delusional thinking." Narmada Kidney Foundation > Uncategorized > vsim andrew davis steps. A. acetylcholine Which personality disorder best describes this client? safety;/p>lt;p>There is not a defined amount of alcohol that designates a The patient said: It is 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. A. older adults require higher doses of a substance to achieve a desired effect A. insomnia withdrawal symptoms. ", A nurse is working with a client who has lost unit privileges due to inappropriate behavior. D. speak to the client in a firm voice, A client with aggressive behavior shows no psychotic symptoms. D. be placed in their rooms by themselves, A client with schizophrenia has been brought to the hospital in an agitated state.
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