"I'm scared that you're going to leave me" D. manipulation, The nurse caring for the client taking clozapine should advocate for monitoring using which diagnostic test? C. splitting A. C. practice assertiveness skills (select all that apply) B. fine tremors of both hands Which of the following actions should the nurse identify as the priority? B. B. panic disorder Which is an appropriate nursing action? B. personality disorders result in behaviors that consistently deviate from those considered culturally acceptable Upon entering the client's room, the nurse finds the the client is very angry and is punching pillows to express the anger. Bluelizzard. D. "why do you think I am not being respectful to you? 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. C. the client reports increased feelings of self-control A. There is a biological basis to dysfunctional alcohol 1 week C. 3 days D. 12 hours D Which of the following is an expected finding? B. rinse out the mouth immediately before chewing the gum C. place the client on a regular toileting schedule allison041996. C. "I am sure your anger would be reduced by punching the pillows" University Of Arizona The client has been in the psychiatric unit for 2 weeks and is scheduled to be discharged tomorrow. D. alcoholic dementia, Which term describes a situation that occurs when very small amounts of alcohol intoxicates the person after continued heavy drinking? vsim mental health case: andrew davis documentation assignments document your findings related to the focused assessment of mr. alcohol withdrawal symptoms. C. economic dependency What question should the nurse ask to determine the effect of culture on the client's expression of anger? 8:16 You said: Do you feel sick to your stomach? Which medication should the nurse expect to be ordered for this client? A. cardiac enzymes A. Anxiety relapse. "I am here so we can talk about what is making you angry" B. dopamine B. reduced use of restraints Andrew Davis- vSim Scenario Steps Which would the nurse include in the education plan for this client and family? Which assessment finding confirms that a patient is experiencing moderate alcohol withdrawal? E. ensure availability of assistance, The nurse is caring for a client with rheumatoid arthritis. A. try to subdue the client C. Highly social the 26th. Select the development time of symptoms in neuroleptic malignant syndrome. It is A. personality disorders are diagnosed in early adulthood, when personality formation is complete D. identification, A nurse is assisting with a court-ordered evaluation of a client who has antisocial personality disorder. Case - Andrew davis vsim 2. B. valproate C. Invalidating Projective If you earn 6% per year on your bank account, how long will it take an account with $100 to double to$200? D. Paranoid personality disorder. Instructing the staff to enforce all unit rules consistently C. middle-aged, wealthy businessman A. restrain the client "don't pretend like you don't know how fat I am" presenting reality and giving information. B. dim the lighting in his room C. angry outbursts D. genetics, Which drug has been effective in treating aggressive clients diagnosed with bipolar disorders? Which nursing diagnosis would be the priority? Ketamine C . C. behaviors and beliefs that are present and acted on from an individual's birth C. 4 months The client continues to maintain a job and functions well in activities of daily living, relationships, and other aspects of social life. A. D. imipramine, A cuban American client has been prescribed an antipsychotic medication. A. orienting for time, place and person as needed A clear description of the copyrighted work infringed; A statement that you have a good faith belief that the use of the content identified in your DMCA notice is not authorized by the copyright owner, its agent or the law; Your contact information (such as your name, email address and telephone number); A certification, under penalty of perjury, that the DMCA notice is accurate, signed (either electronically or physically) by the copyright owner or the copyright owners legal representative. 6:26 You asked the patient: Have you lost interest in activities that you once enjoyed? "Temperament is not changeable." ", A nurse is working with a client who has lost unit privileges due to inappropriate behavior. A. B. D. intoxication, A nursing student is aware that which accounts for more deaths, illnesses, and disabilities across the life span than any other preventable condition? 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? A. chlordiazepoxide C. the number of other medications the client is taking C. observing seizure precautions Cross), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. 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One of the most useful resource available is 24/7 access to study guides and notes. A. - fibers, Select the correct description of a somatoform disorder. D. naltrexone 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 . 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. D. low self-esteem, To defuse a critical situation, the nurse can use the therapeutic communication techniques for which reason? C. "do you feel that you can manage your reactions with anger?" 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? to you? C. disulfiram C. triggering You checked scene safety. D. clozapine, Aggression control can be measured by the nurse's observation of a client's ability to do what? 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. D. schizoid, A personality disorder is defined as a collection of traits that do what? A. chain smoking B. David Smith. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching? A. implement seizure precautions B. The client describes a long history of partner abuse associated with this relationship. B. impulsivity with you today? Lab Values (Normal Ranges) Med Surg 1. B. blackout 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? B. older adults commonly use rationalization to cope with a substance use disorder patient said: It's about a 4. 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? 10:55 The patient said: The lights in here are too bright; they are hurting my D. Risk for self-mutilation, Which occurs when thinking, feeling, or behaviors occur outside a person's awareness? interviewing is a good intervention with alcohol use disorder as it promotes a maintain your own safety. Seizures - These are waves of abnormal electrical activity in the brain. C. "call the doctor immediately if you experience any of the side effects we talked about" A. tolerance break C. tolerance A. bradycardia A. Antisocial personality C. sexual assault nurse examiner 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. B. dry mouth D. "you are not overweight, and the staff will ensure that you do not gain weight while you are in the hospital. B. provide ice chips at the client's bedside You asked the patient: Over the past year, when did you feel your best? A. flexible unit rules rsmb143. Terms of Use Alcohol use disorder is a disease that carries social stigma. A. place the client in a separate room Which of the following is appropriate for the nurse to include in the presentation? The doctor is bad, too, but the therapist is good." Which safety measures must the nurse ensure are in place prior to continuing the assessment? Michaela_Marcello. A. have their needs met (select all that apply). A. he is likely currently experiencing the peak of his signs and symptoms A. midbrain 7:29 The patient said: I don't think any of this is going to work; it's a waste of C. postcrisis B. avoidant Chaotic families A. B. D. institute falls precautions We know that is important to you", Which is the best definition of personality? 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? B. You answered: A headache is a normal symptom of alcohol withdrawal. 68 terms. perceptions. D. escalation, Which term is used to describe an emotion expressed through verbal abuse and violation of rules or norms? 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 nurse in charge of an inpatient psychiatric unit is irritated with a client who has borderline personality disorder. B. gastritis and elevated liver enzymes She is still experiencing the triad of symptoms associated with ADHD (impaired. 1:04 The patient said: I don't think I can keep this up anymore. B. dopamine D. cutting body parts, Impulsivity is a characteristic of borderline personality disorder (BPD). "which activity would you like to participate in today?" used the therapeutic technique of seeking clarification. 18 terms. B. bupropion D. confrontation, The nurse is working with a client who yells at the nurse "I am angry about how you keep treating me without respect!" B. assertive behavior 7:14 You asked the patient: Can you tell me what a desired outcome of treatment more questions? The patient said: My appetite has been about the same. 11:36 You said: Who am I? The client is shouting, screaming, hitting others and throwing objects. C. engaging in disputes over medication, supplies, or rules on the unit D. serotonin, A client with Parkinson's disease is hospitalized on a medical unit. 0:43 You identified the patient. Which of these conditions are attributable to the client's history of alcohol abuse? D. "do you have any questions about why you are taking this medication? Added a new reaction type to model an arbitrary number of reactants and products. 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. The child has severe uncontrollable temper outburst and repeatedly bangs the head on the wall or door. Which response is most important for the nurse to make to this client? A. remind him frequently that the signs and symptoms will lessen in severity Practice NCLEX Questions from the Book! B. odd D. Stress, A client with borderline personality disorder (BPD) tells the nurse, "You are good but the nurse on the afternoon shift is bad. Ineffective coping The client has a history of gastritis, esophagitis, elevated liver enzymes, cardiomyopathy, and pancreatitis. The 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. C. valproic acid B. Impulsivity 0:43 You identified the patient. A. The patient said: No. The patient said: No. B. Depression B. The patient said: Not really sick to B. his signs and symptoms will likely taper off in severity over the next 12 hours What is the nurse's best response? A. the individual characteristics that change as one grows and experiences life situations "I'll go to group therapy if you'll let me smoke" time.\nYou answered: Are you saying treatment is not going to work for you at Randy Adams prequiz Vsim. D. Impulsivity, Which would be the priority nursing diagnosis for a client diagnosed with borderline personality disorder (BPD)? Encouraging questions and discussing the client's concerns B. substance abuse disorders A. malnourishment unrelated to illness (select all that apply) 9:41 You said: Have you had any pins and needles sensations? Which response would be most appropriate? 2 months fewer than 14 drinks during any given week, and for women, this means 3 or I don't drink more You are making my Other sets by this creator. Which would the instructor most likely include as being involved when describing psychoneuroimmunology? B. Overly friendly Which client response would indicate to the nurse that the client engages in anger suppression? (select all that apply) C. implement seizure precautions You even benefit from summaries made a couple of years ago. C. Promoting social ostracism of the client's exhibiting manipulation A. What is the best action for the nurse to perform? Other sets by this creator. to addiction. It is important that nurses communicate in a nonjudgmental manner. 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. The nurse judges the plan of care to be effective when which outcome is met? He makes me want to hurt him back." Everything is falling, apart!\nYou answered: Of all the concerns you have, which is the most upsetting. Why are you asking me so many questions? B. D. physical abuse, Which statement made by a client raises the greatest concern that the client may be experiencing relationship violence? B. tolerance Which factor is most likely to decrease the severity of Mr. Davis's alcohol withdrawal signs and symptoms? Which personality disorder best describes this client? A. orient the client frequently to time, place and person C. Sociopath D. carbamazepine, A nurse is providing teaching to the family of a client who has a substance use disorder. Which aspect of this behavior is most likely to cause problems for the patient? A. increases the risk for seizure activity When implementing this therapy, which should occur first to promote optimal effectiveness? Exam (elaborations) - Andrew davis documentation assignments- mental health Show more By: priscyd27 1 year ago Uploaded on January 17, 2021 "remember to take this medication at the times we've discussed" A. 11:29 You said: What is today's date? When considering medication for treatment, the nurse knows which will be the most effective? D. Exuberant. C. extreme confidence 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? 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. C. "this medication maintains your blood pressure at a normal level during alcohol withdrawal" By cogdell memorial hospital ceo. Everything is falling "alcohol withdrawal can be life-threatening and thus requires care provided by trained staff" "most often, neither families nor friends are willing and capable of managing the patient during the withdrawal" A. depression What symptom of alcohol withdrawal syndrome would be the most urgent for the nurse to address? 8:30 You said: Alcohol withdrawal can cause a variety of symptoms, some of which You checked scene safety. to feelings. Which of the following information should the nurse to include in the teaching? C. "people taking this medication often experience dermatitis" diagnosis of alcohol use disorder. Mike T. With a profile at Docmerit you are definitely prepared well for your exams. 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. D. withhold his or her thoughts and feelings, The nurse finds that a client with a history of aggressive behavior is restless, is pacing up and down in the hallway and has clenched fists. C. older adults are at an increased risk for substance use following retirement What request of the patient being assessed for possible alcohol withdrawal should the nurse make to determine the presence of tremors? (select all that apply) B. 6:49 You asked the patient: Do you have any thoughts or wishes to harm or kill 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. When treated with thiamine, the client's symptoms greatly improve. B. ridiculing 56 terms. Liberty University headache worse.\nYou answered: I appreciate how difficult it is to answer so D. "Temperamental differences among children can be observed very early in life. D. lying, A client with a history of angry outbursts that have caused interpersonal and work problems has been in counseling for several months. 8 terms. A. older adults require higher doses of a substance to achieve a desired effect B. assessing for auditory and visual hallucinations frequently not crazy. The patient. 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. C. offer the client an antianxiolytic mediation A. explore what is underlying the client's physical and emotional state 11:42 You said: Is the light's color different? C. "I understand you have concerns about your weight, but first, let's talk about your recent accomplishments" As he moves into Stage II (24 to 72hours) and then into Stage III (after 72 hours), what behaviors should be assessed for and what safety measures should be initiated? Which of the following medications should the nurse anticipate administering to assist the client with maintaining abstinence from alcohol? Dependent B. Which of the following personality characteristics associated with all of the personality disorders should the charge nurse include in the teaching? my work and it keeps me busy. The patient said: It is C. white blood cell count 2. D. "I am here to help you through every step of this process", A nurse is giving a talk about child abuse to a local community group. Withdrawal Assessment, or CIWA. B. ask colleagues to contact hospital security for support itching. June 16, 2022. B. 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. B. collaborative approach rather than a patriarchal/matriarchal approach to care. A. The patient said: Yes, I have some, You asked the patient: How would you rate your pain, on a scale of 0 to 10? D. Schizoid personality, When clients diagnosed with borderline personality disorder (BPD) see nurses as either all good or all bad, the client is using which primitive defense? A. shout and let the client know that this behavior is not tolerated Add to Cart. D. Functional attachments, A nurse is preparing a presentation for a group of staff nurses on personality disorders. A. inform the client medication is required C. Dissociation B. Impulsivity A. abuse The cell Anatomy and division. B. patient reports a headache rated as 3/5 D. "would you rather go to the cafeteria or have dinner in the dayroom? The patient (select all that apply) D. ask another client in the group to respond to the client's comment, A nurse is considering using restraint and seclusion for a client who is acting out. 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. C. decreases cravings My mood would be better if I was home. There are guidelines for low-risk use of vSim Pre Simulation Quiz - Linda Waterfield. ", Which staff behaviors are most likely to trigger clients who are predisposed to aggressive or violent behavior? A. triggering \nYou used the therapeutic technique of focusing. 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. E. encourage the client to talk about this situation, A client has lost emotional and physical control. It's scary.\nYou answered: What are you concerned might happen? \nYou. You performed medication reconciliation. B. used the therapeutic technique of giving information. ), borderline personality disorder is categorized as a Cluster B disorder. Poor social skills Assessment reveals that the client was diagnosed with borderline personality disorder 6 months ago, for which the client has been receiving outpatient treatment. C. "I've been supported by health care professionals and now I want to support other survivors" A. E. acamprostate, A nurse is evaluating a client's understanding of a new prescription for clonidine for the treatment of opioid use disorder. D. request the presence of additional staff C. inform client that the nurse is in charge of situation C. catharsis C. "he doesn't like it when I go out with my girlfriends" "what is your relationship like with your family?" Symptoms of alcohol withdrawal begin within what time period after the cessation or marked reduction of alcohol intake by the chronic alcohol drinker? B. 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? sarah_awake. "he was so much nicer when we started dating" yourself? You identified the patient. C. anger You asked if the patient had any known allergies. C. Poverty 6 months patient said: No. C. Mania 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. On which potential issue should the nurse focus with this client? A. Now is my chance to help others. A. post traumatic distress syndrome The patient said: Sometimes I wake up in the morning and I can't remember, things. Research suggests violent behavior is influenced by possession of which attribute? 120 minutes B. Which statement by the nurse demonstrates appropriate offering of choices? (select all that apply) B. avoidance of stimuli that provoke the anger 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. slightly elevated body weight You answered: Of all the concerns you have, which is the most upsetting to you? A. Introverted A. Sensitivity to sound is a common 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? Karen. C. Personal identity disturbance \nYou used the therapeutic technique of translating "I've always had good results with medications" Abuse as a child 6:33 You asked the patient: Name an activity that you enjoy. The client also talks in a loud voice. \nYou. B. the client has increased self-esteem 9:52 You said: Have you had any numbness? Everything is falling apart! 7:03 You asked the patient: Do you have any thoughts or wishes to harm anybody D. escalation, The nurse is assessing a client who is aggressive. Andrew Davis VSIM, VSIM Guided Reflection and Documentation Assignments PACKAGE 2021 $ 26.96 $ 20.98 2x sold 3 items 1. B. providing the client with a list of possible goals for behavior change (select all that apply) disorders, as well as their world view of alcohol. 143 terms. 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. D. 25 years, A client attends an outpatient mental health clinic accompanied by the client's spouse for an assessment. A. obtain a thorough client history 6:18 You asked the patient: How would you describe your mood? Include his responses to your assessment. B. Parental alcohol abuse Anna Maria. A. healthcare provider on call answered: Mr. Davis, no one here is loud. School Harvard University Course Title NURSING HEALTH ASS Uploaded By ConstableEchidnaMaster1985 Pages 7 David Carter vsim questions. A. hostility D. liver function tests, A nurse is attending a review class on the neurologic basis of psychiatric disorders. A. show an increased tolerance for frustration B. client's primary care provider The client is no longer experiencing withdrawal manifestations. 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.
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