A. orienting for time, place and person as needed Disturbed thought process D. provide information regarding AA support groups What is the nurse's best response? How should the nurse respond to this client? You used the therapeutic technique of focusing. B. "I've been known to fly off the handle when I'm angry" D. prepare to seclude the client, The nurses on a mental health unit are reviewing aspects of the unit environment in a staff meeting. The nurse identifies the this child is experiencing which type of abuse? 10:07 You said: Are you more aware of sounds around you? B. hypokalemia B. "what is your relationship like with your family?" presenting reality and giving information. 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!" A.Worsening after each relapse B.Increase in positive, Can a tutor help with the following questions Part 1 Question 1 (1 point) Saved When registering a patient, why is the New Patient button disabled before searching for the patient in the patient. B. dopamine 7:50 You asked the patient: Do you ever see or hear things that other people do not? A. auditory hallucinations The cell Anatomy and division. A. Splitting Everything is falling, apart!\nYou answered: Of all the concerns you have, which is the most upsetting. B. belief in the ability to become invisible during times of stress "what did you learn about anger when growing up?" C. sit in an open area "I'll go to group therapy if you'll let me smoke" David Carter Part One vSim Scenario Steps.pdf, Li Na Chen Part 2 vSim Scenario Steps.pdf, Feedback Log & Score Andrew DavisMay 28, 2020 3_48 PM.pdf, Andrew Davis Documentation Assignment.docx, In Part 1 you will set up the network topology and configure basic settings such, much the same This can help us to interpret financial and other information, 13 When admitting a patient who has a tumor of the right frontal lobe the nurse, Salespeople are exposed to lesser ethical pressures than individuals in many, specialized media will obtain greater coverage of their products Therefore the, Treatment DDAVP synthetic desmopressin increases factor VIII activity Causes 2, labs in parochial schools would be fine As noted earlier Agostini would mean, REPRIORITIZED LIST for 2023 Advert HEADINGS FINAL_102547.pdf, The minimum distance to the obstacle to hear an echo is V is speed of sound in, QUESTION 61 1. "we need to explore what makes you want to hit people when you are angry" C. offer the client an antianxiolytic mediation The client has an unsteady gait, myopathy, and neuropathy and cannot remember past or recent events. Research suggests violent behavior is influenced by possession of which attribute? things. $12.45 However, the dietitian will ensure that you don't get too many calories in your diet" A. Do you It is important that nurses communicate in a nonjudgmental manner. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching? to feelings. A. scurvy Northwestern University A. allow the client to select preferred meal times In order for the nurse to perform the initial assessment, which approaches should the nurse use to manage the situation? B. valproate A. show an increased tolerance for frustration A. identity diffusion I wish they would shut up!\nYou A. Everything is falling C. "I can expect some diarrhea from taking this medicine" my stomach. . D. genetics, Which drug has been effective in treating aggressive clients diagnosed with bipolar disorders? Deliver instant online access, immersing students in virtual simulation wherever they prefer. D. women are more aware about the health consequences related to inappropriate anger expression, A nurse is assessing a Haitian client. itching. vSim Pre Simulation Quiz - Linda Waterfield. A. acetylcholine "don't pretend like you don't know how fat I am" C. behaviors and beliefs that are present and acted on from an individual's birth The nurse should instruct the client to monitor for which of the following adverse effects? C. Self-injury can be dangerous to your overall health. 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. Andrew Davis is currently in Stage I of alcohol withdrawal. Which of the following is an expected finding? A. 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. "working with survivors of sexual trauma is very fulfilling work" B. use should be limited to times when medications have been unsuccessful in de-escalating a situation 7:03 You asked the patient: Do you have any thoughts or wishes to harm anybody Just all of these questions. 0:43 You identified the patient. "I'm scared that you're going to leave me" C. Discuss the feelings with a colleague to promote coping. A. I am going to ask you a series of. A. C. scheduled unit activities B. anger suppression The patient said: Sometimes I wake up in the morning and I can't remember, things. 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. eccentric A. lorazepam It was correct to check scene safety in order to maintain your own safety. B. assess and record heart rate every 4 hours The patient said: I can't get rid of this headache.\nYou answered: A headache is a, normal symptom of alcohol withdrawal. D. carbamazepine, A nurse is providing teaching to the family of a client who has a substance use disorder. Identity diffusion C. "I've been supported by health care professionals and now I want to support other survivors" B. ridiculing B. You even benefit from summaries made a couple of years ago. "one of the side effects of this medication is breast engorgement" VSIM OF NURSING MENTAL HEALTH-ANDREW DAVIS CASE STUDIES PACKAGE $ 97.45 $ 40.89 5 items 1. B. Dissociation C. catharsis 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? June 16, 2022. It was 8:16 You said: Do you feel sick to your stomach? May I ask you these, The patient said: Why are you asking me so many questions? A. hostility C. Loneliness D. "each dose of this medication should be placed under my tongue to dissolve", A nurse is teaching a client who has tobacco use disorder about the use of nicotine gum. Language Proficiency Assessment Committee. 7:32 You asked the patient: How do you understand your problems? Cross), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. 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C. Passive-aggressive personality technique of using denial. A. bradycardia C. Sociopath For a truly unparalleled clinical education, Lippincott partnered with the National League for Nursing (NLN) to develop evidence-based nursing simulation patient scenarios for nursing students so they can receive the most realistic clinical education imaginable. C. risk for other-directed violence related to alcohol withdrawal D. "do you know why you are being admitted? 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: \nYou used the therapeutic technique of focusing. Which is the nurse trying to prevent? A. recovery Devry University B. The assessment tool is called the Clinical Institute Students need to be 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. C. Narcissistic personality disorder D. encourage the wife to express exactly what she wants her husband to do on weekends, A client has been admitted to the detoxification unit after binge drinking. Which factor would be predictive of a client becoming aggressive or violent? What is the nurse's most appropriate response to the client's comment? Case - Nur 3480 andrew davis vsim guided reflection 3. 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. (select all that apply) Document findings related to the screening of Mrs. Chen with the Hamilton Rating Scale for Depression. The caregiver of the client tells the nurse that the client is having an episode of Bouffe delirante. \nYou used the therapeutic technique of, You asked the patient: What other pain management strategies have you used. The patient said: Yes, I have some pain. 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? Why are you asking me so many questions? 2:00 You asked the patient: Over the past year, when did you feel your best? A. A. Splitting Vsim Andrew Davis Mental Health. No. D. "I sometimes feel better if I cut myself", A nurse is caring for a client who has borderline personality disorder. Instructing the staff to enforce all unit rules consistently Which of the following statements by the client indicates understanding of the teaching? D. be placed in their rooms by themselves, A client with schizophrenia has been brought to the hospital in an agitated state. B. impulsivity C. client self-monitoring for anger cues B. assertive behavior When discussing risk factors for child abusers, which would the nurse identify as the most likely profile of the perpetrator of fatal child abuse? addiction. love_ces_sylvain. B. The patient said: I can't get rid of this headache. D. dramatic, Which long-term patterns are consistent with a diagnosis of borderline personality disorder? Ask the parents how they have coped with the client's behaviors over the years A. receiving education and information about the medication 41 Comments Please sign inor registerto post comments. Even though the client is not currently intoxicated, the client is combative and exhibits altered thought processes. The patient said: You are the nurse here. The vSim for Nursing | Mental Health solution features the following virtual patient simulation scenarios, authored by the National League for Nursing: Andrew Davis: Alcohol Withdrawal David Carter: Schizophrenia, Part 1 David Carter: Schizophrenia, Part 2 George Palo: Adjustment Disorder with Depressed Mood What term refers to the collection of symptoms that are associated with untreated alcohol withdrawal? C. decreases cravings B. Which statement made by a student demonstrates a need for further instruction? "I can promote my client's sense of control by establishing a schedule" C. "I should practice limit-setting to help prevent client manipulation" other than medications? 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? B. client's primary care provider D. charge nurse of the emergency room, While assessing for intimate partner violence, the nurse learns that a client has not seen immediate family members for several years because the visits would upset the client's spouse. 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. C. observing seizure precautions School Harvard University Course Title NURSING HEALTH ASS Uploaded By ConstableEchidnaMaster1985 Pages 7 The client will experience increased self-esteem. Sensitivity to sound is a common C. engaging in disputes over medication, supplies, or rules on the unit Company Registration Number: 61965243 A. triggering 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. Everything is falling apart! "many clients are concerned about their weight. B. establish consequences for purging behavior B. assessing for auditory and visual hallucinations frequently ", A client is admitted to the emergency department for intoxication with alcohol. Direct the client to another staff member when the client tries to interact. Poor social skills B. the client has increased self-esteem It was correct to check scene safety in order to maintain your own safety. patient said: No. A. restrain the client D. naltrexone The patient said: Not really sick to C. Promoting social ostracism of the client's exhibiting manipulation D. delirium, The nurse should consider which as a possible indicator of child neglect? D. slightly elevated body weight D. "at what weight do you believe you will look better?" fewer standard drinks on a single day and fewer than 7 drinks in a week. "what happens when you get angry?" A. Introverted Which of the following findings should the nurse expect? D. emotional dependency, In clients who do not completely recover from being victimized by rape, which mental illness is most likely to develop? D. monitor emotional responses C. disulfiram ", Which staff behaviors are most likely to trigger clients who are predisposed to aggressive or violent behavior? Andrew Davis- vSim Scenario Steps The patient said: No, I am vSim Andrew Davis: Alcohol Withdrawal Preview 2 out of 5 pages Getting your document ready. (select all that apply) Aggression "Sometimes the self-injurious behavior is undertaken to relieve stress." C. postcrisis C. methylphenidate Upon entering the client's room, the nurse finds the the client is very angry and is punching pillows to express the anger. Identity diffusion Which of the following medications should the nurse anticipate administering to assist the client with maintaining abstinence from alcohol? You performed medication reconciliation. He makes me want to hurt him back." 11:42 You said: Is the light's color different? A. older adults require higher doses of a substance to achieve a desired effect C. white blood cell count rsmb143. B. headache worse.\nYou answered: I appreciate how difficult it is to answer so my work and it keeps me busy. Case - Vsim of nursing|mental health- andrew davis-feedback log 2. B. wernicke-korsakoff syndrome Difficult temperament \nYou. A. physical Which statement by the nurse demonstrates appropriate offering of choices? C. use should be limited to emergencies in which the risk of a client physically harming self, staff, or others is imminent A. orient the client frequently to time, place and person View full document Andrew Davis vSim Scenario Steps: You checked scene safety. than anyone else.\nYou answered: What are your feelings about your drinking? with this diagnosis;/p>lt;p>Alcohol withdrawal has physical symptoms that B. dry mouth \nYou used the therapeutic technique of encouraging expression. C. hypothalamic axes The patient said: No. Measure students' progress, identify weaknesses and deliver instant . B. Depression symptom of alcohol withdrawal. B. physical aggression 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) - 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. D. offer medication as the solution to the outburst, A client tells the nurse that the client has strong urges to damage property as a result of feelings of hostility and anger. The client's sibling is visiting, and the sibling asks the nurse to explain why the client sometimes does this. C. valproic acid B. Parental alcohol abuse It provides faculty with ideas to integrate vSim into existing curricula and offers ways to develop and/or enhance current teaching strategies. The nurse demonstrates an understanding of the seriousness of the patient's risk for injury when implementing which intervention? A. validation B. gastritis and elevated liver enzymes Andrew Davis- vSim Scenario Steps Preview 1 out of 4 pages Getting your document ready. Which of the following responses should the nurse make? Course Hero is not sponsored or endorsed by any college or university. you are the meanest nurse ever!" A. implement seizure precautions A. administer the clonidine on the prescribed schedule D. encourage participation in group therapy sessions, A nurse is caring for a client who has alcohol use disorder. When describing antisocial personality disorders (ASPD), the nurse would explain that for a person to be diagnosed with the disorder, the person must be at least which age? C. "call the doctor immediately if you experience any of the side effects we talked about" C. The client will engage in less risk-taking behavior B. D. cerebellum 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? A. The patient said: None. C. Personal identity disturbance B. substance abuse disorders cravings and difficulty stopping the use of the substance. Assessment reveals that the client was diagnosed with borderline personality disorder 6 months ago, for which the client has been receiving outpatient treatment. However, the diagnosis of substance use disorder is more focused on functional D. Functional attachments, A nurse is preparing a presentation for a group of staff nurses on personality disorders. allison041996. allison041996. C. "she should participate in an Al-Anon group to help her recover" Which response is most important for the nurse to make to this client? You asked the patient: Do you have any pain? safety;/p>lt;p>There is not a defined amount of alcohol that designates a NY Times Paywall - Case Analysis with questions and their answers. C. "this medication maintains your blood pressure at a normal level during alcohol withdrawal" 0:43 You identified the patient. B. the diagnosis of personality disorders is extremely difficult because the individual doesn't acknowledge the illness B. provide ice chips at the client's bedside C. "I wonder if your perceptions of the relationship are accurate" over use. B. reach out for the client's knife A. to addiction. A. shout and let the client know that this behavior is not tolerated B. encourage the client to engage in a relaxation exercise prior to joining the group for the rest of the session disorders, as well as their world view of alcohol. D. "The self-mutilation often slows the mood swings your sibling experiences. C. "Temperament seen in infancy is often seen later in life." C. Dissociation B. "Temperament is not changeable." said: No. B. revictimization A. During therapy the wife states, "he makes me so mad when he spends all his weekend time with his friends instead of us. A. mindfulness A. personality disorders are diagnosed in early adulthood, when personality formation is complete A. regression The client continues to maintain a job and functions well in activities of daily living, relationships, and other aspects of social life. The patient said: It is the 26th. C. anger 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 56-year-old man called Andrew Davis ,entered an alcohol rehabilitation clinic voluntarily yesterday afternoon and is currently in the acute detoxification unit. A. request a routine anti-anxiety medication for the client D. identification, A client with borderline personality disorder has been admitted to the inpatient unit because the client has been engaging in wrist cutting. B. relive their childhood experiences B. unemployed young woman who dropped out of high school Document the assessment finding related to Mrs. Chen's suicidality at discharge. (headache, tremor) to severe (hallucinations, delirium tremens, seizures). 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? B. D. asking for time alone when frustrated 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? A. depression E. restlessness, A nurse is planning care for a client who is experiencing benzodiazepine withdrawal. C. Mania We know that is important to you", Which is the best definition of personality? A. development of a therapeutic relationship Which therapeutic goals does the nurse establish as priority? You answered: Of all the concerns you have, which is the most upsetting to you? Which of the following findings should the nurse expect? C. "I need to feel that everyone admires me" A. motor vehicle accidents A. It's scary.\nYou answered: What are you concerned might happen? "Temperament is malleable." 15 years 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. The patient said: No. B. disassociation Alcohol use disorder is a disease that carries social stigma. C. neglect B. rape B. ensure that his needs are met in a nonjudgmental manner C. 4 months B. odd your care. D. claiming to be more important than other persons When treated with thiamine, the client's symptoms greatly improve. A. "he was so much nicer when we started dating" 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. D. abdominal pain A. lorazepam C. orientation vsim andrew davis steps. 10:35 You said: Are you hearing anything that is disturbing to you? 3,4 - methylendedioxymethamphetamine B . 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? would be for you? B. give the client plenty of space B. reduced use of restraints The patient said: Why do you want to ask me Now is my chance to help others. B. B. dopamine C. observe the client for nonverbal indicators 3,4 - methylendedioxymethamphetamine B . in this hospital because my wife said I couldn't come home. D. identification, A nurse is assisting with a court-ordered evaluation of a client who has antisocial personality disorder. C. "methadone can be used during opioid withdrawal and to maintain abstinence" This system is more intensely activated in patients with a vulnerability C. inform the client that restraints may be applied A. explore what is underlying the client's physical and emotional state Ineffective coping C. reflection Which safety measures must the nurse ensure are in place prior to continuing the assessment? 31 terms. A. anger Which of the following statements by a family member indicate an understanding of the teaching? A . (select all that apply) A. constructive anger discussion David Smith. A. women have a greater threshold for controlling anger A. difficulty in getting along with other members of a group B. sexual apart!\nYou answered: Of all the concerns you have, which is the most upsetting D. serotonin, A nurse is assessing a child with a diagnosis of autism spectrum disorder. 56 terms. C. "he doesn't like it when I go out with my girlfriends" questions? B. has difficulty making even simple decisions The patient said: No. C. insomnia A. obtain a thorough client history clarify their own feelings and values related to individuals with substance use Assume Karo Products, Inc., purchased conveyor-belt machinery. you saying you feel anxious? If you earn 6% per year on your bank account, how long will it take an account with $100 to double to$200? A. pancreatitis and elevated liver enzymes A. anxiety "remember to take this medication at the times we've discussed" A. acetylcholine "I am here so we can talk about what is making you angry" Which of the following interventions should the nurse identify as the priority? C. attempts to convince other clients to give him their belongings Practice NCLEX Questions from the Book! 9:17 You said: Have you vomited? E. encourage the client to talk about this situation, A client has lost emotional and physical control. D. mood disorders, A nurse manager is discussing the care of a client who has a personality disorder with a newly licensed nurse. B. Psychopath You washed your hands. B. risk for self-mutilation related to alcohol withdrawal and altered thought processes B. egocentricity It helped me a lot to clear my final semester exams. B. avoidant These are questions I ask all of the patients I see.