Identity diffusion Which client response would indicate to the nurse that the client engages in anger suppression? Defending D. delirium, The nurse should consider which as a possible indicator of child neglect? B. tolerance many questions; however, I need to complete an assessment of you today. 143 terms. used the therapeutic technique of seeking clarification. The patient said: No, never! 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. -hydroxybutyrate D . to you? vsim mental health case: andrew davis documentation assignments document your findings related to the focused assessment of mr. alcohol withdrawal symptoms. 24-72 hours C. 4-7 days D.10-14 days QUESTION 62 1. Randy Adams prequiz Vsim. A. - fibers, Select the correct description of a somatoform disorder. A. Anxiety B. odd 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. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching? Include his responses to your assessment. 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. Direct the client to another staff member when the client tries to interact. D. escalation, Which term is used to describe an emotion expressed through verbal abuse and violation of rules or norms? fewer standard drinks on a single day and fewer than 7 drinks in a week. A. triggering A. anxious B. panic disorder A. 6 months Which phase of the aggression cycle is this client experiencing? B. B. haloperidol A. increases the risk for seizure activity diagnosis of alcohol use disorder. (review sheet 4), Philippine Politics and Governance W1 _ Grade 11/12 Modules SY. C. implement seizure precautions What symptoms would the nurse expect to find in this client? D. lying, A client with a history of angry outbursts that have caused interpersonal and work problems has been in counseling for several months. A. social isolation Language Proficiency Assessment Committee. C. Affective instability ", A nurse is reviewing the medical record of a female client diagnosed with borderline personality disorder (BPD). Aggression 11:29 You said: What is today's date? 2:25 You asked the patient: Do you have any difficulty with your breathing? you are the meanest nurse ever!" B. The patient said: No. It was You answered: Of all the concerns you have, which is the most upsetting to you? VSim Computational Engine (Vorpal) Bug Fixes Visual Setup Bug Fixes New and Updated VSim 8.2 Features VSim Computational Engine (Vorpal) VSim Graphical User Interface (VSimComposer) VSim Macros and Translator Other Known Issues in VSim 8.2 New and Updated VSim 8.1 Features VSim Computational Engine (Vorpal) VSim Examples VSim Macros and Translator Ineffective coping 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. Which of the following statements is expected from a client who has this type of personality disorder? C. shield oneself with a pillow The nurse should plan to assess the client for symptoms of which mental health condition? C. disulfiram C. Self-harm The activation of the dopamine reward system is a primary source of "remember to take this medication at the times we've discussed" B. A. The patient said: No, I am The client tells the nurse that she is afraid she is going to gain weight. presenting reality and giving information. Anna Maria. What is the best action for the nurse to perform? A. lithium D. "The self-mutilation often slows the mood swings your sibling experiences. C. sexual promiscuity C. place the client on a regular toileting schedule D. carbamazepine, A new nurse asks the nurse manager about the best intervention to use when trying to de-escalate a potentially violent client. "please do not damage the hospital's property" C. Ask the parents to keep a written schedule of activities for each day for the client A. 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. The nurse identifies that the client may have which style of anger expression related to this incident? 3,4 - methylendedioxymethamphetamine B . you saying you feel anxious? D. slightly elevated body weight 9:41 You said: Have you had any pins and needles sensations? C. "people taking this medication often experience dermatitis" The nurse would be correct in identifying which neurotransmitter decreased in this disease? rsmb143. C. attempts to convince other clients to give him their belongings A. B. avoidance of stimuli that provoke the anger (select all that apply) D. Impulsivity, Clients with borderline personality disorder (BPD) are usually admitted to the inpatient setting because they exhibit what? C. offer the client an antianxiolytic mediation I just don't want to eat. "I'm scared that you're going to leave me" Which of the following questions should the nurse include in the assessment? 7:14 You asked the patient: Can you tell me what a desired outcome of treatment 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. D. "methadone increases the risk for acetaldehyde syndrome" Upon entering the client's room, the nurse finds the the client is very angry and is punching pillows to express the anger. 7:29 The patient said: I don't think any of this is going to work; it's a waste of C. Dissociation C. scheduled unit activities Which would the nurse include in the education plan for this client and family? A. asking personal questions when they are inappropriate Which would be most therapeutic when the client's parents come in to discuss discharge plans? C. pancreatitis, esophagitis, gastritis, and elevated liver enzymes I don't drink more yourself? A. A. lorazepam 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: You shoul B. C. "I know that nicotine gum is a safe alternative to smoking if I become pregnant" A. remind him frequently that the signs and symptoms will lessen in severity Case - Vsim of nursing|mental health- andrew davis-feedback log 2. 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. D. talking excessively with the client in front of other clients, The nurse is counseling a client couple who are trying to reconcile and hold their marriage together. A. bradycardia B. 18 terms. D. Stress, A client with borderline personality disorder (BPD) tells the nurse, "You are good but the nurse on the afternoon shift is bad. (select all that apply) A. patient reports ringing in his ears B. substance abuse disorders Despite being employed, the client verbalizes having low quality of life due to anxiety and isolation. your care. Michaela_Marcello. D. young college graduate who recently gave birth to her first child, Which personality disorder would be placed in Cluster B? B. escalation "I can promote my client's sense of control by establishing a schedule" A. hostility What question should the nurse ask to determine the effect of culture on the client's expression of anger? B. dry mouth It was correct to check scene safety in order to, You asked the patient: Can you tell me a little bit more about what's going on, with you today? Andrew Davis is currently in Stage I of alcohol withdrawal. These are questions I ask all of the patients I see. A. B. offer fluids and nourishing diet as tolerated C. the majority of his withdrawal will consist of signs and symptoms similar to the current ones You asked the patient: Where is your pain located? 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. C. catharsis of anger 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. to feelings. B. the diagnosis of personality disorders is extremely difficult because the individual doesn't acknowledge the illness My mood would be better if I was home. It was correct to check scene safety in order to B. 19 terms. A. administer the clonidine on the prescribed schedule (select all that apply) A. shout and let the client know that this behavior is not tolerated C. extreme confidence A. difficulty in getting along with other members of a group B. Avoidant personality disorder A. motor vehicle accidents C. crisis C. "Sometimes they do it to avoid the onslaught of delusional thinking." C. practice assertiveness skills A. chain smoking to get an understanding of this. Dependent (select all that apply) relapse. Using concepts from assertiveness training and effective communication techniques, the nurse implements which intervention after hearing the wife's remarks? 120 minutes B. You shoul Which response by the nurse would be most appropriate? B. gastritis and elevated liver enzymes D. request the presence of additional staff The nurse should explain to the new staff member that some clients use violence and aggression to .. 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 \nYou used the therapeutic technique of, You asked the patient: What other pain management strategies have you used. University Of Arizona Which is an appropriate nursing action? over use. D. monitor emotional responses The patient said: Sometimes I wake up in the morning and I can't remember, things. Which of the following statements by the client indicates an understanding of the teaching? The client has a history of gastritis, esophagitis, elevated liver enzymes, cardiomyopathy, and pancreatitis. \nYou used the therapeutic technique of translating B. 31 terms. NUR 406: Exam Three. C. monitor facial expressions (select all that apply). 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. B. his signs and symptoms will likely taper off in severity over the next 12 hours A. Antisocial personality A. "this medication will help prevent seizures during alcohol withdrawal" 11:42 You said: Is the light's color different? After a dose had been administered, what assessment result, directly related to the medication, would be a concern for the nurse? The nurse judges the plan of care to be effective when which outcome is met? cravings and difficulty stopping the use of the substance. C. sexual assault nurse examiner \nYou. The client will be able to accept a job promotion. "Self-injurious behavior often calms and sedates people with this diagnosis." D. use should be limited to emergency situations in which the client is demonstrating a potential to be violent, While interviewing a client, a nurse asks, "what do you do when you get angry?" 0:00 You checked scene safety. "relationship counseling can be very helpful" A client says, "I'm feeling really tense, and I'm fidgety today." Withdrawal Assessment, or CIWA. A. the individual characteristics that change as one grows and experiences life situations June 16, 2022. The doctor is bad, too, but the therapist is good." B. 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. \nYou used the therapeutic technique of focusing. B. has difficulty making even simple decisions A. crisis 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? Assume Karo Products, Inc., purchased conveyor-belt machinery. C. "this medication maintains your blood pressure at a normal level during alcohol withdrawal" What symptom of alcohol withdrawal syndrome would be the most urgent for the nurse to address? The B. A. acetylcholine (select all that apply) Course Hero is not sponsored or endorsed by any college or university. C. "I should practice limit-setting to help prevent client manipulation" A. depression The child has severe uncontrollable temper outburst and repeatedly bangs the head on the wall or door. C. "I've been supported by health care professionals and now I want to support other survivors" Alcohol use disorder is a disease that carries social stigma. A. personality disorders are diagnosed in early adulthood, when personality formation is complete C. risk for other-directed violence related to alcohol withdrawal "Temperament is not changeable." It's just too loud in here, if that's what you mean. D. serotonin, A nurse is assessing a child with a diagnosis of autism spectrum disorder. 3. The client tells the nurse that the client recently found out the client's therapist is moving and will no longer be able to work with the client. C. alcohol dependence with memory impairment 10:35 You said: Are you hearing anything that is disturbing to you? Document findings related to the screening of Mrs. Chen with the Hamilton Rating Scale for Depression. 1:22 You asked the patient: I would like to ask you a series of questions about how B. Impulsivity clarify their own feelings and values related to individuals with substance use The client has been in the psychiatric unit for 2 weeks and is scheduled to be discharged tomorrow. A. chew the gum for no more than 10 min Just all of these questions. C. hypotension C. Mania 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. "he was so much nicer when we started dating" appropriate to ask the patient about when he felt his best. D. provide information regarding AA support groups The patient said: B. B. diazepam "taking this medication will help reduce by craving for heroin" C. decreases cravings \nYou used the therapeutic technique of Which of the following statements by a family member indicate an understanding of the teaching? B. pons 6:49 You asked the patient: Do you have any thoughts or wishes to harm or kill D. identification, A nurse is assisting with a court-ordered evaluation of a client who has antisocial personality disorder. The nurse demonstrates understanding of the information by identifying which structures as components of the brain stem? 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. We know that is important to you", Which is the best definition of personality? May I ask you these On which potential issue should the nurse focus with this client? A. self-centeredness D. "you are not overweight, and the staff will ensure that you do not gain weight while you are in the hospital. C. lead to aggression and violence would be for you? 3,4 - methylendedioxymethamphetamine B . Vsim Andrew Davis Mental Health. B. 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. B. establish consequences for purging behavior A. A. auditory hallucinations The patient said: Family is supposed to stick together through thick and thin, and they, You answered: What can you do while you are here to open communication with your. to addiction. A. B. patient reports a headache rated as 3/5 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 A. validation E. hypothermia, How should the nurse respond when asked why alcohol withdrawal and detoxification should be managed in a hospital setting? A. acetylcholine C. sit in an open area 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!" alcohol: for men, this means 4 or fewer standard drinks on any single day and C. "make sure that another colleague knows where you are at all times" Which of the following statements by the client indicates understanding of the teaching? Andrew Davis- vSim Scenario Steps Preview 1 out of 4 pages Getting your document ready. Do you Which medication should the nurse expect to be ordered for this client? C. assure him that the withdrawal process generally lasts no more than 96 hours There are guidelines for low-risk use of B. disassociation C. the client reports increased feelings of self-control Which response would be most appropriate? VSim Computational Engine (Vorpal) Added Euler fluid solver allowing for neutral fluid to evolve in time. The patient said: No, not really. C. educate the client on the effects of clonidine allison041996. D. "do you have any questions about why you are taking this medication? 7:32 You asked the patient: How do you understand your problems? Identity diffusion C. anger 0 Comments A. Terms of Use collaborative approach rather than a patriarchal/matriarchal approach to care. D. mood disorders, A nurse manager is discussing the care of a client who has a personality disorder with a newly licensed nurse. D. serotonin, A client with Parkinson's disease is hospitalized on a medical unit. Liberty University David Smith. imperative that nurses recognize symptoms and provide early pharmacologic C. older adults are at an increased risk for substance use following retirement 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? C. Abuse B. A. teach the client to make "I" statements 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? C. methylphenidate 9:17 You said: Have you vomited? 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. You asked the patient: Do you have any pain? "what did you learn about anger when growing up?" B. B. try to clarify what has upset the client C. white blood cell count The client's sibling is visiting, and the sibling asks the nurse to explain why the client sometimes does this. The patient A. vSim for Nursing | Mental Health Mental Health Case: Li Na Chen, Part 2 Documentation Assignments. A. post traumatic distress syndrome B. restrain the client ", Which staff behaviors are most likely to trigger clients who are predisposed to aggressive or violent behavior? Which factor is most likely to decrease the severity of Mr. Davis's alcohol withdrawal signs and symptoms? A. C. "I wonder if your perceptions of the relationship are accurate" C. undoing Other sets by this creator. 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. middle-aged woman with a college degree A. Difficult temperament B. A. It is important that nurses communicate in a nonjudgmental manner. 0:43 You identified the patient. Which would the instructor most likely include as being involved when describing psychoneuroimmunology? B. Depression B. risk for self-mutilation related to alcohol withdrawal and altered thought processes C. suction equipment is kept at the bedside "life isn't worth living if I gain weight" actions without judgment;/p>lt;p>Alcohol use disorder is marked by the "methadone is a replacement for physical dependence to opioids" 6:56 You asked the patient: Have you ever tried to harm or kill yourself? Chaotic families What is the nurse's best response? (select all that apply) 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. You asked if the patient had any known allergies. B. bupropion C. display of defense mechanisms when routines are changed The assessment of the client's thought process and content would allow the nurse to identify what? A. C. the number of other medications the client is taking 2:00 You asked the patient: Over the past year, when did you feel your best? D. escalation, The nurse is assessing a client who is aggressive. I have already answered a lot of questions. C. postcrisis C. Loneliness Poor social skills The nurse should recognize the client's statement as an example of which of the following defense mechanisms? C. observing seizure precautions Which term would the nurse most likely use? B. anger suppression Mr. Davis reported having consumed his last drink around 4 pm, and he was admitted to the facility's detoxification unit shortly thereafter. B. splitting

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