fewer than 14 drinks during any given week, and for women, this means 3 or C. inform the client that restraints may be applied C. middle-aged, wealthy businessman The nurse should recognize the client's statement as an example of which of the following defense mechanisms? B. Parental alcohol abuse B. intentional risk taking (select all that apply) B. acceptance C. suction equipment is kept at the bedside A. older adults require higher doses of a substance to achieve a desired effect Cross), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. 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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. used the therapeutic technique of seeking clarification. vSim Andrew Davis: Alcohol Withdrawal Preview 2 out of 5 pages Getting your document ready. \nYou used the therapeutic technique of encouraging expression. C. shield oneself with a pillow D. hypertension, A nurse is teaching a female client who has tobacco use disorder about nicotine replacement therapy. C. disulfiram Which of the following statements by a family member indicate an understanding of the teaching? NY Times Paywall - Case Analysis with questions and their answers. A. lorazepam A. cause behavioral dysfunction and inner distress B. gastritis and elevated liver enzymes "I've been known to fly off the handle when I'm angry" 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? A. triggering Case - Andrew davis vsim 2. Karen. $12.45 C. respiratory rate of 11 breaths/minute You asked the patient: Do you have any pain? However, the diagnosis of substance use disorder is more focused on functional C. the number of other medications the client is taking C. client self-monitoring for anger cues B. personality disorders result in behaviors that consistently deviate from those considered culturally acceptable 10:35 You said: Are you hearing anything that is disturbing to you? Vsim Andrew Davis Mental Health. B. neurotransmitters C. splitting Which phase of the aggression cycle is this client experiencing? A. 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!" C. observing seizure precautions B. Borderline personality B. dry mouth 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? "while taking this medication, I should keep a pack of sugarless gum" B. The patient said: No, I don't have any E. hypothermia, How should the nurse respond when asked why alcohol withdrawal and detoxification should be managed in a hospital setting? C. inform client that the nurse is in charge of situation A. place the client in a separate room Document findings related to the screening of Mrs. Chen with the Hamilton Rating Scale for Depression. Andrew Davis VSIM, VSIM Guided Reflection and Documentation Assignments PACKAGE 2021 $ 26.96 $ 20.98 2x sold 3 items 1. withdrawal symptoms. This system is more intensely activated in patients with a vulnerability questions to assess your current health status and your level of alcohol Which of the following medications should the charge nurse include in the discussion? He was escorted out of a school board meeting after hurling racist and ethnic obscenities at pupils and their families. B. Which would the nurse identify as one of the strongest risk factors for this disorder? View full document Andrew Davis vSim Scenario Steps: You checked scene safety. You asked the patient: Do you have any difficulty with your breathing? There are guidelines for low-risk use of ", Which term is used to describe an activity used to release anger? B. ask colleagues to contact hospital security for support Which of these conditions are attributable to the client's history of alcohol abuse? C. sexual promiscuity "I'm scared that you're going to leave me" The patient. rsmb143. used the therapeutic technique of giving information. Which condition was the client likely experiencing? "instead of worrying about your weight, try to focus on other problems at this time" B. avoidant 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? The patient said: 6:33 You asked the patient: Name an activity that you enjoy. "We need to understand that she is responsible for her disorder" Chaotic families D. liver function tests, A nurse is attending a review class on the neurologic basis of psychiatric disorders. The client has a history of gastritis, esophagitis, elevated liver enzymes, cardiomyopathy, and pancreatitis. Include his responses to your assessment. Which term should the nurse use to describe this drinking behavior? Dependent D. physical aggression, Which personality trait is associated with aggressive behavior? D. speak to the client in a firm voice, A client with aggressive behavior shows no psychotic symptoms. Randy Adams prequiz Vsim. B. Splitting 31 terms. A. restrain the client D. delirium, The nurse should consider which as a possible indicator of child neglect? B. substance abuse disorders B. provide ice chips at the client's bedside B. : an American History (Eric Foner), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Psychology (David G. Myers; C. Nathan DeWall), Civilization and its Discontents (Sigmund Freud), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. 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. 2:00 You asked the patient: Over the past year, when did you feel your best? not crazy. B. admitting to visual hallucinations D. young college graduate who recently gave birth to her first child, Which personality disorder would be placed in Cluster B? D. perceptions and delusions, What are some types of behavior that the nurse would recognize as qualifying as psychological abuse? However, the dietitian will ensure that you don't get too many calories in your diet" C. "I need to feel that everyone admires me" 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! 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? 0:48 You asked the patient: Can you tell me a little bit more about what's going on \nYou used the therapeutic technique of focusing. B. the diagnosis of personality disorders is extremely difficult because the individual doesn't acknowledge the illness The nurse needs to work with the patient to address consequences of ", A client in the emergency department has self-inflicted wounds on both arms. E. acamprosate, A nurse is providing teaching to a client who has a new prescription for clonidine to assist with maintenance of abstinence from opioids. D. near continuous pacing 15 years 6:49 You asked the patient: Do you have any thoughts or wishes to harm or kill B. risk for self-mutilation related to alcohol withdrawal and altered thought processes C. withdrawal Which nursing diagnosis would be the priority? B. relive their childhood experiences B. pons Exam (elaborations) - Vsim of nursing|mental health case: andrew davis guided reflection questions 4. A. flexible unit rules C. "if you don't calm down, I will need you to go to your room" A. 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 A. Seizures - These are waves of abnormal electrical activity in the brain. If you earn 6% per year on your bank account, how long will it take an account with $100 to double to$200? Encouraging questions and discussing the client's concerns 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 majority of his withdrawal will consist of signs and symptoms similar to the current ones C. crisis B. give the client plenty of space B. 9:32 The patient said: I don't know what to do with my hands.\nYou answered: Are Which of the following medications should the nurse anticipate administering to assist the client with maintaining abstinence from alcohol? 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. . D. cerebellum many questions; however, I need to complete an assessment of you today. 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? The patient said: None. "we need to explore what makes you want to hit people when you are angry" B. Depression D. Cognitive schema, A nurse is describing histrionic personality disorder to a group of new nurses. A. middle-aged woman with a college degree "which activity would you like to participate in today?" A. experiencing tactile disturbances You used the therapeutic technique of focusing. Abuse as a child C. threatening a victim's dog B. the way an individual reacts to situations and circumstances, over which he or she has little or no control D. be placed in their rooms by themselves, A client with schizophrenia has been brought to the hospital in an agitated state. Course Hero is not sponsored or endorsed by any college or university. Identity diffusion over use. B. take the client to the gym for exercise A. When considering medication for treatment, the nurse knows which will be the most effective? 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? 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. I just don't want to eat. It was correct to check scene safety in order to maintain your own safety. month? A. self-centeredness C. Narcissistic personality disorder A. orienting for time, place and person as needed C. "methadone can be used during opioid withdrawal and to maintain abstinence" 0:00 You checked scene safety. C. diagnosis involves identifying significant impairment in forming self-confidence and appropriate self-esteem D. recovery, A nurse is beginning the process of providing therapy to a client with anger management problems. A. 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. Personal identity disturbance D. "methadone increases the risk for acetaldehyde syndrome" The nurse should anticipate prescriptions for which of the following medications to promote long-term abstinence for alcohol? D. Exuberant. B. B. 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 client will be able to accept a job promotion. D. clozapine, Aggression control can be measured by the nurse's observation of a client's ability to do what? E. ensure availability of assistance, The nurse is caring for a client with rheumatoid arthritis. The, You asked the patient: On a scale of 0 to 10, how would you rate your level of. A. A. inform the client medication is required Other sets by this creator. B. Impulsivity 30 terms. Which of the following information should the nurse to include in the teaching? What should be the nurse's response to this behavior? You washed your hands. Attention seeking E. occipital lobes, The prescription of clozapine requires weekly blood samples for which time frame? Language Proficiency Assessment Committee. You used the therapeutic technique of formulating a plan of action. A. - fibers, Select the correct description of a somatoform disorder. Which of the following information should the nurse include in the teaching? D. emotional dependency, In clients who do not completely recover from being victimized by rape, which mental illness is most likely to develop? "methadone reduces the unpleasant effects associated with abstinence syndrome" A. catharsis B. wernicke-korsakoff syndrome Andrew Davis Age: 56 years Diagnosis: Alcohol withdrawal syndrome Score 2 1 0 85% Feedback Log 0:00 Patient 0:00 You checked scene safety. B. ask the wife to provide details about what she means by "all his time" headache worse.\nYou answered: I appreciate how difficult it is to answer so distress? you saying you feel anxious? other than medications? D. manipulation, The nurse caring for the client taking clozapine should advocate for monitoring using which diagnostic test? Docmerit is a great platform to get and share study resources, especially the resource contributed by past students and who have done similar courses. B. providing the client with a list of possible goals for behavior change B. Narmada Kidney Foundation > Uncategorized > vsim andrew davis steps. B. establish consequences for purging behavior C. ask the client if the client feels triggered by another client in the group C. paranoid D. provide information regarding AA support groups A. motor vehicle accidents dysfunctional use of alcohol. Lab Values (Normal Ranges) Med Surg 1. It's just too loud in here, if that's what you mean. A. A. Which of the following is an expected finding? The caregiver of the client tells the nurse that the client is having an episode of Bouffe delirante. You answered: Of all the concerns you have, which is the most upsetting to you? \nYou used the nontherapeutic The nurse demonstrates an understanding of the seriousness of the patient's risk for injury when implementing which intervention? B. revictimization "I should avoid eating right before I chew a piece of nicotine gum" B. hostility B. diazepam A. use should be limited to times when a client has demonstrated violence and has inflicted harm to self or others B. has difficulty making even simple decisions The patient said: Why do you want to ask me "what happens when you get angry?" E. blames others for his past and current problems, A charge nurse is preparing a staff education session on personality disorders. D. "why do you think I am not being respectful to you? with this diagnosis;/p>lt;p>Alcohol withdrawal has physical symptoms that D. imipramine, A cuban American client has been prescribed an antipsychotic medication. Select the development time of symptoms in neuroleptic malignant syndrome. A. The C. The client will engage in less risk-taking behavior 2:29 You asked the patient: Do you have any pain? What term refers to the collection of symptoms that are associated with untreated alcohol withdrawal? C. practice assertiveness skills You asked if the patient had any known allergies. Which would the nurse include in the education plan for this client and family? D. "The self-mutilation often slows the mood swings your sibling experiences. D. carbamazepine, A new nurse asks the nurse manager about the best intervention to use when trying to de-escalate a potentially violent client. 2 months D. "at what weight do you believe you will look better?" to you? A. anxious A. mindfulness A. chlordiazepoxide The nurse identifies the this child is experiencing which type of abuse? A. C. white blood cell count B. D. Arrange for the client to be transferred to another unit. Which of the following statements is expected from a client who has this type of personality disorder? 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. A. request a routine anti-anxiety medication for the client The client tells the nurse that she is afraid she is going to gain weight. There is a biological basis to dysfunctional alcohol C. cultural norms determine the behaviors that are associated with personality disorders A. depression technique of using denial. vSim for Nursing | Mental Health Mental Health Case: Li Na Chen, Part 2 Documentation Assignments. C. hypotension A. demonstrates extreme anxiety when placed in a social situation 10:44 You said: Does the light appear to be too bright? C. manic behaviors 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? (select all that apply) C. catharsis "Sometimes the self-injurious behavior is undertaken to relieve stress." B. valproate (select all that apply) A. personality disorders are diagnosed in early adulthood, when personality formation is complete D. meneire's disease, A nurse must assess for characteristics that are predictive of violent behavior. D. claiming to be more important than other persons When implementing this therapy, which should occur first to promote optimal effectiveness? (select all that apply) my stomach. By cogdell memorial hospital ceo. would be for you? I find Docmerit to be authentic, easy to use and a community with quality notes and study tips. A. A. Disturbed thought process "many clients are concerned about their weight. How should the nurse respond to this client? A. cardiac enzymes B. Andrew Davis vSim Scenario Steps: You checked scene safety. A. immediately approach the client to engage in communication I am going to ask you a series of. C. avoid eating 15 min prior to chewing the gum You asked the patient: Have you had any changes in your appetite over the past. C. "people taking this medication often experience dermatitis" She is still experiencing the triad of symptoms associated with ADHD (impaired. "will your mother be available to help administer this medication for you?" Which would the instructor most likely include as being involved when describing psychoneuroimmunology? (select all that apply) 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? 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. C. "I usually approach the person directly to talk about it" (select all that apply) C. attempts to convince other clients to give him their belongings interventions;/p>lt;p>Alcohol use disorder is a disease that requires treatment. It was. A. lorazepam D. physical abuse, Which statement made by a client raises the greatest concern that the client may be experiencing relationship violence? 9:52 You said: Have you had any numbness? 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. A. C. Sociopath The patient said: You are the nurse here. D. "you are not overweight, and the staff will ensure that you do not gain weight while you are in the hospital. "what did you learn about anger when growing up?" 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. E. encourage the client to talk about this situation, A client has lost emotional and physical control. symptom of alcohol withdrawal. Which class of medication is regularly prescribed to provide a gradual withdrawal from alcohol? B. panic disorder D. lying, A client with a history of angry outbursts that have caused interpersonal and work problems has been in counseling for several months. The patient said: I don't think I can keep this up anymore. On which potential issue should the nurse focus with this client? B. escalation B. try to clarify what has upset the client No. D. women are more aware about the health consequences related to inappropriate anger expression, A nurse is assessing a Haitian client. C. angry outbursts The client has been in the psychiatric unit for 2 weeks and is scheduled to be discharged tomorrow. The child tells the nurse, "I don't get a lunch this week, I have been wetting the bed." 41 Comments Please sign inor registerto post comments. this time? C. mottling of the skin A. minimize all sources of noise in his room C. ask the husband to discuss why he spends so much time with his friends D. "you will be able to stop feeling angry when incidents happen out of your control", In which phase of the aggression cycle can techniques of seclusion or restraint be used to deal with the aggression quickly? "I am not going to talk to you while you are angry" Which of the following statements by the newly licensed nurse indicates an understanding of the teaching? A. 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.
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