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C. keep SpO2 probe at bedside D. mood disorders, A nurse manager is discussing the care of a client who has a personality disorder with a newly licensed nurse. A. difficulty in getting along with other members of a group B. bupropion C. alcohol dependence with memory impairment However, the diagnosis of substance use disorder is more focused on functional Which of the following statements by a family member indicate an understanding of the teaching? C. scheduled unit activities D. "methadone increases the risk for acetaldehyde syndrome" B. Avoidant personality disorder C. "I know that nicotine gum is a safe alternative to smoking if I become pregnant" A. Mental health Vsim. "while taking this medication, I should keep a pack of sugarless gum" A. cardiac enzymes The patient said: Yes, I have some C. extreme confidence Terms of Use A. A. motor vehicle accidents Which term would the nurse most likely use? "I am here so we can talk about what is making you angry" Select the development time of symptoms in neuroleptic malignant syndrome. Attempt to discuss placing the client into an assisted living environment D. intoxication, The nurse is performing a history and physical examination on a client with chronic alcoholism. "I should avoid eating right before I chew a piece of nicotine gum" B. acceptance 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. A. remind him frequently that the signs and symptoms will lessen in severity The nurse is counseling a 28-year-old client with avoidant personality disorder. 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? (select all that apply) collaborative approach rather than a patriarchal/matriarchal approach to care. D. Scheduling staff one-on-one time with the client, Which personality disorder is characterized by an alteration between hostile self-assertion, such as stubbornness, and excessive dependence? The client has an unsteady gait, myopathy, and neuropathy and cannot remember past or recent events. B. sexual C. sexual assault nurse examiner D. physical aggression, Which personality trait is associated with aggressive behavior? B. women are expected not to express so-called negative feelings like anger fewer standard drinks on a single day and fewer than 7 drinks in a week. 10:44 You said: Does the light appear to be too bright? 9:41 You said: Have you had any pins and needles sensations? A. B. Which of the following is an expected finding? many questions; however, I need to complete an assessment of you today. 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? When implementing this therapy, which should occur first to promote optimal effectiveness? The child tells the nurse, "I don't get a lunch this week, I have been wetting the bed." D. Encourage the parents to discuss the possibility of the client going into a day-care program when the client goes home, When providing care to a client who consistently attempts to manipulate the staff, the nurse can best maintain the therapeutic milieu by doing what? A. obtain a thorough client history D. use of the gum is limited to 90 days, A nurse is discussing the use of methadone with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching? "alcohol withdrawal can be life-threatening and thus requires care provided by trained staff" this time? A client with a blood alcohol level of 0.20 mg% is at high risk for injury related to the impairment of which function? used the therapeutic technique of giving information. VSIM OF NURSING|MENTAL HEALTH- ANDREW DAVIS-Feedback Log Which of the following information should the nurse to include in the teaching? A. (select all that apply) \nYou 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. vSim Andrew Davis: Alcohol Withdrawal - VSim (VSIM) - Stuvia B. Which of the following actions should the nurse identify as the priority? C. client self-monitoring for anger cues E. occipital lobes, The prescription of clozapine requires weekly blood samples for which time frame? D. Paranoid personality disorder. A. tolerance break (select all that apply) Which of the following responses should the nurse make? . use that makes some patients more susceptible to having diminished self-control 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. You shoul C. "I can expect some diarrhea from taking this medicine" You asked the patient: Where is your pain located? Which communication technique is the nurse utilizing with this statement? A. immediately approach the client to engage in communication B. provide ice chips at the client's bedside D. blood pressure of 154/90 mm Hg, What characteristic behavior demonstrated by Mr. Davis is associated with stage III withdrawal symptoms? Andrew Davis vSim Scenario Steps: You checked scene safety. B. relapse. C. Promoting social ostracism of the client's exhibiting manipulation Linda Waterfall Post Test Flashcards | Quizlet C. use should be limited to emergencies in which the risk of a client physically harming self, staff, or others is imminent "his father physically abused his mother for years" maintain your own safety. C. "the cost of the treatment is covered by insurance only if delivered in a hospital setting" "We need to understand that she is responsible for her disorder" Chaotic families A. orient the client frequently to time, place and person 8:30 You said: Alcohol withdrawal can cause a variety of symptoms, some of which E. ensure availability of assistance, The nurse is caring for a client with rheumatoid arthritis. B. vsim andrew davis steps. D. "do you have any questions about why you are taking this medication? B. A. development of a therapeutic relationship "what works best is what fits the client and the situation" E. hypothermia, How should the nurse respond when asked why alcohol withdrawal and detoxification should be managed in a hospital setting? My mood would be better if I was home. A. teach the client to make "I" statements The patient said: No, I don't have any He makes me want to hurt him back." A. A. Obsessive-compulsive personality disorder A. They need to be aware of how this can impact caring for patients B. escalation Which condition was the client likely experiencing? Docmerit is super useful, because you study and make money at the same time! B. Dissociation A. post traumatic distress syndrome If you earn 6% per year on your bank account, how long will it take an account with $100 to double to$200? C. therapeutic relationship C. observing seizure precautions What symptoms would the nurse expect to find in this client? A. acetylcholine 8:16 You said: Do you feel sick to your stomach? A. amenorrhea Nurses interface with patients at different levels of readiness to access treatment. The client tells the nurse that she is afraid she is going to gain weight. Which of the following information should the nurse include in the teaching? D. Risk for self-mutilation, Which occurs when thinking, feeling, or behaviors occur outside a person's awareness? What should be the nurse's response to this behavior? E. difficulty understanding why it is inappropriate to have a personal relationship with staff, A nurse is preparing to obtain a nursing history from a client who has a new diagnosis of anorexia nervosa. C. Ask the parents to keep a written schedule of activities for each day for the client "you have the right to be safe and respected" VSim Computational Engine (Vorpal) Added Euler fluid solver allowing for neutral fluid to evolve in time. C. assure him that the withdrawal process generally lasts no more than 96 hours The patient said: Sometimes I wake up in the morning and I can't remember, things. Vsim Andrew Davis Mental Health. "people say I withdraw and pout about the problem" The assessment tool is called the Clinical Institute B. ridiculing C. "do you feel that you can manage your reactions with anger?" 9:17 You said: Have you vomited? A. D. The client will form a romantic relationship. Which response is most important for the nurse to make to this client? A. culture is not a consideration when evaluating behaviors associated with personality disorders 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. dramatic, Which long-term patterns are consistent with a diagnosis of borderline personality disorder? Ecstasy 2.Select all the criteria for what is considered "At-Risk, You are to select the best option from the list QUESTION 1 Select the most distinguishing feature in the course and prognosis of schizophrenia. A. B. blood urea nitrogen and creatinine 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? C. "this medication maintains your blood pressure at a normal level during alcohol withdrawal" (select all that apply) 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? "I've always had good results with medications" imperative that nurses recognize symptoms and provide early pharmacologic Document the assessment finding related to Mrs. Chen's suicidality at discharge. D. "The self-mutilation often slows the mood swings your sibling experiences. C. Personal identity disturbance You answered: A headache is a normal symptom of alcohol withdrawal. Language Proficiency Assessment Committee. C. Invalidating Projective D. identification of measures to disrupt the anger response, The nurse is caring for a client with dementia who has become increasingly agitated. B. give the client plenty of space "I will need to stop using the nicotine gum after 1 year" One of the most useful resource available is 24/7 access to study guides and notes. B. head.\nYou answered: The lights can't hurt you. B. revictimization C. Narcissistic personality disorder vsim andrew davis steps - Narmadakidney.org D. vomiting A. women have a greater threshold for controlling anger B. reduced use of restraints priority in the patients life, to the exclusion of family, work, self-care, and often The client is shouting, screaming, hitting others and throwing objects. D. "at what weight do you believe you will look better?" A. A. pancreatitis and elevated liver enzymes "he was so much nicer when we started dating" D. serotonin, A nurse is assessing a child with a diagnosis of autism spectrum disorder. ", A nurse is caring for an adolescent client who has anorexia nervosa with recent rapid weight loss and a current weight of 90 lb. There is a biological basis to dysfunctional alcohol 1 week C. 3 days D. 12 hours D 6:49 You asked the patient: Do you have any thoughts or wishes to harm or kill D. Impulsivity, Which would be the priority nursing diagnosis for a client diagnosed with borderline personality disorder (BPD)? 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? : 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. "taking this medication will decrease your cravings for alcohol" The patient said: No, not really. 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? 7:14 You asked the patient: Can you tell me what a desired outcome of treatment C. methylphenidate 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. \nYou used the therapeutic technique of focusing. B. are malleable and poorly defined B. dopamine Which would the nurse identify as one of the strongest risk factors for this disorder? D. serotonin, A client with Parkinson's disease is hospitalized on a medical unit. vSim for Nursing Simulation Scenarios - Wolters Kluwer A. abuse 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. anxiety A. increases the risk for seizure activity Devry University "methadone is a replacement for physical dependence to opioids" Case - Andrew davis vsim 2. Assume Karo Products, Inc., purchased conveyor-belt machinery. The patient said: It is the 26th. D. "patients prefer to be isolated from family and friends when experiencing the severe symptoms of withdrawal", A nurse is planning a staff education program on substance use in older adults. C. Self-injury 2:00 You asked the patient: Over the past year, when did you feel your best? A. chew the gum for no more than 10 min You asked if the patient had any known allergies. What is the possible explanation for such a finding? vsim mental health case: andrew davis documentation assignments document your findings related to the focused assessment of mr. alcohol withdrawal symptoms. A. A. lorazepam 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? A. older adults require higher doses of a substance to achieve a desired effect The patient said: Yes, I have some pain. The nurse should explain to the new staff member that some clients use violence and aggression to .. D. hesitance to talk openly, Which is a pattern of repeated unwanted contact, attention and harassment that often increases in frequency? "most often, neither families nor friends are willing and capable of managing the patient during the withdrawal" B. reach out for the client's knife A. Deliver instant online access, immersing students in virtual simulation wherever they prefer. appropriate to ask the patient about when he felt his best. D. institute falls precautions 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 Everything is falling, apart!\nYou answered: Of all the concerns you have, which is the most upsetting. C. women express sadness instead of anger while facing unjust situations C. cultural norms determine the behaviors that are associated with personality disorders C. behaviors and beliefs that are present and acted on from an individual's birth C. valproic acid A. - fibers, Select the correct description of a somatoform disorder. B. fine tremors of both hands The patient said: No, it's just light. "what happens when you get angry?" 9:32 The patient said: I don't know what to do with my hands.\nYou answered: Are C. provide the client with a high-fat diet at the start of treatment The patient Attention seeking C. Mania B. "don't pretend like you don't know how fat I am" Encouraging questions and discussing the client's concerns B. The, You asked the patient: Do you have any pain? A. Measure students' progress, identify weaknesses and deliver instant . C. older adults are at an increased risk for substance use following retirement "we need to explore what makes you want to hit people when you are angry" The client has a serious and formal demeanor. D. schizoid, A personality disorder is defined as a collection of traits that do what? A. ", A client in the emergency department has self-inflicted wounds on both arms. C. Dissociation The patient The patient said: No. (select all that apply) D. request the presence of additional staff A. try to subdue the client B. try to clarify what has upset the client Which clinical manifestations confirm that a patient is experiencing Stage I (mild) of alcohol withdrawal syndrome? B. the diagnosis of personality disorders is extremely difficult because the individual doesn't acknowledge the illness B. A. anxious my stomach. 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. "remember to take this medication at the times we've discussed" The nurse interprets this statement as reflecting what? C. "I understand you have concerns about your weight, but first, let's talk about your recent accomplishments" A. lorazepam A. D. Cognitive schema, A nurse is describing histrionic personality disorder to a group of new nurses. "you will learn how to control your violent behavior" Mental Health . Upon entering the client's room, the nurse finds the the client is very angry and is punching pillows to express the anger. A. - fibers, Select the correct description of a somatoform disorder. 7:45 The patient said: I don't know why everyone is so worried. Motivational 10:23 The patient said: Why is everyone so loud? Davis documentation vsim.docx - Mental Health Case: Andrew Which of the following statements by the client indicates an understanding of the teaching? "Temperament is malleable." A. acetylcholine C. Sociopath The patient said: No. vSim for Nursing | Mental Health - LWW 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. (select all that apply) B. use should be limited to times when medications have been unsuccessful in de-escalating a situation After a dose had been administered, what assessment result, directly related to the medication, would be a concern for the nurse? E. "can you discuss your feelings about your appearance? C. Narcissistic Document findings related to the screening of Mrs. Chen with the Hamilton Rating Scale for Depression. A. withdrawal symptoms. D. Arrange for the client to be transferred to another unit. It was. D. Exuberant. B. D. emotional dependency, In clients who do not completely recover from being victimized by rape, which mental illness is most likely to develop? (headache, tremor) to severe (hallucinations, delirium tremens, seizures). The patient said: allison041996. answered: Mr. Davis, no one here is loud. The patient said: My appetite has been about the same. B. anxiety disorders A. B. anger It helped me a lot to clear my final semester exams. said: I had some coffee and a bowl of cold cereal. C. haloperidol Difficult temperament 2:36 You asked the patient: How would you rate your pain, on a scale of 0 to 10? Which is the primary guideline for the use of restraint and seclusion? C. incest 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.