The E. extreme aggression, When determining a client's potential for aggression and violence prior to engaging in a detailed psychosocial assessment, which would be most important for the nurse to do? C. Mania Just Tylenol. What is the nurse's most appropriate response to the client's comment? 6:18 You asked the patient: How would you describe your mood? "while taking this medication, I should keep a pack of sugarless gum" 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. Which safety measures must the nurse ensure are in place prior to continuing the assessment? C. ask the client if the client feels triggered by another client in the group You asked if the patient had any known allergies. D. History of depression, A client has a diagnosis of borderline personality disorder and lives at home with the client's parents. D. recovery, A nurse is beginning the process of providing therapy to a client with anger management problems. C. withdrawal 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? 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. The patient said: I can't get rid of this headache. B. dry mouth C. disulfiram B. haloperidol D. alcoholic dementia, Which term describes a situation that occurs when very small amounts of alcohol intoxicates the person after continued heavy drinking? D. imipramine, A cuban American client has been prescribed an antipsychotic medication. The client has a serious and formal demeanor. "alcohol withdrawal can be life-threatening and thus requires care provided by trained staff" "what happens when you get angry?" C. sexual promiscuity What is the best action for the nurse to perform? to get an understanding of this. A. experiencing tactile disturbances The patient said: You are the nurse here. The nurse should instruct the client to monitor for which of the following adverse effects? A. Which medication should the nurse expect to be ordered for this client? 0 Comments B. offer fluids and nourishing diet as tolerated How should the nurse handle this situation? (select all that apply) Case - Andrew davis vsim 2. A. chew the gum for no more than 10 min Disturbed thought process 6:26 You asked the patient: Have you lost interest in activities that you once enjoyed? (select all that apply) love_ces_sylvain. "you will learn how to control your violent behavior" E. unrealistic self-image, Which behavior is most associated with a borderline personality disorder (BPD) and the tendency to self-harm? Exam (elaborations) - Andrew davis documentation assignments- mental health Show more By: priscyd27 1 year ago Uploaded on January 17, 2021 A. use should be limited to times when a client has demonstrated violence and has inflicted harm to self or others Which factor is most likely to decrease the severity of Mr. Davis's alcohol withdrawal signs and symptoms? B. You shoul \nYou used the therapeutic technique of, You asked the patient: What other pain management strategies have you used. C. undoing -hydroxybutyrate D . B. Self-mutilation 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. It is important that nurses communicate in a nonjudgmental manner. The patient said: Seven. B. wernicke-korsakoff syndrome whoisthatgirl28 Plus. B. to feelings. What term refers to the collection of symptoms that are associated with untreated alcohol withdrawal? 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? Which of the following responses should the nurse make? A. shout and let the client know that this behavior is not tolerated 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? The client says, "the nurse on the evening shift is always nice! D. unstable personal relationships B. The patient said: It is the 26th. D. encourage his family to spend time at his bedside, 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. D. naltrexone Deliver instant online access, immersing students in virtual simulation wherever they prefer. C. falls C. respiratory rate of 11 breaths/minute (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. B. patient reports a headache rated as 3/5 D. asking for time alone when frustrated D. cerebellum When treated with thiamine, the client's symptoms greatly improve. 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? When considering medication for treatment, the nurse knows which will be the most effective? appropriate to ask the patient about when he felt his best. She is still experiencing the triad of symptoms associated with ADHD (impaired. B. The nurse identifies that the client may have which style of anger expression related to this incident? Which clinical manifestations confirm that a patient is experiencing Stage I (mild) of alcohol withdrawal syndrome? B. paranoid tendencies B. helplessness Andrew Davis is currently in Stage I of alcohol withdrawal. D. Maladaptive expression of emotions, A nursing instructor is teaching about the importance of bonding and how an easy temperament can serve as a protective factor against psychopathology. A. The patient said: It is Assessment reveals that the client was diagnosed with borderline personality disorder 6 months ago, for which the client has been receiving outpatient treatment. used the therapeutic technique of seeking clarification. C. orientation A. auditory hallucinations 18 terms. Classify the given expenditure as a capital expenditure or an immediate expense related to machinery: No. (select all that apply) A. recovery Northwestern University C. "do you feel that you can manage your reactions with anger?" You asked the patient: Do you have any difficulty with your breathing? D. clozapine, Aggression control can be measured by the nurse's observation of a client's ability to do what? (select all that apply) -hydroxybutyrate D . Why are you asking me so many questions? to you? A . C. Highly social C. keep SpO2 probe at bedside B. acceptance C. "make sure that another colleague knows where you are at all times" A. orient the client frequently to time, place and person 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?" "taking this medication will decrease your cravings for alcohol" "I've always had good results with medications" C. "I know that nicotine gum is a safe alternative to smoking if I become pregnant" Which aspect of this behavior is most likely to cause problems for the patient? A. allow the client to select preferred meal times A. 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. C. therapeutic relationship "I should encourage clients who have a schizoid personality disorder to increase socialization" C. sit in an open area A. he is likely currently experiencing the peak of his signs and symptoms You asked if the patient had any known allergies. A. E. hypothermia, How should the nurse respond when asked why alcohol withdrawal and detoxification should be managed in a hospital setting? actions without judgment;/p>lt;p>Alcohol use disorder is marked by the A. increases the risk for seizure activity D. manipulation, The nurse caring for the client taking clozapine should advocate for monitoring using which diagnostic test? B. dopamine vSim for Nursing | Mental Health - LWW A. anxiety Andrew Davis- vSim Scenario Steps - Docmerit fewer than 14 drinks during any given week, and for women, this means 3 or What is the priority nursing diagnosis for this client? "life isn't worth living if I gain weight" C. "I need to feel that everyone admires me" C. anger (select all that apply) 3,4 - methylendedioxymethamphetamine B . B. avoidant C. catharsis of anger B. Overly friendly "this medication will help prevent seizures during alcohol withdrawal" Andrew Davis- vSim Scenario Steps.pdf - Course Hero What request of the patient being assessed for possible alcohol withdrawal should the nurse make to determine the presence of tremors? You checked scene safety. The nurse would be correct in identifying which neurotransmitter decreased in this disease? Case - Vsim of nursing|andrew davis mental health post-quiz 3. C. impulsive behaviors These are questions I ask all of the patients I see. D. low self-esteem, To defuse a critical situation, the nurse can use the therapeutic communication techniques for which reason? The patient said: No, not really. A. The client has an unsteady gait, myopathy, and neuropathy and cannot remember past or recent events. However, the dietitian will ensure that you don't get too many calories in your diet" D. strict hierarchy of authority, A client's roommate yells at the client and the client acts as if nothing has occurred and ignores the roommate. B. assess and record heart rate every 4 hours The assessment tool is called the Clinical Institute D. the support the client has at home for taking medications, While discussing the CNS, the nursing instructor tells the students that the major inhibitory neurotransmitter in the CNS is what? A. 6:49 You asked the patient: Do you have any thoughts or wishes to harm or kill D. "do you have any questions about why you are taking this medication? Dependent D. Lacking empathy, Based on psychological theories, which is believed to be critical to understanding personality disorders? D. vomiting 7:03 You asked the patient: Do you have any thoughts or wishes to harm anybody C. Ask the parents to keep a written schedule of activities for each day for the client A. orienting for time, place and person as needed Sensitivity to sound is a common A. borderline B. his signs and symptoms will likely taper off in severity over the next 12 hours B. Andrew Davis Documentation Assignments- Mental Health B. encourage the client to engage in a relaxation exercise prior to joining the group for the rest of the session 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: B. carbamazepine C. Abuse The patient said: Yes, I have some, You asked the patient: How would you rate your pain, on a scale of 0 to 10? A. risk for injury related to effects of alcohol abuse Language Proficiency Assessment Committee. B. The nurse needs to work with the patient to address consequences of 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. ", Which staff behaviors are most likely to trigger clients who are predisposed to aggressive or violent behavior? pain. over use. D. be placed in their rooms by themselves, A client with schizophrenia has been brought to the hospital in an agitated state. Other sets by this creator. Which of the following information should the nurse to include in the teaching? E. encourage the client to talk about this situation, A client has lost emotional and physical control. many questions; however, I need to complete an assessment of you today. Which would the nurse include in the education plan for this client and family? A. cytokines presenting reality and giving information. 9:41 You said: Have you had any pins and needles sensations? 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. triggering Linda Waterfall Post Test Flashcards | Quizlet B. Practice NCLEX Questions from the Book! Even though the client is not currently intoxicated, the client is combative and exhibits altered thought processes. 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? VSim Documentation v12.0.3 - Tech-X Andrew Davis- vSim Scenario Steps Preview 1 out of 4 pages Getting your document ready. A. Splitting Which healthcare professional should the nurse contact to collect evidence of the assault? B. hostility . Which of the following information should the nurse include in the teaching? "what works best is what fits the client and the situation" interviewing is a good intervention with alcohol use disorder as it promotes a You introduced yourself. Which response by the nurse would be most appropriate? 11:29 You said: What is today's date? 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 try to discuss how I'm feeling about it with a close friend", The nurse is orienting a new staff member in an inpatient mental health unit when a client begins to act in a violent manner. E. "can you discuss your feelings about your appearance? Research suggests violent behavior is influenced by possession of which attribute? A. to you? 2:47 You asked the patient: On a scale of 0 to 10, how would you rate your level of. used the therapeutic technique of giving information. Which of these conditions are attributable to the client's history of alcohol abuse? If you earn 6% per year on your bank account, how long will it take an account with $100 to double to$200? D. "why do you think I am not being respectful to you? C. "it will help you to learn how to control the arousal of anger" VSim Computational Engine (Vorpal) Added Euler fluid solver allowing for neutral fluid to evolve in time. C. borderline personality disorder B. the client has increased self-esteem D. hesitance to talk openly, Which is a pattern of repeated unwanted contact, attention and harassment that often increases in frequency? It was correct to check scene safety in order to maintain your own safety. B. 3,4 - methylendedioxymethamphetamine B . (select all that apply). 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. Andrew Davis VSIM, VSIM Guided Reflection and Documentation Assignments PACKAGE 2021 $ 26.96 $ 20.98 2x sold 3 items 1. The caregiver of the client tells the nurse that the client is having an episode of Bouffe delirante. It's scary.\nYou answered: What are you concerned might happen? Which condition was the client likely experiencing? The nurse should anticipate prescriptions for which of the following medications to promote long-term abstinence for alcohol? 1:51 The patient said: Why are you asking me so many questions? The assessment of the client's thought process and content would allow the nurse to identify what? B. take the client to the gym for exercise allison041996. Andrew Davis vSim Scenario Steps: You checked scene safety. D. women are more aware about the health consequences related to inappropriate anger expression, A nurse is assessing a Haitian client. withdrawal symptoms. C. risk for other-directed violence related to alcohol withdrawal B. Vsim Andrew Davis Mental Health Flashcards | Quizlet B. provide ice chips at the client's bedside "you have the right to be safe and respected" "which activity would you like to participate in today?" my work and it keeps me busy. These are questions I ask all of the patients I see. (select all that apply) Which is an appropriate nursing action? On which potential issue should the nurse focus with this client? A. immediately approach the client to engage in communication C. scheduled unit activities C. catharsis 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. A. middle-aged woman with a college degree D. "taking this medication will improve your ability to maintain abstinence from alcohol", A nurse is assisting in the discharge planning for a client following alcohol detoxification. 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. The patient said: Sometimes I wake up in the morning and I can't remember, things. D. intoxication, The nurse is performing a history and physical examination on a client with chronic alcoholism. vSim Pre Simulation Quiz - Linda Waterfield. vsim andrew davis steps - Narmadakidney.org After a dose had been administered, what assessment result, directly related to the medication, would be a concern for the nurse? "I've put the incident behind me and seldom think of it" Confront the client firmly about how the client's behavior makes the nurse feel. Course Hero is not sponsored or endorsed by any college or university. A. mindfulness C. cultural norms determine the behaviors that are associated with personality disorders 31 terms. (select all that apply) Instructing the staff to enforce all unit rules consistently D. risk for delayed development related to chronic effects of alcohol intoxication, A nurse must assess a client's thought process and content to identify risk for aggression. can be dangerous to your overall health. D. hypertension, A nurse is teaching a female client who has tobacco use disorder about nicotine replacement therapy. Using concepts from assertiveness training and effective communication techniques, the nurse implements which intervention after hearing the wife's remarks? Now is my chance to help others. B. The nurse is counseling a 28-year-old client with avoidant personality disorder. Ineffective coping 9:17 You said: Have you vomited? would be for you? Which factor would be predictive of a client becoming aggressive or violent? D. Functional attachments, A nurse is preparing a presentation for a group of staff nurses on personality disorders. A. C. "I've been supported by health care professionals and now I want to support other survivors" with you today? Which would the nurse identify as one of the strongest risk factors for this disorder? The patient Difficult temperament 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. A. The patient said: The child has severe uncontrollable temper outburst and repeatedly bangs the head on the wall or door. I wish they would shut up!\nYou It helped me a lot to clear my final semester exams. C. Narcissistic The client also talks in a loud voice. A. Obsessive-compulsive personality disorder technique of using denial. Which would be most therapeutic when the client's parents come in to discuss discharge plans? There are guidelines for low-risk use of A. asking personal questions when they are inappropriate \nYou The client describes a long history of partner abuse associated with this relationship. C. pessimism 7:14 You asked the patient: Can you tell me what a desired outcome of treatment You asked the patient: Where is your pain located? B. establish consequences for purging behavior $12.45 ", A nurse is working with a client who has lost unit privileges due to inappropriate behavior. e. Purchase price. patient said: It's about a 4. The, You asked the patient: On a scale of 0 to 10, how would you rate your level of. collaborative approach rather than a patriarchal/matriarchal approach to care. C. economic dependency C. "Temperament seen in infancy is often seen later in life." D. cutting body parts, Impulsivity is a characteristic of borderline personality disorder (BPD). A client says, "I'm feeling really tense, and I'm fidgety today." Identity diffusion A. C. "I usually approach the person directly to talk about it"
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