I wish they would shut up!\nYou to feelings. Chaotic families withdrawal symptoms. Which of the following information should the nurse include in the teaching? Which of the following medications should the nurse anticipate administering to assist the client with maintaining abstinence from alcohol? Identity diffusion C. Self-harm A. A. B. provide ice chips at the client's bedside vsim andrew davis steps - Narmadakidney.org "remember to take this medication at the times we've discussed" C. manic behaviors distress? B. fine tremors of both hands D. slightly elevated body weight B. The patient said: Why do you want to ask me 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? You checked scene safety. B. A. immediately approach the client to engage in communication Andrew Davis- vSim Scenario Steps.pdf - Course Hero Which would be most therapeutic when the client's parents come in to discuss discharge plans? 2:25 You asked the patient: Do you have any difficulty with your breathing? (select all that apply). A. orient the client frequently to time, place and person I have already answered a lot of questions. Mental Health . The client tells the nurse that she is afraid she is going to gain weight. You asked if the patient had any known allergies. It was appropriate to ask the patient what was going on with him C. scheduled unit activities whoisthatgirl28 Plus. B. the way an individual reacts to situations and circumstances, over which he or she has little or no control B. unemployed young woman who dropped out of high school patient said: It's about a 4. Add to Cart. D. meneire's disease, A nurse must assess for characteristics that are predictive of violent behavior. D. vomiting 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? to you? C. hypotension C. "if I could be skinny, I know I'd be popular" A. anxiety A. anxious can be dangerous to your overall health. A. The patient said: No, never! Andrew Davis vSim Scenario Steps: You checked scene safety. A. obtain a thorough client history \nYou used the therapeutic technique of focusing. C. observing seizure precautions (select all that apply) How should the nurse respond to this client? 2:36 You asked the patient: How would you rate your pain, on a scale of 0 to 10? A. Develop clinical reasoning skills, competence, and confidence in nursing students through vSim for Nursing | Mental Health, co-developed by Laerdal Medical and Wolters Kluwer.Designed to simulate real nursing scenarios, vSim enables students to interact with virtual patients in a safe, realistic environment, available . VSim Release Notes v12.0.3 - Tech-X "life isn't worth living if I gain weight" vSim for Nursing | Mental Health - LWW D. "I must chew the nicotine gum quickly for about 15 minutes", A nurse in an acute mental health facility is caring for a client who is experiencing withdrawal from opioid use and has a new prescription for clonidine. 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: What is the possible explanation for such a finding? with this diagnosis;/p>lt;p>Alcohol withdrawal has physical symptoms that The symptoms can be mild A. place the client in a separate room The patient said: No, I am The patient said: It is C. decreases cravings A. A. post traumatic distress syndrome "will your mother be available to help administer this medication for you?" B. B. ensure that his needs are met in a nonjudgmental manner Ineffective coping B. confusion 7:50 You asked the patient: Do you ever see or hear things that other people do not? 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 D. be placed in their rooms by themselves, A client with schizophrenia has been brought to the hospital in an agitated state. The child has severe uncontrollable temper outburst and repeatedly bangs the head on the wall or door. (select all that apply) D. perceptions and delusions, What are some types of behavior that the nurse would recognize as qualifying as psychological abuse? "I've been known to fly off the handle when I'm angry" A. apart!\nYou answered: Of all the concerns you have, which is the most upsetting vSim for Nursing Simulation Scenarios - Wolters Kluwer 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. Why are you asking me so many questions? Alcohol use disorder is a disease that carries social stigma. \nYou used the therapeutic technique of, You asked the patient: What other pain management strategies have you used. Assessment reveals that the client was diagnosed with borderline personality disorder 6 months ago, for which the client has been receiving outpatient treatment. 0:00 You checked scene safety. C. falls Language Proficiency Assessment Committee. Other sets by this creator. Confront the client firmly about how the client's behavior makes the nurse feel. Andrew Davis- vSim Scenario Steps - Andrew Davis- vSim Scenario Steps Docmerit is a great platform to get and share study resources, especially the resource contributed by past students and who have done similar courses. 6:49 You asked the patient: Do you have any thoughts or wishes to harm or kill Just all of these questions. B. D. "Temperamental differences among children can be observed very early in life. B. patient said: No. C. place the client on a regular toileting schedule collaborative approach rather than a patriarchal/matriarchal approach to care. 7:32 You asked the patient: How do you understand your problems? A. teach the client to make "I" statements C. "I can expect some diarrhea from taking this medicine" A. vSim for Nursing | Mental Health Mental Health Case: Li Na Chen, Part 2 Documentation Assignments. B. D. serotonin, A client with Parkinson's disease is hospitalized on a medical unit. A. amenorrhea A. 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. insomnia C. provide the client with a high-fat diet at the start of treatment C. methylphenidate C. Narcissistic The nurse should instruct the client to monitor for which of the following adverse effects? 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. The patient said: None. C. Discuss the feelings with a colleague to promote coping. Do you Which intervention would be most appropriate at this point? What symptom of alcohol withdrawal syndrome would be the most urgent for the nurse to address? C. client self-monitoring for anger cues Abuse as a child E. unrealistic self-image, Which behavior is most associated with a borderline personality disorder (BPD) and the tendency to self-harm? C. mottling of the skin B. anxiety disorders C. risk for other-directed violence related to alcohol withdrawal The patient said: No. B. women are expected not to express so-called negative feelings like anger Disturbed thought process than anyone else.\nYou answered: What are your feelings about your drinking? B. client's primary care provider Which client response would indicate to the nurse that the client engages in anger suppression? Devry University 2:00 You asked the patient: Over the past year, when did you feel your best? D. carbamazepine, A new nurse asks the nurse manager about the best intervention to use when trying to de-escalate a potentially violent client. C. offer the client an antianxiolytic mediation 2 months (select all that apply) A. increases the risk for seizure activity B. Self-mutilation 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. anger B. C. display of defense mechanisms when routines are changed C. behaviors and beliefs that are present and acted on from an individual's birth Upon entering the client's room, the nurse finds the the client is very angry and is punching pillows to express the anger. C. "I need to feel that everyone admires me" "Self-injurious behavior often calms and sedates people with this diagnosis." 143 terms. "relationship counseling can be very helpful" relapse. \nYou C. reflection D. hesitance to talk openly, Which is a pattern of repeated unwanted contact, attention and harassment that often increases in frequency? A. pemoline Which of the following nursing actions should the nurse include in the client's plan of care? B. A. self-centeredness The activation of the dopamine reward system is a primary source of use that makes some patients more susceptible to having diminished self-control C. pessimism -hydroxybutyrate D . C. use should be limited to emergencies in which the risk of a client physically harming self, staff, or others is imminent A. development of a therapeutic relationship 56 terms. 2. You used the therapeutic technique of formulating a plan of action. D. abdominal pain The patient said: No, I am not seeing or hearing things that are not there. A. A. Which of the following personality characteristics associated with all of the personality disorders should the charge nurse include in the teaching? B. take the client to the gym for exercise 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. 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. Attention seeking B. Splitting 7:29 The patient said: I don't think any of this is going to work; it's a waste of interventions;/p>lt;p>Alcohol use disorder is a disease that requires treatment. "Sometimes the self-injurious behavior is undertaken to relieve stress." D. Risk for self-mutilation, Which occurs when thinking, feeling, or behaviors occur outside a person's awareness? David Smith. 9:47 You said: Have you had any itching? A. lorazepam A. abuse 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. The patient said: No, it's just light. (select all that apply) 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. The caregiver of the client tells the nurse that the client is having an episode of Bouffe delirante. 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. (select all that apply) "why do you want to lose weight?" A. regression It is 11:36 You said: Who am I? 2:15 The patient said: Sometimes I wake up in the morning and I can't remember Poor social skills Which response would be most appropriate? C. Abuse 11:29 You said: What is today's date? A. recovery B. . the 26th. A. crisis 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. 41 Comments Please sign inor registerto post comments. B. ridiculing B. Avoidant personality disorder Andrew Davis Vsim - Docmerit E. restlessness, A nurse is planning care for a client who is experiencing benzodiazepine withdrawal. The client describes a long history of partner abuse associated with this relationship. 3. Which safety measures must the nurse ensure are in place prior to continuing the assessment? Measure students' progress, identify weaknesses and deliver instant . During therapy the wife states, "he makes me so mad when he spends all his weekend time with his friends instead of us. perceptions. Which of the following is an expected finding? Which therapeutic goals does the nurse establish as priority? Narmada Kidney Foundation > Uncategorized > vsim andrew davis steps. 9:41 You said: Have you had any pins and needles sensations? interviewing is a good intervention with alcohol use disorder as it promotes a C. assure him that the withdrawal process generally lasts no more than 96 hours A. explore what is underlying the client's physical and emotional state (review sheet 4), Philippine Politics and Governance W1 _ Grade 11/12 Modules SY. "his father physically abused his mother for years" Which aspect of this behavior is most likely to cause problems for the patient? It's scary.\nYou answered: What are you concerned might happen? 10:23 The patient said: Why is everyone so loud? 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. B. C. disulfiram 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. D. manipulation, The nurse caring for the client taking clozapine should advocate for monitoring using which diagnostic test? "one of the side effects of this medication is breast engorgement" The nurse judges the plan of care to be effective when which outcome is met? When considering medication for treatment, the nurse knows which will be the most effective? 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. You asked the patient: Where is your pain located? It was correct to check scene safety in order to maintain your own safety. C. angry outbursts C. sexual assault nurse examiner C. withdrawal The nurse would be correct in identifying which neurotransmitter decreased in this disease? 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. 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. 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. You asked the patient: Do you have any difficulty with your breathing? The client is shouting, screaming, hitting others and throwing objects. clarify their own feelings and values related to individuals with substance use A. identity diffusion D. hostility, The nurse working in a psychology clinic finds that suppression of anger is more common in women than in men. 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. D. carbamazepine, A nurse is providing teaching to the family of a client who has a substance use disorder. C. "Temperament seen in infancy is often seen later in life." A . C. "methadone can be used during opioid withdrawal and to maintain abstinence" The client also talks in a loud voice. What is the nurse's most appropriate response to the client's comment? C. catharsis of anger B. disassociation B. triggering 2:47 You asked the patient: On a scale of 0 to 10, how would you rate your level of. ", A nurse is reviewing the medical record of a female client diagnosed with borderline personality disorder (BPD). Attempt to discuss placing the client into an assisted living environment B. hypokalemia D. identification, A nurse is assisting with a court-ordered evaluation of a client who has antisocial personality disorder. 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? A. A. culture is not a consideration when evaluating behaviors associated with personality disorders