A. C. hypothalamic axes The patient said: I can't get rid of this headache.\nYou answered: A headache is a, normal symptom of alcohol withdrawal. begin 4 to 12 hours after cessation of alcohol intake. This system is more intensely activated in patients with a vulnerability A. allow the client to select preferred meal times C. lead to aggression and violence C. "if you don't calm down, I will need you to go to your room" Identity diffusion You are making my A. mood and affect C. white blood cell count \nYou used the therapeutic technique of focusing. B. dopamine 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. D. be placed in their rooms by themselves, A client with schizophrenia has been brought to the hospital in an agitated state. 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. - fibers, Select the correct description of a somatoform disorder. 10:55 The patient said: The lights in here are too bright; they are hurting my E. presence of lanugo on the face, A nurse on an acute care unit is planning care for a client who has anorexia nervosa with binge-eating and purging behavior. D. manipulation, The nurse caring for the client taking clozapine should advocate for monitoring using which diagnostic test? Add to Cart. 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. It was correct to check scene safety in order to maintain your own safety. Which healthcare professional should the nurse contact to collect evidence of the assault? It was. B. belief in the ability to become invisible during times of stress C. avoid eating 15 min prior to chewing the gum You identified the patient. D. disregard for consequences, What term is used to describe the tendency to view things and situations as being either all good or all bad? What is the nurse's best response? C. anger 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. What symptom of alcohol withdrawal syndrome would be the most urgent for the nurse to address? Cross), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. 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B. dry mouth D. "do you know why you are being admitted? B. are malleable and poorly defined B. would be for you? B. a history of taking these types of medications These are questions I ask all of the patients I see. A. development of a therapeutic relationship B. provide ice chips at the client's bedside Upon entering the client's room, the nurse finds the the client is very angry and is punching pillows to express the anger. B. escalation Assessment reveals that the client was diagnosed with borderline personality disorder 6 months ago, for which the client has been receiving outpatient treatment. B. older adults commonly use rationalization to cope with a substance use disorder C. Highly social C. "I need to feel that everyone admires me" "I am not going to talk to you while you are angry" A. You checked scene safety. Andrew Davis has recruited technical content developers in the SF Bay Area since 1995. B. Impulsivity A. criticizing B. disassociation 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. The doctor is bad, too, but the therapist is good." (select all that apply) B. hostility 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. suction equipment is kept at the bedside Which would the nurse include in the education plan for this client and family? D. dramatic, Which long-term patterns are consistent with a diagnosis of borderline personality disorder? questions to assess your current health status and your level of alcohol A. teach the client to make "I" statements C. sexual promiscuity C. Mania A. diarrhea diagnosis of alcohol use disorder. A. middle-aged woman with a college degree Now is my chance to help others. C. pancreatitis, esophagitis, gastritis, and elevated liver enzymes ", A nurse is working with a client who has lost unit privileges due to inappropriate behavior. A. patient reports ringing in his ears relapse. C. sexual assault nurse examiner D. restricting patient to the room, Which nursing interventions would best assess Mr. Davis's safety issues if his CIWA-Ar score were to rise to 8 or above? A. personality disorders are diagnosed in early adulthood, when personality formation is complete The assessment tool is called the Clinical Institute (select all that apply) D. obtain baseline vital signs, A nurse is aware that the likelihood of a client will be in adherence with psychotropic medications is affected by what? Which of the following is appropriate for the nurse to include in the presentation? presenting reality and giving information. D. slightly elevated body weight The client describes a long history of partner abuse associated with this relationship. B. carbamazepine D. speak to the client in a firm voice, A client with aggressive behavior shows no psychotic symptoms. There is a biological basis to dysfunctional alcohol over use. Assume Karo Products, Inc., purchased conveyor-belt machinery. There are guidelines for low-risk use of D. psychological, The nurse is assessing a victim who is brought into the hospital after being found badly beaten and raped by an unknown person. D. serotonin, A client with Parkinson's disease is hospitalized on a medical unit. ", Which term is used to describe an activity used to release anger? Students need to be C. paranoid A. cause behavioral dysfunction and inner distress 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 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 B. personality disorders result in behaviors that consistently deviate from those considered culturally acceptable C. attempts to convince other clients to give him their belongings B. The nurse demonstrates an understanding of the seriousness of the patient's risk for injury when implementing which intervention? The patient said: No, never! The nurse should anticipate prescriptions for which of the following medications to promote long-term abstinence for alcohol? B. assertive behavior 11:36 You said: Who am I? \nYou used the therapeutic technique of encouraging expression. 6:49 You asked the patient: Do you have any thoughts or wishes to harm or kill C. incest C. insomnia Which is an appropriate nursing action? B. C. splitting B. the way an individual reacts to situations and circumstances, over which he or she has little or no control "you may experience hypertension while taking this medication" D. Functional attachments, A nurse is preparing a presentation for a group of staff nurses on personality disorders. C. orientation choose the best answer D. recovery, A nurse is beginning the process of providing therapy to a client with anger management problems. D. low self-esteem, To defuse a critical situation, the nurse can use the therapeutic communication techniques for which reason? (select all that apply) 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? The patient said: I can't get rid of this headache. The patient said: My appetite has been about the same. E. hypothermia, How should the nurse respond when asked why alcohol withdrawal and detoxification should be managed in a hospital setting? D. identification, A nurse is assisting with a court-ordered evaluation of a client who has antisocial personality disorder. B. He makes me want to hurt him back." A. identity diffusion The patient said: No. You used the therapeutic technique of focusing. C. Dissociation B. VSim Computational Engine (Vorpal) Added Euler fluid solver allowing for neutral fluid to evolve in time. C. middle-aged, wealthy businessman You introduced yourself. The child tells the nurse, "I don't get a lunch this week, I have been wetting the bed." \nYou used the therapeutic technique of focusing. D. vomiting A. Antisocial personality 0:48 You asked the patient: Can you tell me a little bit more about what's going on A. mindfulness D. Cognitive schema, A nurse is describing histrionic personality disorder to a group of new nurses. Which medication should the nurse expect to be ordered for this client? 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? "methadone is a replacement for physical dependence to opioids" B. provides a form of aversion therapy 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. neurontin A. implement seizure precautions vSim for Nursing scenarios are authored by the NLN and are also included in Lippincott nursing textbooks, allowing students to follow their patient cases as they evolve. D. asking for time alone when frustrated A. anxious C. Invalidating Projective 10:44 You said: Does the light appear to be too bright? The nurse understands that which of the following is the primary behavioral characteristic of this cluster of disorders? The nurse is counseling a 28-year-old client with avoidant personality disorder. Which of the following medications should the charge nurse include in the discussion? B. The client has an unsteady gait, myopathy, and neuropathy and cannot remember past or recent events. time.\nYou answered: Are you saying treatment is not going to work for you at 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. Which statement made by a student demonstrates a need for further instruction? Just Tylenol. Which term would the nurse most likely use? Which safety measures must the nurse ensure are in place prior to continuing the assessment? 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. 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? B. \nYou used the therapeutic technique of 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. . The patient said: No, I don't have any A. pancreatitis and elevated liver enzymes You are making my, headache worse.\nYou answered: I appreciate how difficult it is to answer so, many questions; however, I need to complete an assessment of you today. D. 8 months, A client has been prescribed clozapine for treatment of schizophrenia. maintain your own safety. . 24-72 hours C. 4-7 days D.10-14 days QUESTION 62 1. "do you need to take your medication to help calm down?" 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 nurse identifies the this child is experiencing which type of abuse? e. Purchase price. He was escorted out of a school board meeting after hurling racist and ethnic obscenities at pupils and their families. However, the diagnosis of substance use disorder is more focused on functional C. The client will engage in less risk-taking behavior No. 3. love_ces_sylvain. B. confusion The nurse should plan to assess the client for symptoms of which mental health condition? "what did you learn about anger when growing up?" to you? D. emotional dependency, In clients who do not completely recover from being victimized by rape, which mental illness is most likely to develop? 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! It provides faculty with ideas to integrate vSim into existing curricula and offers ways to develop and/or enhance current teaching strategies. Which response by the nurse would be most appropriate? you are feeling to help me better understand how together we can start to plan (select all that apply) I just don't want to eat. Which of the following medications should the nurse anticipate administering to assist the client with maintaining abstinence from alcohol? Which phase of the aggression cycle is this client experiencing? 56 terms. fewer standard drinks on a single day and fewer than 7 drinks in a week. Disturbed thought process (select all that apply) D. "I appreciate that you are experiencing anger in an appropriate manner", An aggressive client is holding a weapon and threatening to harm other clients in the unit. A. depression C. "people taking this medication often experience dermatitis" my work and it keeps me busy. B. has difficulty making even simple decisions used the therapeutic technique of seeking clarification. A. D. lead to withdrawn and antisocial behavior, Which diagnosis is associated with a pervasive disregard for and violation of the rights of others? Other sets by this creator. Which of the following statements indicates the client is experiencing the cognitive distortion of catastrophizing? The patient said: You answered: A headache is a normal symptom of alcohol withdrawal. you saying you feel anxious? B. ask colleagues to contact hospital security for support The client says, "the nurse on the evening shift is always nice! They need to be aware of how this can impact caring for patients Which client response would indicate to the nurse that the client engages in anger suppression? Identity diffusion (select all that apply) distress? A. recovery D. Dissociation, Gambling, binge eating, and engaging in unsafe sex are examples of what? ), borderline personality disorder is categorized as a Cluster B disorder. C. inform the client that restraints may be applied 2:00 You asked the patient: Over the past year, when did you feel your best? C. cultural norms determine the behaviors that are associated with personality disorders Which nursing diagnosis would be the priority? "I am here so we can talk about what is making you angry" B. blackout 6:33 You asked the patient: Name an activity that you enjoy. A. C. Poverty allison041996. B. Self-mutilation A. patient reports ringing in his ears B. with this diagnosis;/p>lt;p>Alcohol withdrawal has physical symptoms that During therapy the wife states, "he makes me so mad when he spends all his weekend time with his friends instead of us. B. Parental alcohol abuse A. D. physical abuse, Which statement made by a client raises the greatest concern that the client may be experiencing relationship violence? B. anxiety disorders 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 What question should the nurse ask to determine the effect of culture on the client's expression of anger? D. abdominal pain Anna Maria. 2:15 The patient said: Sometimes I wake up in the morning and I can't remember clarify their own feelings and values related to individuals with substance use B. rape "most often, neither families nor friends are willing and capable of managing the patient during the withdrawal" David Carter vsim questions. Which is the nurse trying to prevent? D. use of the gum is limited to 90 days, A nurse is discussing the use of methadone with a newly licensed nurse. B. D. Lacking empathy, Based on psychological theories, which is believed to be critical to understanding personality disorders? A. difficulty in getting along with other members of a group than anyone else.\nYou answered: What are your feelings about your drinking? 6 months A. malnourishment unrelated to illness A. try to subdue the client The client is no longer experiencing withdrawal manifestations. Experiences students may have The client continues to maintain a job and functions well in activities of daily living, relationships, and other aspects of social life. B. Dissociation 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. The patient said: Yes, I have some, You asked the patient: How would you rate your pain, on a scale of 0 to 10? "one of the side effects of this medication is breast engorgement" 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? 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. B. relive their childhood experiences 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. D. mood disorders, A nurse manager is discussing the care of a client who has a personality disorder with a newly licensed nurse. A. D. lying, A client with a history of angry outbursts that have caused interpersonal and work problems has been in counseling for several months. "would you like to have your family come visit you in your room today?" C. "Sometimes they do it to avoid the onslaught of delusional thinking." Exam (elaborations) - Vsim of nursing|mental health case: andrew davis guided reflection questions 4. Document the assessment finding related to Mrs. Chen's suicidality at discharge. C. withdrawal C. ask the husband to discuss why he spends so much time with his friends C. "if I could be skinny, I know I'd be popular" C. "it will help you to learn how to control the arousal of anger" The 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? questions? else? C. valproic acid A. NUR 406: Exam Three. D. "you are not overweight, and the staff will ensure that you do not gain weight while you are in the hospital. C. neglect D. request the presence of additional staff Alcohol use disorder is a disease that carries social stigma. However, the dietitian will ensure that you don't get too many calories in your diet" Practice NCLEX Questions from the Book! 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? B. avoidant imperative that nurses recognize symptoms and provide early pharmacologic 0 Comments Which of the following nursing actions should the nurse include in the client's plan of care? The nurse should recognize the client's statement as an example of which of the following defense mechanisms? Northwestern University C. observe the client for nonverbal indicators A. self-centeredness 1:22 You asked the patient: I would like to ask you a series of questions about how May I ask you these, The patient said: Why are you asking me so many questions? Which of the following statements by the client indicates an understanding of the teaching? 9:52 You said: Have you had any numbness? C. "I know that nicotine gum is a safe alternative to smoking if I become pregnant" "Temperament is not changeable." Which is the primary guideline for the use of restraint and seclusion? 120 minutes B. C. catharsis Despite being employed, the client verbalizes having low quality of life due to anxiety and isolation. What is the priority nursing diagnosis for this client? A. tolerance break 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. David Carter Part One vSim Scenario Steps.pdf, Li Na Chen Part 2 vSim Scenario Steps.pdf, Feedback Log & Score Andrew DavisMay 28, 2020 3_48 PM.pdf, Andrew Davis Documentation Assignment.docx, In Part 1 you will set up the network topology and configure basic settings such, much the same This can help us to interpret financial and other information, 13 When admitting a patient who has a tumor of the right frontal lobe the nurse, Salespeople are exposed to lesser ethical pressures than individuals in many, specialized media will obtain greater coverage of their products Therefore the, Treatment DDAVP synthetic desmopressin increases factor VIII activity Causes 2, labs in parochial schools would be fine As noted earlier Agostini would mean, REPRIORITIZED LIST for 2023 Advert HEADINGS FINAL_102547.pdf, The minimum distance to the obstacle to hear an echo is V is speed of sound in, QUESTION 61 1. D. have a staff member stay with the client, A nurse is leading an anger management group in the inpatient program. D. "methadone increases the risk for acetaldehyde syndrome" A. restrain the client It was appropriate to ask the patient what was going on with him A. B. reduced use of restraints Which of the following information should the nurse include in the teaching? D. "at what weight do you believe you will look better?" A. administer the clonidine on the prescribed schedule A. It was C. educate the client on the effects of clonidine 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. D. liver function tests, A nurse is attending a review class on the neurologic basis of psychiatric disorders. C. "can you select an outfit to wear to group therapy?" 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. A . Dependent B. panic disorder B. odd "life isn't worth living if I gain weight" C. crisis C. postcrisis Which of the following statements by the newly licensed nurse indicates an understanding of the teaching? \nYou. C. monitor facial expressions B. ridiculing A. "which activity would you like to participate in today?" to feelings. You asked the patient: Where is your pain located? You used the therapeutic technique of formulating a plan of action. 68 terms. 0:43 You identified the patient. May I ask you these The patient said: No, I am A. the individual characteristics that change as one grows and experiences life situations C. respiratory rate of 11 breaths/minute A. acetylcholine A client says, "I'm feeling really tense, and I'm fidgety today." C. Sociopath C. sit in an open area D. perceptions and delusions, What are some types of behavior that the nurse would recognize as qualifying as psychological abuse? actions without judgment;/p>lt;p>Alcohol use disorder is marked by the C. economic dependency The patient Michaela_Marcello. The patient said: A. orient the client frequently to time, place and person 8 terms. D. unstable personal relationships 6:56 You asked the patient: Have you ever tried to harm or kill yourself? B. I have already answered a lot of questions. 41 Comments Please sign inor registerto post comments. A. use should be limited to times when a client has demonstrated violence and has inflicted harm to self or others A. "what happens when you get angry?" A. 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 Symptoms of alcohol withdrawal begin within what time period after the cessation or marked reduction of alcohol intake by the chronic alcohol drinker? D. escalation, The nurse is assessing a client who is aggressive. C. disoriented by more than 2 calendar days A. Course Hero is not sponsored or endorsed by any college or university. in this hospital because my wife said I couldn't come home. On which potential issue should the nurse focus with this client? 12-24 hours B. 6:18 You asked the patient: How would you describe your mood? 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. You asked the patient: I would like to ask you a series of questions about how, you are feeling to help me better understand how together we can start to plan, your care. Seizures - These are waves of abnormal electrical activity in the brain. D. Impulsivity, Clients with borderline personality disorder (BPD) are usually admitted to the inpatient setting because they exhibit what? B. The patient said: None. The client is shouting, screaming, hitting others and throwing objects. A. bradycardia B. intentional risk taking In order for the nurse to perform the initial assessment, which approaches should the nurse use to manage the situation? A. crisis C. extreme confidence 10:35 You said: Are you hearing anything that is disturbing to you? D. "Temperamental differences among children can be observed very early in life. D. intoxication, The nurse is performing a history and physical examination on a client with chronic alcoholism.
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