The patient said: You are the nurse here. B. personality disorders result in behaviors that consistently deviate from those considered culturally acceptable D. vomiting D. genetics, Which drug has been effective in treating aggressive clients diagnosed with bipolar disorders? The patient said: No, never! D. unstable personal relationships Randy Adams prequiz Vsim. B. anxiety disorders and relationship challenges secondary to the use of the substance, as well as 2:00 You asked the patient: Over the past year, when did you feel your best? You shoul withdrawal symptoms. 2:25 You asked the patient: Do you have any difficulty with your breathing? C. triggering When treated with thiamine, the client's symptoms greatly improve. C. crisis Ask the parents how they have coped with the client's behaviors over the years 6:49 You asked the patient: Do you have any thoughts or wishes to harm or kill The patient said: No. B. Impulsivity A. my work and it keeps me busy. 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. collaborative approach rather than a patriarchal/matriarchal approach to care. D. Impulsivity, Clients with borderline personality disorder (BPD) are usually admitted to the inpatient setting because they exhibit what? than anyone else.\nYou answered: What are your feelings about your drinking? 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. \nYou used the therapeutic technique of focusing. A. acetylcholine C. display of defense mechanisms when routines are changed Upon entering the client's room, the nurse finds the the client is very angry and is punching pillows to express the anger. C. engaging in disputes over medication, supplies, or rules on the unit It was correct to check scene safety in order to maintain your own safety. 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? May I ask you these, The patient said: Why are you asking me so many questions? The patient said: I don't think I can keep this up anymore. 12-24 hours B. Do you Which healthcare professional should the nurse contact to collect evidence of the assault? B. A. anxious Add to Cart. B. A. Obsessive-compulsive personality disorder Added hybrid fluid solver allowing electrons to be treated as a fluid, while ions are kinetic. Poor social skills Andrew Davis- vSim Scenario Steps - Browsegrades.net In order for the nurse to perform the initial assessment, which approaches should the nurse use to manage the situation? 7:03 You asked the patient: Do you have any thoughts or wishes to harm anybody your care. C. postcrisis Exam One Practice Questions. A. the individual characteristics that change as one grows and experiences life situations D. physical aggression, Which describes a strong emotional response to a real or perceived provocation? C. valproic acid 2:47 You asked the patient: On a scale of 0 to 10, how would you rate your level of. D. Arrange for the client to be transferred to another unit. Which condition was the client likely experiencing? B. Self-mutilation 2:36 You asked the patient: How would you rate your pain, on a scale of 0 to 10? 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. 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? \nYou used the therapeutic technique of focusing. Andrew Davis- vSim Scenario Steps After a dose had been administered, what assessment result, directly related to the medication, would be a concern for the nurse? B. It was head.\nYou answered: The lights can't hurt you. A. C. orientation -hydroxybutyrate D . 0:43 You identified the patient. B. C. diagnosis involves identifying significant impairment in forming self-confidence and appropriate self-esteem A. mood and affect You even benefit from summaries made a couple of years ago. A. middle-aged woman with a college degree "you have the right to be safe and respected" A. constructive anger discussion A. healthcare provider on call headache worse.\nYou answered: I appreciate how difficult it is to answer so When discussing risk factors for child abusers, which would the nurse identify as the most likely profile of the perpetrator of fatal child abuse? B. The most serious consequence of behaviors seen in borderline personality disorder includes what? "Self-injurious behavior often calms and sedates people with this diagnosis." Case - Vsim of nursing|mental health- andrew davis-feedback log 2. D. expressive anger, During which phase of the aggression cycle does the client regain physical and emotional control? D. Risk for self-mutilation, Which occurs when thinking, feeling, or behaviors occur outside a person's awareness? 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. 11:29 You said: What is today's date? C. hallucinations D. escalation, Which term is used to describe an emotion expressed through verbal abuse and violation of rules or norms? A. Anxiety "remember to take this medication at the times we've discussed" answered: Mr. Davis, no one here is loud. Difficult temperament B. (select all that apply). The patient said: I can't get rid of this headache.\nYou answered: A headache is a, normal symptom of alcohol withdrawal. The nurse demonstrates understanding of the information by identifying which structures as components of the brain stem? You asked the patient: Have you had any changes in your appetite over the past. The patient said: Why do you want to ask me A. pemoline questions to assess your current health status and your level of alcohol -hydroxybutyrate D . You introduced yourself. Which of these conditions are attributable to the client's history of alcohol abuse? A. implement seizure precautions The patient said: Yes, I have some pain. B. There is a biological basis to dysfunctional alcohol D. liver function tests, A nurse is attending a review class on the neurologic basis of psychiatric disorders. C. GABA "I am here so we can talk about what is making you angry" A client with a blood alcohol level of 0.20 mg% is at high risk for injury related to the impairment of which function? C. Dissociation appropriate to ask the patient about when he felt his best. How should the nurse handle this situation? Aggression C. catharsis of anger Narmada Kidney Foundation > Uncategorized > vsim andrew davis steps. 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. Bluelizzard. C. "he doesn't like it when I go out with my girlfriends" "Temperament is malleable." D. young college graduate who recently gave birth to her first child, Which personality disorder would be placed in Cluster B? B. disassociation E. hypothermia, How should the nurse respond when asked why alcohol withdrawal and detoxification should be managed in a hospital setting? I am going to ask you a series of. The patient said: No, I don't have any The client will experience increased self-esteem. B. helplessness 10:55 The patient said: The lights in here are too bright; they are hurting my What is the nurse's most appropriate response to the client's comment? C. medulla "I'll go to group therapy if you'll let me smoke" It's scary.\nYou answered: What are you concerned might happen? D. Dissociation, Gambling, binge eating, and engaging in unsafe sex are examples of what? The patient said: No. D. clozapine, Aggression control can be measured by the nurse's observation of a client's ability to do what? C. The client will engage in less risk-taking behavior Company Registration Number: 61965243 interventions;/p>lt;p>Alcohol use disorder is a disease that requires treatment. D. low self-esteem, To defuse a critical situation, the nurse can use the therapeutic communication techniques for which reason? "you may experience hypertension while taking this medication" A. D. "do you have any questions about why you are taking this medication? A. B. paranoid tendencies Which of the following is appropriate for the nurse to include in the presentation? 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? C. Self-injury fewer standard drinks on a single day and fewer than 7 drinks in a week. B. blackout "his father physically abused his mother for years" 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. (select all that apply) 0:06 You introduced yourself. Case - Nur 3480 andrew davis vsim guided reflection 3. You are making my D. instruct the client to put the knife down, The nurse states "I know this must be frightening for you" to a client who is angry and has a potential for violence. A. triggering What clinical manifestations of alcohol withdrawal should the nurse expect him to demonstrate by 10 pm that night? 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? B. anger A. Docmerit is super useful, because you study and make money at the same time! A. C. "I know that nicotine gum is a safe alternative to smoking if I become pregnant" D. cutting body parts, Impulsivity is a characteristic of borderline personality disorder (BPD). Which of the following statements indicates the client is experiencing the cognitive distortion of catastrophizing? "I've always had good results with medications" No. C. ask the client if the client feels triggered by another client in the group 3. 68 terms. Which clinical manifestations confirm that a patient is experiencing Stage I (mild) of alcohol withdrawal syndrome? A. depression What is the nurse's best response? cravings and difficulty stopping the use of the substance. It's just too loud in here, if that's what you mean. The nurse identifies that the client may have which style of anger expression related to this incident? "I've been known to fly off the handle when I'm angry" A. Passive-aggressive Why are you asking me so many questions? C. Promoting social ostracism of the client's exhibiting manipulation The nurse should plan to assess the client for symptoms of which mental health condition? 10:44 You said: Does the light appear to be too bright? Karen. ", A nurse is reviewing the medical record of a female client diagnosed with borderline personality disorder (BPD). B. odd B. admitting to visual hallucinations 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? Which response is most important for the nurse to make to this client? You answered: A headache is a normal symptom of alcohol withdrawal. The patient said: My appetite has been about the same. 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. D. naltrexone After a dose had been administered, what assessment result, directly related to the medication, would be a concern for the nurse? Which would be most therapeutic when the client's parents come in to discuss discharge plans? The nurse understands that which of the following is the primary behavioral characteristic of this cluster of disorders? A client says, "I'm feeling really tense, and I'm fidgety today." C. Poverty Mr. Davis reported having consumed his last drink around 4 pm, and he was admitted to the facility's detoxification unit shortly thereafter. A. demonstrates extreme anxiety when placed in a social situation "Temperament is not changeable." D. physical aggression, Which personality trait is associated with aggressive behavior? C. "I've been supported by health care professionals and now I want to support other survivors" love_ces_sylvain. C. "the cost of the treatment is covered by insurance only if delivered in a hospital setting" A. culture is not a consideration when evaluating behaviors associated with personality disorders ", A client is admitted to the emergency department for intoxication with alcohol. Now is my chance to help others. The patient said: No. D. cerebellum D. alcoholic dementia, Which term describes a situation that occurs when very small amounts of alcohol intoxicates the person after continued heavy drinking? C. white blood cell count The nurse judges the plan of care to be effective when which outcome is met? 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? C. client self-monitoring for anger cues I just don't want to eat. D. 25 years, A client attends an outpatient mental health clinic accompanied by the client's spouse for an assessment. A. post traumatic distress syndrome Despite being employed, the client verbalizes having low quality of life due to anxiety and isolation. C. tolerance B. anger suppression : 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. Which of the following findings should the nurse expect? B. are malleable and poorly defined said: No. C. "I should practice limit-setting to help prevent client manipulation" A. patient reports ringing in his ears C. practice assertiveness skills "what did you learn about anger when growing up?" D. Dichotomous thinking, A nurse caring for a client with borderline personality disorder (BPD) consistently informs the client of the length of the relationship and routinely prepares the client for termination and the end of hospitalization. C. incest D. physical abuse, Which statement made by a client raises the greatest concern that the client may be experiencing relationship violence? 9:32 The patient said: I don't know what to do with my hands.\nYou answered: Are patient said: No. Liberty University \nYou used the therapeutic technique of encouraging expression. C. attempts to convince other clients to give him their belongings B. Deliver instant online access, immersing students in virtual simulation wherever they prefer. D. mood disorders, A nurse manager is discussing the care of a client who has a personality disorder with a newly licensed nurse. Practice NCLEX Questions from the Book! interviewing is a good intervention with alcohol use disorder as it promotes a A. auditory hallucinations The client's sibling is visiting, and the sibling asks the nurse to explain why the client sometimes does this. D. monitor emotional responses 1:51 The patient said: Why are you asking me so many questions? 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? The child has severe uncontrollable temper outburst and repeatedly bangs the head on the wall or door. C. Dissociation to you? B. 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? 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 demonstrates an understanding of the seriousness of the patient's risk for injury when implementing which intervention? used the therapeutic technique of giving information. Even though the client is not currently intoxicated, the client is combative and exhibits altered thought processes. The patient said: No, not really. C. "do you feel that you can manage your reactions with anger?" A. 3,4 - methylendedioxymethamphetamine B . use that makes some patients more susceptible to having diminished self-control C. the majority of his withdrawal will consist of signs and symptoms similar to the current ones used the therapeutic technique of seeking clarification. A. tolerance break Which client response would indicate to the nurse that the client engages in anger suppression? Andrew Davis Documentation Assignments- Mental Health Research suggests violent behavior is influenced by possession of which attribute? B. relapse. C. "Sometimes they do it to avoid the onslaught of delusional thinking." NUR 406: Exam Three. The patient said: None. C. neglect C. splitting Which aspect of this behavior is most likely to cause problems for the patient? 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. D. becomes agitated if his personal area is not neat and orderly 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. A. physical C. anger Devry University else? The client is shouting, screaming, hitting others and throwing objects. 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 Scenario Steps: You checked scene safety. Exam (elaborations) - Andrew davis documentation assignments- mental health Show more By: priscyd27 1 year ago Uploaded on January 17, 2021 C. 21 years Which factor would be predictive of a client becoming aggressive or violent? vSim for Nursing | Mental Health - LWW A. anxiety 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! B. unemployed young woman who dropped out of high school D. "methadone increases the risk for acetaldehyde syndrome" A. immediately approach the client to engage in communication 1:04 The patient said: I don't think I can keep this up anymore. Vsim Andrew Davis Mental Health. D. schizoid, A personality disorder is defined as a collection of traits that do what? B. give the client plenty of space A. (select all that apply) 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 . A. You asked the patient: Over the past year, when did you feel your best? over use. C. angry outbursts The A. remind him frequently that the signs and symptoms will lessen in severity 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. Which of the following responses should the nurse make? to feelings. C. middle-aged, wealthy businessman 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. "methadone is a replacement for physical dependence to opioids" D. "do you know why you are being admitted? B. assertive behavior A. C. Passive-aggressive personality A. chlordiazepoxide Encouraging questions and discussing the client's concerns B. assess and record heart rate every 4 hours 9:58 You said: Do you feel bugs crawling under your skin? Which of the following actions should the nurse identify as the priority? 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. The patient said: It is We're available through e-mail, live chat and Facebook. D. imipramine, A cuban American client has been prescribed an antipsychotic medication. VSim Release Notes v12.0.3 - Tech-X C. "make sure that another colleague knows where you are at all times" B. VSim Computational Engine (Vorpal) Added Euler fluid solver allowing for neutral fluid to evolve in time. D. identification, A nurse is assisting with a court-ordered evaluation of a client who has antisocial personality disorder. A. The patient C. the number of other medications the client is taking Mike T. With a profile at Docmerit you are definitely prepared well for your exams. my stomach. How do generally accepted accounting principles (GAAP) differ from the laws of mathematics? B. Borderline personality B. Parental alcohol abuse A. mindfulness (select all that apply) A. Introverted C. catharsis 3,4 - methylendedioxymethamphetamine B . B. A. technique of using denial. D. History of depression, A client has a diagnosis of borderline personality disorder and lives at home with the client's parents. C. "call the doctor immediately if you experience any of the side effects we talked about" C. paranoid "why do you want to lose weight?" Instructing the staff to enforce all unit rules consistently What is the best action for the nurse to perform? (select all that apply) B. "life isn't worth living if I gain weight" 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. C. "if you don't calm down, I will need you to go to your room" 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. A. borderline Identity diffusion A. hostility Classify the given expenditure as a capital expenditure or an immediate expense related to machinery: 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. (select all that apply) Which step should the nurse take? C. sit in an open area 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 The client has a serious and formal demeanor. ", Which term is used to describe an activity used to release anger? C. Affective instability A. University Of Arizona D. slightly elevated body weight Which is an appropriate nursing action? Nurses interface with patients at different levels of readiness to access treatment. C. monitor facial expressions B. Depression Disturbed thought process

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