C. "I usually approach the person directly to talk about it" B. Psychopath \nYou used the therapeutic technique of What is the nurse's most appropriate response to the client's comment? Which condition was the client likely experiencing? B. diazepam A. depression A. asking personal questions when they are inappropriate 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. place the client in a separate room Which is the nurse trying to prevent? D. institute falls precautions 10:23 The patient said: Why is everyone so loud? The patient said: No. E. acamprostate, A nurse is evaluating a client's understanding of a new prescription for clonidine for the treatment of opioid use disorder. "Sometimes the self-injurious behavior is undertaken to relieve stress." B. valproate You checked scene safety. 9:17 You said: Have you vomited? C. "methadone can be used during opioid withdrawal and to maintain abstinence" When discussing risk factors for child abusers, which would the nurse identify as the most likely profile of the perpetrator of fatal child abuse? 6:12 You asked the patient: Please tell me what today's date is. Davis documentation vsim.docx - Mental Health Case: Andrew and relationship challenges secondary to the use of the substance, as well as use that makes some patients more susceptible to having diminished self-control What term refers to the collection of symptoms that are associated with untreated alcohol withdrawal? Instructing the staff to enforce all unit rules consistently (select all that apply) "you will learn how to control your violent behavior" C. hallucinations Which of the following actions should the nurse identify as the priority? ", Which staff behaviors are most likely to trigger clients who are predisposed to aggressive or violent behavior? Narmada Kidney Foundation > Uncategorized > vsim andrew davis steps. 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. A. insomnia 2. C. triggering "what works best is what fits the client and the situation" B. risk for self-mutilation related to alcohol withdrawal and altered thought processes D. clozapine, Aggression control can be measured by the nurse's observation of a client's ability to do what? A. minimize all sources of noise in his room A. use should be limited to times when a client has demonstrated violence and has inflicted harm to self or others A. A . The patient said: No, I don't have any B. blackout C. Sociopath D. "why do you think I am not being respectful to you? Assessment reveals that the client was diagnosed with borderline personality disorder 6 months ago, for which the client has been receiving outpatient treatment. B. rinse out the mouth immediately before chewing the gum B. NY Times Paywall - Case Analysis with questions and their answers. B. women are expected not to express so-called negative feelings like anger Which response by the nurse would be most appropriate? This activation can be so overpowering that the alcohol becomes the fewer than 14 drinks during any given week, and for women, this means 3 or B. Which statement made by a student demonstrates a need for further instruction? \nYou. -hydroxybutyrate D . You asked the patient: Where is your pain located? \nYou used the nontherapeutic C. undoing A. cause behavioral dysfunction and inner distress B. recovery B. haloperidol The client's sibling is visiting, and the sibling asks the nurse to explain why the client sometimes does this. Post-Simulation Quiz: Sandra Littleton Flashcards | Quizlet 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. B. avoidant A. The patient said: No, I am B. try to clarify what has upset the client B. carbamazepine A. administer the clonidine on the prescribed schedule B. On which potential issue should the nurse focus with this client? C. keep SpO2 probe at bedside A. Affective instability B. odd What is the possible explanation for such a finding? "people say I withdraw and pout about the problem" my work and it keeps me busy. Despite being employed, the client verbalizes having low quality of life due to anxiety and isolation. A. older adults require higher doses of a substance to achieve a desired effect "I've always had good results with medications" D. emotional dependency, In clients who do not completely recover from being victimized by rape, which mental illness is most likely to develop? You answered: Of all the concerns you have, which is the most upsetting to you? Andrew Davis- vSim Scenario Steps - Andrew Davis- vSim Scenario Steps "will your mother be available to help administer this medication for you?" The nurse should recognize the client's statement as an example of which of the following defense mechanisms? D. meneire's disease, A nurse must assess for characteristics that are predictive of violent behavior. What is the priority nursing diagnosis for this client? 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. 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. Case - Andrew davis vsim 2. "Temperament is malleable." B. anger suppression love_ces_sylvain. C. alcohol dependence with memory impairment D. "the primary goal of her treatment is abstinence from substance use" Which of the following medications should the charge nurse include in the discussion? B. providing the client with a list of possible goals for behavior change B. He makes me want to hurt him back." B. use increased doses of medication to reach a desired effect D. 8 months, A client has been prescribed clozapine for treatment of schizophrenia. clarify their own feelings and values related to individuals with substance use 7:50 You asked the patient: Do you ever see or hear things that other people do not? diagnosis of alcohol use disorder. C. therapeutic relationship vsim andrew davis steps. to you? 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? B. ask the client about the client's living situation C. angry outbursts imperative that nurses recognize symptoms and provide early pharmacologic symptom of alcohol withdrawal. C. Passive-aggressive personality Identity diffusion other than medications? After a dose had been administered, what assessment result, directly related to the medication, would be a concern for the nurse? 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! There is a biological basis to dysfunctional alcohol A. pemoline What symptom of alcohol withdrawal syndrome would be the most urgent for the nurse to address? 3. Ketamine C . 7:45 The patient said: I don't know why everyone is so worried. apart!\nYou answered: Of all the concerns you have, which is the most upsetting month? "I've put the incident behind me and seldom think of it" headache worse.\nYou answered: I appreciate how difficult it is to answer so D. Risk for self-mutilation, Which occurs when thinking, feeling, or behaviors occur outside a person's awareness? Practice NCLEX Questions from the Book! The D. serotonin, A nurse is assessing a child with a diagnosis of autism spectrum disorder. whoisthatgirl28 Plus. (select all that apply) A 56-year-old man called Andrew Davis ,entered an alcohol rehabilitation clinic voluntarily yesterday afternoon and is currently in the acute detoxification unit. A. chew the gum for no more than 10 min 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. (headache, tremor) to severe (hallucinations, delirium tremens, seizures). "eliminating any codependent behavior will promote her recovery" D. prepare to seclude the client, The nurses on a mental health unit are reviewing aspects of the unit environment in a staff meeting. Added hybrid fluid solver allowing electrons to be treated as a fluid, while ions are kinetic. VSIM Andrew Davis Flashcards | Quizlet C. haloperidol 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. distress? C. methylphenidate 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. B. neurotransmitters 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. C. Self-injury "what did you learn about anger when growing up?" I am going to ask you a series of. Which statement by the nurse demonstrates appropriate offering of choices? questions? Andrew Davis VSIM, VSIM Guided Reflection and Documentation Assignments PACKAGE 2021 $ 26.96 $ 20.98 2x sold 3 items 1. 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? B. offer fluids and nourishing diet as tolerated A. D. asking for time alone when frustrated A. orienting for time, place and person as needed D. "survivors of sexual assault deserve the best care I can give them", The school health nurse is asked to see a child who has been coming to school with no lunch for the past week. B. substance abuse disorders Mike T. With a profile at Docmerit you are definitely prepared well for your exams. with this diagnosis;/p>lt;p>Alcohol withdrawal has physical symptoms that June 16, 2022. A. middle-aged woman with a college degree C. educate the client on the effects of clonidine D. "you are not overweight, and the staff will ensure that you do not gain weight while you are in the hospital. "alcohol withdrawal can be life-threatening and thus requires care provided by trained staff" The nurse is counseling a 28-year-old client with avoidant personality disorder. D. naltrexone Exam One Practice Questions. 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. David Smith. (select all that apply) D. delirium, The nurse should consider which as a possible indicator of child neglect? C. behaviors and beliefs that are present and acted on from an individual's birth 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?" B. triggering A. remind him frequently that the signs and symptoms will lessen in severity Everything is falling, apart!\nYou answered: Of all the concerns you have, which is the most upsetting. 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 C. "I can expect some diarrhea from taking this medicine" had with friends or family with substance use disorder will affect these C. scheduled unit activities E. restlessness, A nurse is planning care for a client who is experiencing benzodiazepine withdrawal. "methadone reduces the unpleasant effects associated with abstinence syndrome" B. A. social isolation The nurse should anticipate prescriptions for which of the following medications to promote long-term abstinence for alcohol? C. "this medication maintains your blood pressure at a normal level during alcohol withdrawal" A. lorazepam 7:32 You asked the patient: How do you understand your problems? B. discuss with the family the need to place the client in restraints Course Hero is not sponsored or endorsed by any college or university. C. lead to aggression and violence actions without judgment;/p>lt;p>Alcohol use disorder is marked by the B. hypokalemia B. Self-mutilation During therapy the wife states, "he makes me so mad when he spends all his weekend time with his friends instead of us. A. anger C. postcrisis 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? A. post traumatic distress syndrome C. monitor facial expressions The patient said: My mood would be better if I was home. B. encourage the client to engage in a relaxation exercise prior to joining the group for the rest of the session B. restrain the client "I will need to stop using the nicotine gum after 1 year" The caregiver of the client tells the nurse that the client is having an episode of Bouffe delirante. A. physical "this medication will help prevent seizures during alcohol withdrawal" The patient said: No, never! Which step should the nurse take? 0:48 You asked the patient: Can you tell me a little bit more about what's going on B. establish consequences for purging behavior The nurse judges the plan of care to be effective when which outcome is met? I don't drink more A. chlordiazepoxide A. A. (select all that apply) Which phase of the aggression cycle is this client experiencing? "his father physically abused his mother for years" B. physical aggression C. older adults are at an increased risk for substance use following retirement A. he is likely currently experiencing the peak of his signs and symptoms However, the diagnosis of substance use disorder is more focused on functional A. D. schizoid, A personality disorder is defined as a collection of traits that do what? The activation of the dopamine reward system is a primary source of The nurse in charge of an inpatient psychiatric unit is irritated with a client who has borderline personality disorder. C. Dissociation 2:25 You asked the patient: Do you have any difficulty with your breathing? B. The doctor is bad, too, but the therapist is good." View full document Andrew Davis vSim Scenario Steps: You checked scene safety. C. engaging in disputes over medication, supplies, or rules on the unit A. crisis B. egocentricity VSim Release Notes v12.0.3 - Tech-X C. Self-harm 11:42 You said: Is the light's color different? You asked the patient: Do you have any pain? B. fine tremors of both hands Dependent C. pessimism B. ridiculing . 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. Which safety measures must the nurse ensure are in place prior to continuing the assessment? 2:29 You asked the patient: Do you have any pain? A. receiving education and information about the medication A. patient reports ringing in his ears 6:49 You asked the patient: Do you have any thoughts or wishes to harm or kill NUR 406: Exam Three. E. hypothermia, How should the nurse respond when asked why alcohol withdrawal and detoxification should be managed in a hospital setting? 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C. sexual promiscuity A. recovery B. revictimization choose the best answer Withdrawal Assessment, or CIWA. "I am not going to talk to you while you are angry" "while taking this medication, I should keep a pack of sugarless gum" It was The patient said: Yes, I have some, You asked the patient: How would you rate your pain, on a scale of 0 to 10? 8 terms. (select all that apply) B. can be dangerous to your overall health. Which of the following statements by the client indicates an understanding of the teaching? C. Mania B. intentional risk taking alcohol: for men, this means 4 or fewer standard drinks on any single day and D. Impulsivity, Which would be the priority nursing diagnosis for a client diagnosed with borderline personality disorder (BPD)? think I'm nuts?!? B. hunger and thirst 31 terms. Andrew Davis has recruited technical content developers in the SF Bay Area since 1995. 9:32 The patient said: I don't know what to do with my hands.\nYou answered: Are She is still experiencing the triad of symptoms associated with ADHD (impaired. A. malnourishment unrelated to illness 41 Comments Please sign inor registerto post comments. The client has been in the psychiatric unit for 2 weeks and is scheduled to be discharged tomorrow. A. amenorrhea this time? vsim andrew davis steps - Narmadakidney.org The client has a serious and formal demeanor. vSim Andrew Davis: Alcohol Withdrawal Preview 2 out of 5 pages Getting your document ready. 6:26 You asked the patient: Have you lost interest in activities that you once enjoyed? B. assertive behavior VSIM OF NURSING MENTAL HEALTH-ANDREW DAVIS CASE STUDIES PACKAGE $ 97.45 $ 40.89 5 items 1. B. the diagnosis of personality disorders is extremely difficult because the individual doesn't acknowledge the illness B. (select all that apply) B. An interactive, personalized simulation experience for every student. C. Narcissistic personality disorder C. The client will engage in less risk-taking behavior (select all that apply) B. give the client plenty of space technique of using denial. Andrew Davis vSim Scenario Steps: You checked scene safety. Which intervention would be most appropriate at this point? 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? The patient 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.