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Nurses interface with patients at different levels of readiness to access treatment. The patient said: No. D. carbamazepine, A new nurse asks the nurse manager about the best intervention to use when trying to de-escalate a potentially violent client. 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. A. explore what is underlying the client's physical and emotional state In order for the nurse to perform the initial assessment, which approaches should the nurse use to manage the situation? D. schizoid, A personality disorder is defined as a collection of traits that do what? B. panic disorder patient said: No. VSIM Andrew Davis Flashcards | Quizlet A. 7:32 You asked the patient: How do you understand your problems? A. \nYou used the therapeutic technique of translating 1:04 The patient said: I don't think I can keep this up anymore. C. "can you select an outfit to wear to group therapy?" 10:55 The patient said: The lights in here are too bright; they are hurting my you are the meanest nurse ever!" \nYou used the therapeutic technique of, You asked the patient: What other pain management strategies have you used. fewer standard drinks on a single day and fewer than 7 drinks in a week. B. splitting C. place the client on a regular toileting schedule A. D. becomes agitated if his personal area is not neat and orderly Which therapeutic goals does the nurse establish as priority? C. Mania A. culture is not a consideration when evaluating behaviors associated with personality disorders What question should the nurse ask to determine the effect of culture on the client's expression of anger? The client tells the nurse that she is afraid she is going to gain weight. C. withdrawal What is the priority nursing diagnosis for this client? C. offer the client an antianxiolytic mediation D. "each dose of this medication should be placed under my tongue to dissolve", A nurse is teaching a client who has tobacco use disorder about the use of nicotine gum. A. 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. A. try to subdue the client Vsim Andrew Davis Mental Health. D. Histrionic, After reviewing information about different personality disorders, a group of nursing students demonstrates understanding when they identify which as associated with schizoid personality disorder? C. undoing ", A client is admitted to the emergency department for intoxication with alcohol. diagnosis of alcohol use disorder. 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. (select all that apply). actions without judgment;/p>lt;p>Alcohol use disorder is marked by the I am going to ask you a series of. B. There are guidelines for low-risk use of Which of the following findings should the nurse expect? Upon entering the client's room, the nurse finds the the client is very angry and is punching pillows to express the anger. A. lorazepam B. restrain the client Anna Maria. ", A client in the emergency department has self-inflicted wounds on both arms. VSim Documentation v12.0.3 - Tech-X "I've put the incident behind me and seldom think of it" B. client's primary care provider technique of using denial. Motivational 8:30 You said: Alcohol withdrawal can cause a variety of symptoms, some of which What should be the nurse's response to this behavior? Which of the following information should the nurse to include in the teaching? symptom of alcohol withdrawal. C. Loneliness to you? things. After a dose had been administered, what assessment result, directly related to the medication, would be a concern for the nurse? \nYou. B. Dissociation D. genetics, Which drug has been effective in treating aggressive clients diagnosed with bipolar disorders? (select all that apply) An interactive, personalized simulation experience for every student. 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? Other sets by this creator. 6:49 You asked the patient: Do you have any thoughts or wishes to harm or kill C. Narcissistic personality disorder (select all that apply) Which factor would be predictive of a client becoming aggressive or violent? C. scheduled unit activities A. he is likely currently experiencing the peak of his signs and symptoms 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? You are making my (select all that apply) to feelings. "Sometimes the self-injurious behavior is undertaken to relieve stress." It was correct to check scene safety in order to rsmb143. It was appropriate to ask the patient what was going on with him, The patient said: I don't think I can keep this up anymore. You used the therapeutic technique of focusing. 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. C. lead to aggression and violence 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? They need to be aware of how this can impact caring for patients C. medulla A. Antisocial personality You asked the patient: Do you have any difficulty with your breathing? How do generally accepted accounting principles (GAAP) differ from the laws of mathematics? 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? You used the therapeutic technique of formulating a plan of action. No. The patient C. suction equipment is kept at the bedside The client's sibling is visiting, and the sibling asks the nurse to explain why the client sometimes does this. A. place the client in a separate room (select all that apply) A. amenorrhea B. rape The patient said: No. However, the dietitian will ensure that you don't get too many calories in your diet" Andrew Davis has recruited technical content developers in the SF Bay Area since 1995. B. Self-mutilation What is the nurse's best response? Which response would be most appropriate? Privacy Statement, Stuvia is not sponsored or endorsed by any college or university, Pennsylvania State University - All Campuses, Rutgers University - New Brunswick/Piscataway, University Of Illinois - Urbana-Champaign, Essential Environment: The Science Behind the Stories, Everything's an Argument with 2016 MLA Update, Managerial Economics and Business Strategy, Primates of the World: An Illustrated Guide, The State of Texas: Government, Politics, and Policy, IELTS - International English Language Testing System, TOEFL - Test of English as a Foreign Language, USMLE - United States Medical Licensing Examination. "Temperament is not changeable." B. D. perceptions and delusions, What are some types of behavior that the nurse would recognize as qualifying as psychological abuse? It's just too loud in here, if that's what you mean. andrew davis vsim steps.docx - Aug 26, 2022 6:55 PM Andrew B. dry mouth Which class of medication is regularly prescribed to provide a gradual withdrawal from alcohol? VSim Release Notes v12.0.3 - Tech-X 7:14 You asked the patient: Can you tell me what a desired outcome of treatment Exam One Practice Questions. B. ask colleagues to contact hospital security for support "one of the side effects of this medication is breast engorgement" headache worse.\nYou answered: I appreciate how difficult it is to answer so A. women have a greater threshold for controlling anger 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?" D. claiming to be more important than other persons The patient said: It is The nurse in charge of an inpatient psychiatric unit is irritated with a client who has borderline personality disorder. you are feeling to help me better understand how together we can start to plan A. - fibers, Select the correct description of a somatoform disorder. A. cause behavioral dysfunction and inner distress A. stalking B. bupropion "I'm scared that you're going to leave me" Which of the following statements by the client indicates an understanding of the teaching? D. "do you have any questions about why you are taking this medication? B. assess and record heart rate every 4 hours How should the nurse respond to this client? D. "would you rather go to the cafeteria or have dinner in the dayroom? Lab Values (Normal Ranges) Med Surg 1. D. 8 months, A client has been prescribed clozapine for treatment of schizophrenia. A. administer the clonidine on the prescribed schedule The client also talks in a loud voice. You answered: Of all the concerns you have, which is the most upsetting to you? D. meneire's disease, A nurse must assess for characteristics that are predictive of violent behavior. Which healthcare professional should the nurse contact to collect evidence of the assault? A. risk for injury related to effects of alcohol abuse "I am not going to talk to you while you are angry" B. C. "do you feel that you can manage your reactions with anger?" . The doctor is bad, too, but the therapist is good." C. engaging in disputes over medication, supplies, or rules on the unit interventions;/p>lt;p>Alcohol use disorder is a disease that requires treatment. C. observing seizure precautions B. Company Registration Number: 61965243 Bluelizzard. vSim Pre Simulation Quiz - Linda Waterfield. What is the possible explanation for such a finding? D. "methadone increases the risk for acetaldehyde syndrome" NY Times Paywall - Case Analysis with questions and their answers. C. alcohol dependence with memory impairment You asked the patient: Is it OK for your family to be here, while we talk? One of the most useful resource available is 24/7 access to study guides and notes. my stomach. 1 week C. 3 days D. 12 hours D A 56-year-old man called Andrew Davis ,entered an alcohol rehabilitation clinic voluntarily yesterday afternoon and is currently in the acute detoxification unit. C. eccentric 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. many questions; however, I need to complete an assessment of you today. B. reduced use of restraints 6:12 You asked the patient: Please tell me what today's date is. 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? "most often, neither families nor friends are willing and capable of managing the patient during the withdrawal" 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? vSim for Nursing Mental Health | Laerdal Medical 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. asking for time alone when frustrated B. encourage the client to engage in a relaxation exercise prior to joining the group for the rest of the session distress? B. are malleable and poorly defined Attempt to discuss placing the client into an assisted living environment 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. A. Introverted Just all of these questions. You answered: A headache is a normal symptom of alcohol withdrawal. Ecstasy 2.Select all the criteria for what is considered "At-Risk, You are to select the best option from the list QUESTION 1 Select the most distinguishing feature in the course and prognosis of schizophrenia. A. constructive anger discussion Which of the following interventions should the nurse identify as the priority? A. diarrhea Andrew Davis- vSim Scenario Steps Preview 1 out of 4 pages Getting your document ready. Northwestern University A. recovery patient said: It's about a 4. Which would the nurse include in the education plan for this client and family? time.\nYou answered: Are you saying treatment is not going to work for you at The client will be able to accept a job promotion. A. increases the risk for seizure activity "I should encourage clients who have a schizoid personality disorder to increase socialization" Document findings related to the screening of Mrs. Chen with the Hamilton Rating Scale for Depression. Direct the client to another staff member when the client tries to interact. The client says, "the nurse on the evening shift is always nice! Which of the following statements indicates the client is experiencing the cognitive distortion of catastrophizing? A. depression B. a history of taking these types of medications What is the nurse's most appropriate response to the client's comment? 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. You asked the patient: Over the past year, when did you feel your best? 9:17 You said: Have you vomited? Students should Everything is falling, apart!\nYou answered: Of all the concerns you have, which is the most upsetting. C. assure him that the withdrawal process generally lasts no more than 96 hours Now is my chance to help others. C. catharsis C. implement seizure precautions Abuse as a child We're available through e-mail, live chat and Facebook. D. mood disorders, A nurse manager is discussing the care of a client who has a personality disorder with a newly licensed nurse. (select all that apply) B. give the client plenty of space use that makes some patients more susceptible to having diminished self-control A. healthcare provider on call The patient said: Yes, I have some Mr. Davis reported having consumed his last drink around 4 pm, and he was admitted to the facility's detoxification unit shortly thereafter. Alcohol use disorder is a disease that carries social stigma. A. A. cardiac enzymes C. behaviors and beliefs that are present and acted on from an individual's birth 8 terms. I have already answered a lot of questions. A. anger It was correct to check scene safety in order to maintain your own safety. C. Poverty A. post traumatic distress syndrome C. threatening a victim's dog When treated with thiamine, the client's symptoms greatly improve. B. 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 of the following is appropriate for the nurse to include in the presentation? C. disulfiram D. request the presence of additional staff "why do you want to lose weight?" D. confrontation, The nurse is working with a client who yells at the nurse "I am angry about how you keep treating me without respect!" Research suggests violent behavior is influenced by possession of which attribute? The patient said: No, I am not seeing or hearing things that are not there. The client's spouse reports the client is easily irritated if the home is not maintained in a specific order and when the client is unable to complete a "to do" list on time. Added a new reaction type to model an arbitrary number of reactants and products. 1:51 The patient said: Why are you asking me so many questions? D. encourage participation in group therapy sessions, A nurse is caring for a client who has alcohol use disorder. A. The patient said: No, never! B. A. B. avoidant Other sets by this creator. D. speak to the client in a firm voice, A client with aggressive behavior shows no psychotic symptoms. D. Dissociation, Gambling, binge eating, and engaging in unsafe sex are examples of what? my work and it keeps me busy. A. She is still experiencing the triad of symptoms associated with ADHD (impaired. B. pons Which of the following responses should the nurse make? You even benefit from summaries made a couple of years ago. Everything is falling apart! You asked the patient: How would you rate your pain, on a scale of 0 to 10? 15 years B. 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 "I will need to stop using the nicotine gum after 1 year" The nurse should recognize the client's statement as an example of which of the following defense mechanisms? with this diagnosis;/p>lt;p>Alcohol withdrawal has physical symptoms that 0:48 You asked the patient: Can you tell me a little bit more about what's going on 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. disorders, as well as their world view of alcohol. A. shout and let the client know that this behavior is not tolerated Ineffective coping "alcohol withdrawal can be life-threatening and thus requires care provided by trained staff" pain. vSim Andrew Davis: Alcohol Withdrawal - VSim (VSIM) - Stuvia C. the client reports increased feelings of self-control Which factor is most likely to decrease the severity of Mr. Davis's alcohol withdrawal signs and symptoms? The nurse identifies the this child is experiencing which type of abuse? Seizures - These are waves of abnormal electrical activity in the brain. B. valproate A. asking personal questions when they are inappropriate 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? E. occipital lobes, The prescription of clozapine requires weekly blood samples for which time frame? more questions? "what did you learn about anger when growing up?" C. hallucinations 0:00 You checked scene safety. allison041996. A. Passive-aggressive D. abdominal pain Which of these conditions are attributable to the client's history of alcohol abuse? You asked the patient: Do you have any pain? A. malnourishment unrelated to illness You asked if the patient had any known allergies. D. slightly elevated body weight You shoul B. rinse out the mouth immediately before chewing the gum