Course Hero is not sponsored or endorsed by any college or university. Added a new reaction type to model an arbitrary number of reactants and products. The D. "you are not overweight, and the staff will ensure that you do not gain weight while you are in the hospital. A. tolerance break Add to Cart. B. D. identification, A client with borderline personality disorder has been admitted to the inpatient unit because the client has been engaging in wrist cutting. D. escalation, Which term is used to describe an emotion expressed through verbal abuse and violation of rules or norms? 9:41 You said: Have you had any pins and needles sensations? 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. "life isn't worth living if I gain weight" Which factor would be predictive of a client becoming aggressive or violent? symptom of alcohol withdrawal. Which factor is most likely to decrease the severity of Mr. Davis's alcohol withdrawal signs and symptoms? A. A. cardiac enzymes allison041996. ", A nurse is caring for an adolescent client who has anorexia nervosa with recent rapid weight loss and a current weight of 90 lb. B. the diagnosis of personality disorders is extremely difficult because the individual doesn't acknowledge the illness A. bradycardia Which of the following information should the nurse include in the teaching? It was correct to check scene safety in order to maintain your. Docmerit is super useful, because you study and make money at the same time! 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? than anyone else.\nYou answered: What are your feelings about your drinking? 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. patient said: It's about a 4. Measure students' progress, identify weaknesses and deliver instant . \nYou A. - fibers, Select the correct description of a somatoform disorder. C. pessimism 6:41 You asked the patient: Can you tell me what you ate for breakfast? Just Tylenol. Added hybrid fluid solver allowing electrons to be treated as a fluid, while ions are kinetic. 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. 0:43 You identified the patient. A. malnourishment unrelated to illness A. abuse C. keep SpO2 probe at bedside D. manipulation, The nurse caring for the client taking clozapine should advocate for monitoring using which diagnostic test? Confront the client firmly about how the client's behavior makes the nurse feel. "Self-injurious behavior often calms and sedates people with this diagnosis." D. women are more aware about the health consequences related to inappropriate anger expression, A nurse is assessing a Haitian client. A. patient reports ringing in his ears The patient said: Yes, I have some pain. Lab Values (Normal Ranges) Med Surg 1. C. crisis "I am not going to talk to you while you are angry" The patient said: No, it's just light. 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? Which would be most therapeutic when the client's parents come in to discuss discharge plans? It was correct to check scene safety in order to C. risk for other-directed violence related to alcohol withdrawal C. insomnia Which medication should the nurse expect to be ordered for this client? A. Splitting D. abdominal pain B. imperative that nurses recognize symptoms and provide early pharmacologic 8:30 You said: Alcohol withdrawal can cause a variety of symptoms, some of which D. serotonin, A nurse is assessing a child with a diagnosis of autism spectrum disorder. D. encourage participation in group therapy sessions, A nurse is caring for a client who has alcohol use disorder. C. monitor facial expressions "eliminating any codependent behavior will promote her recovery" A client says, "I'm feeling really tense, and I'm fidgety today." B. personality disorders result in behaviors that consistently deviate from those considered culturally acceptable Mental Health . (select all that apply) B. providing the client with a list of possible goals for behavior change Instructing the staff to enforce all unit rules consistently D. near continuous pacing The patient said: Family is supposed to stick together through thick and thin, and they, You answered: What can you do while you are here to open communication with your. D. monitor emotional responses C. impulsive behaviors C. manic behaviors B. C. older adults are at an increased risk for substance use following retirement time.\nYou answered: Are you saying treatment is not going to work for you at 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. delirium, The nurse should consider which as a possible indicator of child neglect? 6:12 You asked the patient: Please tell me what today's date is. C. reflection D. request the presence of additional staff The activation of the dopamine reward system is a primary source of (select all that apply) During therapy the wife states, "he makes me so mad when he spends all his weekend time with his friends instead of us. my stomach. D. schizoid, A personality disorder is defined as a collection of traits that do what? Which of the following nursing actions should the nurse include in the client's plan of care? "instead of worrying about your weight, try to focus on other problems at this time" fewer than 14 drinks during any given week, and for women, this means 3 or D. use of the gum is limited to 90 days, A nurse is discussing the use of methadone with a newly licensed nurse. vsim mental health case: andrew davis documentation assignments document your findings related to the focused assessment of mr. alcohol withdrawal symptoms. 0:06 You introduced yourself. Aggression C. disulfiram C. Self-harm B. Parental alcohol abuse used the therapeutic technique of giving information. 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?" The nurse needs to work with the patient to address consequences of "we need to explore what makes you want to hit people when you are angry" D. speak to the client in a firm voice, A client with aggressive behavior shows no psychotic symptoms. B. Encouraging questions and discussing the client's concerns "I am here so we can talk about what is making you angry" Which nursing diagnosis would be the priority? D. cutting body parts, Impulsivity is a characteristic of borderline personality disorder (BPD). C. "do you feel that you can manage your reactions with anger?" B. A. risk for injury related to effects of alcohol abuse 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. It was appropriate to ask the patient what was going on with him B. haloperidol C. inform client that the nurse is in charge of situation A. anxious You checked scene safety. C. Personal identity disturbance D. physical abuse, Which statement made by a client raises the greatest concern that the client may be experiencing relationship violence? B. rinse out the mouth immediately before chewing the gum D. Arrange for the client to be transferred to another unit. C. splitting Which response is most important for the nurse to make to this client? "his father physically abused his mother for years" You answered: Of all the concerns you have, which is the most upsetting to you? Which personality disorder best describes this client? Disturbed thought process ), borderline personality disorder is categorized as a Cluster B disorder. to feelings. B. odd 3,4 - methylendedioxymethamphetamine B . B. provides a form of aversion therapy A. Splitting What is the possible explanation for such a finding? D. the support the client has at home for taking medications, While discussing the CNS, the nursing instructor tells the students that the major inhibitory neurotransmitter in the CNS is what? The patient said: No. 0:48 You asked the patient: Can you tell me a little bit more about what's going on What request of the patient being assessed for possible alcohol withdrawal should the nurse make to determine the presence of tremors? The patient said: Sometimes I wake up in the morning and I can't remember, things. A client with a blood alcohol level of 0.20 mg% is at high risk for injury related to the impairment of which function? E. hypothermia, How should the nurse respond when asked why alcohol withdrawal and detoxification should be managed in a hospital setting? A. remind him frequently that the signs and symptoms will lessen in severity The nurse understands that which of the following is the primary behavioral characteristic of this cluster of disorders? to you? 7:32 You asked the patient: How do you understand your problems? C. "I need to feel that everyone admires me" When implementing this therapy, which should occur first to promote optimal effectiveness? Practice NCLEX Questions from the Book! 11:36 You said: Who am I? What symptoms would the nurse expect to find in this client? 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. Difficult temperament A. development of a therapeutic relationship Which healthcare professional should the nurse contact to collect evidence of the assault? Classify the given expenditure as a capital expenditure or an immediate expense related to machinery: Motivational Which of the following statements by the newly licensed nurse indicates an understanding of the teaching? 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. 2021-22, Toaz - importance of kartilya ng katipunan, 324069444 Introduction to Mastering Chemistry, Is sammy alive - in class assignment worth points, 1-2 short answer- Cultural Object and Their Culture, Carbon Cycle Simulation and Exploration Virtual Gizmos - 3208158, Leadership class , week 3 executive summary, I am doing my essay on the Ted Talk titaled How One Photo Captured a Humanitie Crisis https, School-Plan - School Plan of San Juan Integrated School, SEC-502-RS-Dispositions Self-Assessment Survey T3 (1), Techniques DE Separation ET Analyse EN Biochimi 1, Blessing-Rieman College of Nursing & Health Sciences. ", A client in the emergency department has self-inflicted wounds on both arms. technique of using denial. The cell Anatomy and division. B. diazepam Which intervention would be most appropriate at this point? B. hostility B. A. The patient said: It is Which is the nurse trying to prevent? maintain your own safety. (select all that apply) 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. These are questions I ask all of the patients I see. A . C. extreme confidence It was correct to check scene safety in order to maintain your own safety. . B. valproate The most serious consequence of behaviors seen in borderline personality disorder includes what? Despite being employed, the client verbalizes having low quality of life due to anxiety and isolation. 8 terms. Which would the nurse include in the education plan for this client and family? Which is an appropriate nursing action? A. patient reports ringing in his ears D. carbamazepine, A nurse is providing teaching to the family of a client who has a substance use disorder. B. dopamine B. Impulsivity Andrew Davis- vSim Scenario Steps Preview 1 out of 4 pages Getting your document ready. C. hypotension C. hallucinations A. experiencing tactile disturbances C. display increasing motor activity B. offer fluids and nourishing diet as tolerated His wife said this was, Patient is a 10-year-old female with diagnosed ADHD who was started on Ritalin 5 mg twice a day over 2 months ago. You asked the patient: Do you have any pain? C. lead to aggression and violence 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. However, the dietitian will ensure that you don't get too many calories in your diet" A. constructive anger discussion The client is shouting, screaming, hitting others and throwing objects. B. a history of taking these types of medications You asked the patient: Is it OK for your family to be here, while we talk? The patient B. anger suppression C. practice assertiveness skills By cogdell memorial hospital ceo. B. reach out for the client's knife C. Promoting social ostracism of the client's exhibiting manipulation A. Which of the following personality characteristics associated with all of the personality disorders should the charge nurse include in the teaching? B. Borderline personality "most often, neither families nor friends are willing and capable of managing the patient during the withdrawal" A. Anxiety B. sexual A. VSim Computational Engine (Vorpal) Added Euler fluid solver allowing for neutral fluid to evolve in time. NUR 406: Exam Three. B. B. B. the way an individual reacts to situations and circumstances, over which he or she has little or no control 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. (select all that apply) C. Dissociation On which potential issue should the nurse focus with this client? C. methylphenidate B. discuss with the family the need to place the client in restraints 8:16 You said: Do you feel sick to your stomach? Andrew Davis VSIM, VSIM Guided Reflection and Documentation Assignments PACKAGE 2021 $ 26.96 $ 20.98 2x sold 3 items 1. Which class of medication is regularly prescribed to provide a gradual withdrawal from alcohol? 6:33 You asked the patient: Name an activity that you enjoy. A. have their needs met What question should the nurse ask to determine the effect of culture on the client's expression of anger? 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. lorazepam C. the client reports increased feelings of self-control The client also talks in a loud voice. The, You asked the patient: Do you have any pain? \nYou used the therapeutic technique of, You asked the patient: What other pain management strategies have you used. One of the most useful resource available is 24/7 access to study guides and notes. 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. receiving education and information about the medication love_ces_sylvain. A. A. allow the client to select preferred meal times A. the client has gained insight into situations that trigger anger 18 terms. B. give the client plenty of space 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. perceptions. D. escalation, The nurse is assessing a client who is aggressive. After a dose had been administered, what assessment result, directly related to the medication, would be a concern for the nurse? 41 Comments Please sign inor registerto post comments. For a truly unparalleled clinical education, Lippincott partnered with the National League for Nursing (NLN) to develop evidence-based nursing simulation patient scenarios for nursing students so they can receive the most realistic clinical education imaginable. A. post traumatic distress syndrome A. \nYou. Which assessment finding confirms that a patient is experiencing moderate alcohol withdrawal? B. his signs and symptoms will likely taper off in severity over the next 12 hours E. "can you discuss your feelings about your appearance? C. "make sure that another colleague knows where you are at all times" D. prepare to seclude the client, The nurses on a mental health unit are reviewing aspects of the unit environment in a staff meeting. questions? C. "she should participate in an Al-Anon group to help her recover" A. asking personal questions when they are inappropriate C. ask the client if the client feels triggered by another client in the group A. "methadone is a replacement for physical dependence to opioids" B. 143 terms. A. A. self-centeredness 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. diagnosis of alcohol use disorder. 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. The client has been in the psychiatric unit for 2 weeks and is scheduled to be discharged tomorrow. What clinical manifestations of alcohol withdrawal should the nurse expect him to demonstrate by 10 pm that night? (select all that apply) Which client response would indicate to the nurse that the client engages in anger suppression? A. stalking C. "if you don't calm down, I will need you to go to your room" C. ask the husband to discuss why he spends so much time with his friends "working with survivors of sexual trauma is very fulfilling work" 7:14 You asked the patient: Can you tell me what a desired outcome of treatment B. 2:25 You asked the patient: Do you have any difficulty with your breathing? 9:58 You said: Do you feel bugs crawling under your skin? Even though the client is not currently intoxicated, the client is combative and exhibits altered thought processes. A. orienting for time, place and person as needed in this hospital because my wife said I couldn't come home. C. "I know that nicotine gum is a safe alternative to smoking if I become pregnant" headache worse.\nYou answered: I appreciate how difficult it is to answer so The client tells the nurse that she is afraid she is going to gain weight. You asked if the patient had any known allergies. B. the client has increased self-esteem else? Exam (elaborations) - Vsim of nursing|mental health case: andrew davis guided reflection questions 4. A. orient the client frequently to time, place and person C. valproic acid A. 8 terms. 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. Students need to be C. angry outbursts You asked the patient: Over the past year, when did you feel your best? C. offer the client an antianxiolytic mediation B. diazepam The client continues to maintain a job and functions well in activities of daily living, relationships, and other aspects of social life. C. "I am sure your anger would be reduced by punching the pillows" vSim for Nursing | Mental Health Mental Health Case: Li Na Chen, Part 2 Documentation Assignments. (select all that apply) It's scary.\nYou answered: What are you concerned might happen? B. avoidant A. Introverted A. 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. Defending love_ces_sylvain. 6:18 You asked the patient: How would you describe your mood? e. Purchase price. C. "methadone can be used during opioid withdrawal and to maintain abstinence"