A. chlordiazepoxide A. stalking C. reflection patient said: No. B. blood urea nitrogen and creatinine 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. "We need to understand that she is responsible for her disorder" What question should the nurse ask to determine the effect of culture on the client's expression of anger? A. C. sexual assault nurse examiner Which response is most important for the nurse to make to this client? ", Which term is used to describe an activity used to release anger? The class also includes a review of the anatomy and physiology of the neurological system. A. anxiety C. "I need to feel that everyone admires me" B. Splitting C. hallucinations D. institute falls precautions The vSim for Nursing | Mental Health solution features the following virtual patient simulation scenarios, authored by the National League for Nursing: Andrew Davis: Alcohol Withdrawal David Carter: Schizophrenia, Part 1 David Carter: Schizophrenia, Part 2 George Palo: Adjustment Disorder with Depressed Mood C. engaging in disputes over medication, supplies, or rules on the unit 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. However, the diagnosis of substance use disorder is more focused on functional Disturbed thought process B. Dissociation Withdrawal Assessment, or CIWA. perceptions. 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. 0:06 You introduced yourself. 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. itching. 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. June 16, 2022. D. claiming to be more important than other persons A. The patient said: I can't get rid of this headache.\nYou answered: A headache is a, normal symptom of alcohol withdrawal. A. "you may experience hypertension while taking this medication" The client tells the nurse that she is afraid she is going to gain weight. D. Functional attachments, A nurse is preparing a presentation for a group of staff nurses on personality disorders. B. diazepam B. older adults commonly use rationalization to cope with a substance use disorder 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. Which factor is most likely to decrease the severity of Mr. Davis's alcohol withdrawal signs and symptoms? 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?" Case - Vsim of nursing|mental health- andrew davis-feedback log 2. 7:32 You asked the patient: How do you understand your problems? D. encourage participation in group therapy sessions, A nurse is caring for a client who has alcohol use disorder. The patient said: Yes, I have some 18 terms. over use. used the therapeutic technique of giving information. Vsim Andrew Davis Mental Health. B. Borderline personality ", A client in the emergency department has self-inflicted wounds on both arms. "while taking this medication, I should keep a pack of sugarless gum" A. - fibers, Select the correct description of a somatoform disorder. A. experiencing tactile disturbances withdrawal symptoms. C. "methadone can be used during opioid withdrawal and to maintain abstinence" Devry University \nYou. D. lead to withdrawn and antisocial behavior, Which diagnosis is associated with a pervasive disregard for and violation of the rights of others? D. unstable personal relationships (select all that apply) A. anxious C. client self-monitoring for anger cues It was correct to check scene safety in order to maintain your own safety. \nYou used the nontherapeutic Dependent D. Impulsivity, Clients with borderline personality disorder (BPD) are usually admitted to the inpatient setting because they exhibit what? What should be the nurse's response to this behavior? D. carbamazepine, A new nurse asks the nurse manager about the best intervention to use when trying to de-escalate a potentially violent client. Which of the following statements indicates the client is experiencing the cognitive distortion of catastrophizing? Motivational C. undoing C. Passive-aggressive personality D. use of the gum is limited to 90 days, A nurse is discussing the use of methadone with a newly licensed nurse. A . C. attempts to convince other clients to give him their belongings Which would be most therapeutic when the client's parents come in to discuss discharge plans? Ketamine C . 3. During therapy the wife states, "he makes me so mad when he spends all his weekend time with his friends instead of us. "he was so much nicer when we started dating" D. imipramine, A cuban American client has been prescribed an antipsychotic medication. Document findings related to the screening of Mrs. Chen with the Hamilton Rating Scale for Depression. D. "I sometimes feel better if I cut myself", A nurse is caring for a client who has borderline personality disorder. Instructing the staff to enforce all unit rules consistently However, the dietitian will ensure that you don't get too many calories in your diet" \nYou. C. neglect Other sets by this creator. Which term would the nurse most likely use? 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. A. A. acetylcholine Which intervention would be most appropriate at this point? A. teach the client to make "I" statements 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? Identity diffusion vSim Andrew Davis: Alcohol Withdrawal Preview 2 out of 5 pages Getting your document ready. Which response would be most appropriate? collaborative approach rather than a patriarchal/matriarchal approach to care. C. "I understand you have concerns about your weight, but first, let's talk about your recent accomplishments" You introduced yourself. "Temperament is malleable." C. avoid eating 15 min prior to chewing the gum Anna Maria. C. "I should practice limit-setting to help prevent client manipulation" A. orienting for time, place and person as needed A. tolerance break D. The client will form a romantic relationship. "would you like to have your family come visit you in your room today?" 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. What is the nurse's most appropriate response to the client's comment? 19 terms. this time? Which of these conditions are attributable to the client's history of alcohol abuse? 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. 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. How should the nurse respond to this client? C. risk for other-directed violence related to alcohol withdrawal A. abuse 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. Which therapeutic goals does the nurse establish as priority? The client describes a long history of partner abuse associated with this relationship. A. constructive anger discussion Identity diffusion The patient said: No, I am not seeing or hearing things that are not there. The client also talks in a loud voice. Select the development time of symptoms in neuroleptic malignant syndrome. David Carter vsim questions. 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? 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. implement seizure precautions (headache, tremor) to severe (hallucinations, delirium tremens, seizures). addiction. B. appropriate to ask the patient about when he felt his best. Alcohol use disorder is a disease that carries social stigma. D. naltrexone with you today? 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. Include his responses to your assessment. What clinical manifestations of alcohol withdrawal should the nurse expect him to demonstrate by 10 pm that night? would be for you? D. near continuous pacing D. prepare to seclude the client, The nurses on a mental health unit are reviewing aspects of the unit environment in a staff meeting. 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. B. 1:51 The patient said: Why are you asking me so many questions? 15 years 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. University Of Arizona 2 months Which of the following medications should the charge nurse include in the discussion? (select all that apply) 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? 7:14 You asked the patient: Can you tell me what a desired outcome of treatment The assessment tool is called the Clinical Institute A. cardiac enzymes A. lorazepam The patient said: Why do you want to ask me The client will be able to accept a job promotion. Which of the following information should the nurse to include in the teaching? The 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. Case - Vsim of nursing|andrew davis mental health post-quiz 3. 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. "I try to discuss how I'm feeling about it with a close friend", The nurse is orienting a new staff member in an inpatient mental health unit when a client begins to act in a violent manner. B. sexual 2. C. Affective instability 6:41 You asked the patient: Can you tell me what you ate for breakfast? A. criticizing D. meneire's disease, A nurse must assess for characteristics that are predictive of violent behavior. The nurse would be correct in identifying which neurotransmitter decreased in this disease? E. ensure availability of assistance, The nurse is caring for a client with rheumatoid arthritis. A. 10:55 The patient said: The lights in here are too bright; they are hurting my e. Purchase price. \nYou B. Everything is falling, apart!\nYou answered: Of all the concerns you have, which is the most upsetting. love_ces_sylvain. D. Arrange for the client to be transferred to another unit. A. B. He makes me want to hurt him back." andrew davis vsim steps.docx - Aug 26, 2022 6:55 PM Andrew Davis Age: 56 years Diagnosis: Alcohol withdrawal syndrome Score 2 0 0 97% Feedback andrew davis vsim steps.docx - Aug 26, 2022 6:55 PM Andrew. D. "Temperamental differences among children can be observed very early in life. 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. 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. E. identifying triggers for alcohol consumption, A patient with a history of chronic alcohol abuse has begun to demonstrate signs and symptoms of delirium tremens (DTs).