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C. catharsis D. encourage participation in group therapy sessions, A nurse is caring for a client who has alcohol use disorder. C. "she should participate in an Al-Anon group to help her recover" headache worse.\nYou answered: I appreciate how difficult it is to answer so C. incest Which healthcare professional should the nurse contact to collect evidence of the assault? C. place the client on a regular toileting schedule Andrew Davis Age: 56 years Diagnosis: Alcohol withdrawal syndrome Score 2 1 0 85% Feedback Log 0:00 Patient 0:00 You checked scene safety. Case - Vsim of nursing|mental health- andrew davis-feedback log 2. 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? Assessment reveals that the client was diagnosed with borderline personality disorder 6 months ago, for which the client has been receiving outpatient treatment. ), borderline personality disorder is categorized as a Cluster B disorder. A. 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. You asked the patient: Do you have any pain? C. Passive-aggressive personality Students should B. unemployed young woman who dropped out of high school 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?" A. orienting for time, place and person as needed B. gastritis and elevated liver enzymes "Temperament is malleable." A. C. "he doesn't like it when I go out with my girlfriends" The patient said: It is interviewing is a good intervention with alcohol use disorder as it promotes a B. encourage the client to engage in a relaxation exercise prior to joining the group for the rest of the session vsim andrew davis steps. Which of the following findings should the nurse expect? It was appropriate to ask the patient what was going on with him The patient said: I can't get rid of this headache.\nYou answered: A headache is a, normal symptom of alcohol withdrawal. Andrew Davis Age: 56 years Diagnosis: Alcohol withdrawal syndrome Score 2 1 0 85% Feedback Log 0:00 Patient 0:00 You checked scene safety. 15 years A. he is likely currently experiencing the peak of his signs and symptoms Everything is falling, apart!\nYou answered: Of all the concerns you have, which is the most upsetting. B. provides a form of aversion therapy B. Dependent B. substance abuse disorders B. Borderline personality C. Narcissistic C. "I usually approach the person directly to talk about it" A. increases the risk for seizure activity C. pancreatitis, esophagitis, gastritis, and elevated liver enzymes 6:26 You asked the patient: Have you lost interest in activities that you once enjoyed? A. Obsessive-compulsive personality disorder 2:25 You asked the patient: Do you have any difficulty with your breathing? D. clozapine, Aggression control can be measured by the nurse's observation of a client's ability to do what? A. place the client in a separate room B. dopamine You asked the patient: Over the past year, when did you feel your best? The caregiver of the client tells the nurse that the client is having an episode of Bouffe delirante. (select all that apply) B. assess and record heart rate every 4 hours D. Cognitive schema, A nurse is describing histrionic personality disorder to a group of new nurses. 10:44 You said: Does the light appear to be too bright? What is the best action for the nurse to perform? "relationship counseling can be very helpful" D. naltrexone "methadone reduces the unpleasant effects associated with abstinence syndrome" C. "I should practice limit-setting to help prevent client manipulation" A. motor vehicle accidents A. The client describes a long history of partner abuse associated with this relationship. "you will learn how to control your violent behavior" : 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. (select all that apply) B. physical aggression 0:48 You asked the patient: Can you tell me a little bit more about what's going on Identity diffusion B. establish consequences for purging behavior The patient said: No, never! 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. B. Difficult temperament C. ask the client if the client feels triggered by another client in the group B. B. avoidant D. young college graduate who recently gave birth to her first child, Which personality disorder would be placed in Cluster B? 10:07 You said: Are you more aware of sounds around you? Which is the primary guideline for the use of restraint and seclusion? Which condition was the client likely experiencing? A. 7:29 The patient said: I don't think any of this is going to work; it's a waste of 9:17 You said: Have you vomited? E. blames others for his past and current problems, A charge nurse is preparing a staff education session on personality disorders. B. risk for self-mutilation related to alcohol withdrawal and altered thought processes A. receiving education and information about the medication You used the therapeutic technique of focusing. C. "if you don't calm down, I will need you to go to your room" B. admitting to visual hallucinations \nYou used the nontherapeutic questions? You washed your hands. A. implement seizure precautions (select all that apply) 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. D. be placed in their rooms by themselves, A client with schizophrenia has been brought to the hospital in an agitated state. 18 years D. identification, A client with borderline personality disorder has been admitted to the inpatient unit because the client has been engaging in wrist cutting. The, You asked the patient: Do you have any pain? The client is shouting, screaming, hitting others and throwing objects. C. catharsis of anger The patient said: No, not really. interventions;/p>lt;p>Alcohol use disorder is a disease that requires treatment. 0:06 You introduced yourself. ", Which staff behaviors are most likely to trigger clients who are predisposed to aggressive or violent behavior? D. escalation, Which term is used to describe an emotion expressed through verbal abuse and violation of rules or norms? "methadone is a replacement for physical dependence to opioids" C. postcrisis 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. Which medication should the nurse expect to be ordered for this client? A. request a routine anti-anxiety medication for the client the 26th. A. scurvy C. "this medication maintains your blood pressure at a normal level during alcohol withdrawal" C. women express sadness instead of anger while facing unjust situations A. C. middle-aged, wealthy businessman You asked the patient: Where is your pain located? The nurse should instruct the client to monitor for which of the following adverse effects? D. escalation, The nurse is assessing a client who is aggressive. "while taking this medication, I should keep a pack of sugarless gum" A. Antisocial personality disorders, as well as their world view of alcohol. (select all that apply) We're available through e-mail, live chat and Facebook. B. belief in the ability to become invisible during times of stress Which of the following medications should the charge nurse include in the discussion? A . B. the diagnosis of personality disorders is extremely difficult because the individual doesn't acknowledge the illness B. haloperidol Which aspect of this behavior is most likely to cause problems for the patient? 8 terms. C. 4 months B. splitting A. validation C. "I can expect some diarrhea from taking this medicine" "I will need to stop using the nicotine gum after 1 year" It's just too loud in here, if that's what you mean. A. catharsis Just all of these questions. Terms of Use 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. C. Invalidating Projective The nurse is counseling a 28-year-old client with avoidant personality disorder. Which of the following is appropriate for the nurse to include in the presentation? Which assessment finding confirms that a patient is experiencing moderate alcohol withdrawal? A. healthcare provider on call C. "make sure that another colleague knows where you are at all times" Attention seeking Anna Maria. A. A. acetylcholine What is the nurse's most appropriate response to the client's comment? What symptoms would the nurse expect to find in this client? C. neurontin to addiction. You used the therapeutic technique of formulating a plan of action. Which of the following questions should the nurse include in the assessment? safety;/p>lt;p>There is not a defined amount of alcohol that designates a \nYou used the therapeutic technique of translating "he was so much nicer when we started dating" The client has an unsteady gait, myopathy, and neuropathy and cannot remember past or recent events. B. diazepam D. mood disorders, A nurse manager is discussing the care of a client who has a personality disorder with a newly licensed nurse. 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. Using concepts from assertiveness training and effective communication techniques, the nurse implements which intervention after hearing the wife's remarks? However, the diagnosis of substance use disorder is more focused on functional think I'm nuts?!? D. Dissociation, Gambling, binge eating, and engaging in unsafe sex are examples of what? time.\nYou answered: Are you saying treatment is not going to work for you at D. identification of measures to disrupt the anger response, The nurse is caring for a client with dementia who has become increasingly agitated. B. hypokalemia B. Psychopath B. B. women are expected not to express so-called negative feelings like anger Which of the following personality characteristics associated with all of the personality disorders should the charge nurse include in the teaching? Which therapeutic goals does the nurse establish as priority? B. client's primary care provider 7:03 You asked the patient: Do you have any thoughts or wishes to harm anybody Which would the nurse identify as one of the strongest risk factors for this disorder? 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. C. GABA Even though the client is not currently intoxicated, the client is combative and exhibits altered thought processes. 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. falls D. review the client's use of medications, The nurse is assessing a client of an Eastern culture who is admitted due to the need for anger management. Aggression diagnosis of alcohol use disorder. 0:06 You introduced yourself. B. odd A. culture is not a consideration when evaluating behaviors associated with personality disorders B. escalation B. diazepam When implementing this therapy, which should occur first to promote optimal effectiveness? You identified the patient. The patient said: None. 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. bupropion to get an understanding of this. A. 30 terms. E. "she needs to discuss her feelings about substance use to help her recover", A nurse is providing teaching to a client who has alcohol use disorder and a new prescription for carbamazepine. Added hybrid fluid solver allowing electrons to be treated as a fluid, while ions are kinetic. than anyone else.\nYou answered: What are your feelings about your drinking? B. 2:29 You asked the patient: Do you have any pain? cravings and difficulty stopping the use of the substance. How do generally accepted accounting principles (GAAP) differ from the laws of mathematics? A. C. the number of other medications the client is taking Which response by the nurse would be most appropriate? Randy Adams prequiz Vsim. A. You are making my D. cerebellum 2:36 You asked the patient: How would you rate your pain, on a scale of 0 to 10? \nYou rsmb143. D. claiming to be more important than other persons Which phase of the aggression cycle is this client experiencing? 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. A. crisis D. lying, A client with a history of angry outbursts that have caused interpersonal and work problems has been in counseling for several months. B. carbamazepine B. providing the client with a list of possible goals for behavior change A. demonstrates extreme anxiety when placed in a social situation The patient said: Which term should the nurse use to describe this drinking behavior? "eliminating any codependent behavior will promote her recovery" C. angry outbursts Just Tylenol. C. hallucinations Which of the following actions should the nurse identify as the priority? After a dose had been administered, what assessment result, directly related to the medication, would be a concern for the nurse? E. ensure availability of assistance, The nurse is caring for a client with rheumatoid arthritis. B. recovery B. ask the wife to provide details about what she means by "all his time" B. A. Splitting 8:16 You said: Do you feel sick to your stomach? D. "you may experience noticeable weight gain while taking this medication", A nursing instructor is reviewing the various biologic theories related to the etiology of depression. E. "can you discuss your feelings about your appearance? However, the dietitian will ensure that you don't get too many calories in your diet" Denial is a common defense mechanism, as is the cycle of abuse, remission, and D. "why do you think I am not being respectful to you? The patient said: No, it's just light. Which clinical manifestations confirm that a patient is experiencing Stage I (mild) of alcohol withdrawal syndrome? It helped me a lot to clear my final semester exams. 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? "one of the side effects of this medication is breast engorgement" C. white blood cell count B. 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. A. appropriate to ask the patient about when he felt his best. (select all that apply) B. reach out for the client's knife C. keep SpO2 probe at bedside "I've put the incident behind me and seldom think of it" Add to Cart. Direct the client to another staff member when the client tries to interact. B. has difficulty making even simple decisions symptom of alcohol withdrawal. The patient said: No. D. The client will form a romantic relationship. Abuse as a child These are questions I ask all of the patients I see. (select all that apply) C. "I've been supported by health care professionals and now I want to support other survivors" C. Promoting social ostracism of the client's exhibiting manipulation B. What is the nurse's best response? 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? Mr. Davis reported having consumed his last drink around 4 pm, and he was admitted to the facility's detoxification unit shortly thereafter. The activation of the dopamine reward system is a primary source of C. pessimism vsim mental health case: andrew davis documentation assignments document your findings related to the focused assessment of mr. alcohol withdrawal symptoms. 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? The patient said: I like C. Mania Which response is most important for the nurse to make to this client? (select all that apply) B. I just don't want to eat. (select all that apply) \nYou used the therapeutic technique of focusing. What request of the patient being assessed for possible alcohol withdrawal should the nurse make to determine the presence of tremors? C. "I need to feel that everyone admires me" "I've been known to fly off the handle when I'm angry" C. the client reports increased feelings of self-control My mood would be better if I was home. Motivational The client has been in the psychiatric unit for 2 weeks and is scheduled to be discharged tomorrow. University Of Arizona Company Registration Number: 61965243 Which of the following information should the nurse include in the teaching? Andrew Davis- vSim Scenario Steps Preview 1 out of 4 pages Getting your document ready. and relationship challenges secondary to the use of the substance, as well as NY Times Paywall - Case Analysis with questions and their answers. A. stalking A. Which communication technique is the nurse utilizing with this statement? D. blood pressure of 154/90 mm Hg, What characteristic behavior demonstrated by Mr. Davis is associated with stage III withdrawal symptoms? B. sexual allison041996. A. Splitting 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! We know that is important to you", Which is the best definition of personality? The client will experience increased self-esteem. A. lorazepam to you? B. a history of taking these types of medications "I should avoid eating right before I chew a piece of nicotine gum" A. David Smith. D. Exuberant. "please do not damage the hospital's property" It's scary.\nYou answered: What are you concerned might happen? A. flexible unit rules 6:56 You asked the patient: Have you ever tried to harm or kill yourself? 3. It was C. Ask the parents to keep a written schedule of activities for each day for the client 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. can be dangerous to your overall health. D. hesitance to talk openly, Which is a pattern of repeated unwanted contact, attention and harassment that often increases in frequency? C. "Sometimes they do it to avoid the onslaught of delusional thinking." C. Dissociation Course Hero is not sponsored or endorsed by any college or university. B. intentional risk taking B. dopamine \nYou. The doctor is bad, too, but the therapist is good." allison041996. A client says, "I'm feeling really tense, and I'm fidgety today." Defending There are guidelines for low-risk use of A. cytokines B. confusion Which of the following statements by the newly licensed nurse indicates an understanding of the teaching? The nurse judges the plan of care to be effective when which outcome is met? B. 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. B. pons e. Purchase price. Which of the following responses should the nurse make? 120 minutes B. A. anger Report Copyright Violation $12.99 Add to cart Add to wishlist Seller Follow NorthWest Member since 1 year 339 documents sold Reviews received 52 7 3 3 3 Send Message Uploaded on November 2, 2022 Number of pages 4 Written in 2022/2023 Type Case Professor (s) - B. personality disorders result in behaviors that consistently deviate from those considered culturally acceptable Report Copyright Violation beststudy Uploaded on November 11, 2020 Number of pages 5 Written in 2020/2021 Type Case Professor (s) Prof Grade A+ All documents for this subject (1) The benefits of buying summaries with Stuvia: C. practice assertiveness skills C. inform client that the nurse is in charge of situation A. bradycardia B. You asked the patient: Where is your pain located? Practice NCLEX Questions from the Book! "most often, neither families nor friends are willing and capable of managing the patient during the withdrawal" B. rape Ask the parents how they have coped with the client's behaviors over the years ", Which term is used to describe an activity used to release anger? 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!" Which of the following information should the nurse include in the teaching? The client says, "the nurse on the evening shift is always nice! A. tolerance break E. encourage the client to talk about this situation, A client has lost emotional and physical control. D. Paranoid personality disorder. C. educate the client on the effects of clonidine Which would the nurse include in the education plan for this client and family? It was correct to check scene safety in order to Which of the following statements by the client indicates an understanding of the teaching? VSIM OF NURSING MENTAL HEALTH-ANDREW DAVIS CASE STUDIES PACKAGE $ 97.45 $ 40.89 5 items 1. "why do you want to lose weight?" (select all that apply) had with friends or family with substance use disorder will affect these C. "do you feel that you can manage your reactions with anger?" The patient said: C. observe the client for nonverbal indicators The nurse should plan to assess the client for symptoms of which mental health condition? A. malnourishment unrelated to illness 2. (select all that apply) The patient said: No. C. Narcissistic personality disorder D. talking excessively with the client in front of other clients, The nurse is counseling a client couple who are trying to reconcile and hold their marriage together. A. post traumatic distress syndrome B. tolerance What should be the nurse's response to this behavior? The client continues to maintain a job and functions well in activities of daily living, relationships, and other aspects of social life. D. Impulsivity, Which would be the priority nursing diagnosis for a client diagnosed with borderline personality disorder (BPD)? 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. B. assessing for auditory and visual hallucinations frequently 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? with this diagnosis;/p>lt;p>Alcohol withdrawal has physical symptoms that D. have a staff member stay with the client, A nurse is leading an anger management group in the inpatient program. A. criticizing C. undoing 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. 8 terms. B. Impulsivity C. disulfiram B. blackout B. avoidance of stimuli that provoke the anger \nYou The nurse understands that which of the following is the primary behavioral characteristic of this cluster of disorders? Which safety measures must the nurse ensure are in place prior to continuing the assessment? "life isn't worth living if I gain weight" "I've always had good results with medications" Michaela_Marcello. itching. Which statement made by a student demonstrates a need for further instruction? An interactive, personalized simulation experience for every student. You answered: Of all the concerns you have, which is the most upsetting to you? B. egocentricity Exam (elaborations) - Vsim of nursing|mental health case: andrew davis guided reflection questions 4. Andrew Davis vSim Scenario Steps: You checked scene safety. It is C. "Temperament seen in infancy is often seen later in life." A. diarrhea What clinical manifestations of alcohol withdrawal should the nurse expect him to demonstrate by 10 pm that night? A. 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). . you saying you feel anxious? used the therapeutic technique of seeking clarification. C. eccentric \nYou used the therapeutic technique of B. revictimization A. Passive-aggressive E. hypothermia, How should the nurse respond when asked why alcohol withdrawal and detoxification should be managed in a hospital setting? A. anxious When treated with thiamine, the client's symptoms greatly improve. 11:42 You said: Is the light's color different? 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C. implement seizure precautions Docmerit is a great platform to get and share study resources, especially the resource contributed by past students and who have done similar courses. C. Sociopath A. - fibers, Select the correct description of a somatoform disorder. love_ces_sylvain. Identity diffusion School Harvard University Course Title NURSING HEALTH ASS Uploaded By ConstableEchidnaMaster1985 Pages 7 this time? C. sexual assault nurse examiner 68 terms. D. delirium, The nurse should consider which as a possible indicator of child neglect? C. borderline personality disorder "Temperament is not changeable."