Northwestern University B. What clinical manifestations of alcohol withdrawal should the nurse expect him to demonstrate by 10 pm that night? D. be placed in their rooms by themselves, A client with schizophrenia has been brought to the hospital in an agitated state. B. ask colleagues to contact hospital security for support 9:41 You said: Have you had any pins and needles sensations? B. The nurse would be correct in identifying which neurotransmitter decreased in this disease? C. "would you describe your current eating habits?" C. behaviors and beliefs that are present and acted on from an individual's birth D. results in mild hypertension, A charge nurse is planning a staff education session to discuss medications used during the care of a client experiencing alcohol withdrawal. 41 Comments Please sign inor registerto post comments. C. mottling of the skin The patient said: No. B. Experiences students may have A. personality disorders are diagnosed in early adulthood, when personality formation is complete 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 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. Despite being employed, the client verbalizes having low quality of life due to anxiety and isolation. C. client self-monitoring for anger cues C. keep SpO2 probe at bedside "life isn't worth living if I gain weight" C. offer the client an antianxiolytic mediation B. Avoidant personality disorder questions? C. "I am sure your anger would be reduced by punching the pillows" "alcohol withdrawal can be life-threatening and thus requires care provided by trained staff" C. educate the client on the effects of clonidine C. disoriented by more than 2 calendar days B. valproate Exam (elaborations) - Vsim of nursing|mental health case: andrew davis guided reflection questions 4. 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. 3,4 - methylendedioxymethamphetamine B . I just don't want to eat. B. Docmerit is super useful, because you study and make money at the same time! D. near continuous pacing Which class of medication is regularly prescribed to provide a gradual withdrawal from alcohol? The patient said: No. this time? B. bupropion Other sets by this creator. B. 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! (select all that apply) What should be the nurse's response to this behavior? alcohol: for men, this means 4 or fewer standard drinks on any single day and There are guidelines for low-risk use of D. imipramine, A cuban American client has been prescribed an antipsychotic medication. B. B. D. carbamazepine, A new nurse asks the nurse manager about the best intervention to use when trying to de-escalate a potentially violent client. (select all that apply) The patient said: Not really sick to 7:32 You asked the patient: How do you understand your problems? C. disulfiram Deliver instant online access, immersing students in virtual simulation wherever they prefer. C. paranoid (select all that apply) A. diagnosis of alcohol use disorder. 0:43 You identified the patient. "Sometimes the self-injurious behavior is undertaken to relieve stress." You answered: Of all the concerns you have, which is the most upsetting to you? said: No. How should the nurse handle this situation? D. Impulsivity, Which would be the priority nursing diagnosis for a client diagnosed with borderline personality disorder (BPD)? A. post traumatic distress syndrome B. A. Splitting "will your mother be available to help administer this medication for you?" C. "she should participate in an Al-Anon group to help her recover" withdrawal symptoms. 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. 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. D. cutting body parts, Impulsivity is a characteristic of borderline personality disorder (BPD). The After a dose had been administered, what assessment result, directly related to the medication, would be a concern for the nurse? A. use should be limited to times when a client has demonstrated violence and has inflicted harm to self or others symptom of alcohol withdrawal. C. the client reports increased feelings of self-control Andrew Davis Vsim - Docmerit B. C. diagnosis involves identifying significant impairment in forming self-confidence and appropriate self-esteem Which is an appropriate nursing action? B. Parental alcohol abuse 8:16 You said: Do you feel sick to your stomach? 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? C. methylphenidate used the therapeutic technique of giving information. Company Registration Number: 61965243 (select all that apply) A client with a blood alcohol level of 0.20 mg% is at high risk for injury related to the impairment of which function? The nurse identifies that the client may have which style of anger expression related to this incident? you are the meanest nurse ever!" B. panic disorder Defending May I ask you these, The patient said: Why are you asking me so many questions? Ask the parents how they have coped with the client's behaviors over the years vsim andrew davis steps - HAZ Rental Center Which is the nurse trying to prevent? Instructing the staff to enforce all unit rules consistently you are feeling to help me better understand how together we can start to plan It was May I ask you these C. disulfiram C. Sociopath Which of the following statements by a family member indicate an understanding of the teaching? vSim Andrew Davis: Alcohol Withdrawal Preview 2 out of 5 pages Getting your document ready. D. claiming to be more important than other persons Using concepts from assertiveness training and effective communication techniques, the nurse implements which intervention after hearing the wife's remarks? We're available through e-mail, live chat and Facebook. (select all that apply) A. C. monitor facial expressions B. splitting to addiction. A. malnourishment unrelated to illness Andrew Davis has recruited technical content developers in the SF Bay Area since 1995. B. Denial is a common defense mechanism, as is the cycle of abuse, remission, and A. amenorrhea When treated with thiamine, the client's symptoms greatly improve. The most serious consequence of behaviors seen in borderline personality disorder includes what? 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. 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. I have already answered a lot of questions. 6:49 You asked the patient: Do you have any thoughts or wishes to harm or kill D. "you need to confront the client to show you are in charge", A client is attending anger management class and wants to know how the class will help. B. 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. 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. The patient said: Sometimes I wake up in the morning and I can't remember, things. A. Antisocial personality A. D. Lacking empathy, Based on psychological theories, which is believed to be critical to understanding personality disorders? B. fewer standard drinks on a single day and fewer than 7 drinks in a week. It helped me a lot to clear my final semester exams. . He makes me want to hurt him back." "what is your relationship like with your family?" A. development of a therapeutic relationship patient said: No. things. C. "it will help you to learn how to control the arousal of anger" B. blackout What term refers to the collection of symptoms that are associated with untreated alcohol withdrawal? C. postcrisis can be dangerous to your overall health. E. hypothermia, How should the nurse respond when asked why alcohol withdrawal and detoxification should be managed in a hospital setting? 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. C. women express sadness instead of anger while facing unjust situations A. Anxiety over use. and relationship challenges secondary to the use of the substance, as well as The symptoms can be mild \nYou A. - fibers, Select the correct description of a somatoform disorder. love_ces_sylvain. vSim Pre Simulation Quiz - Linda Waterfield. Seizures - These are waves of abnormal electrical activity in the brain. A. administer the clonidine on the prescribed schedule Which of the following information should the nurse include in the teaching? I find Docmerit to be authentic, easy to use and a community with quality notes and study tips. Ketamine C . "why do you want to lose weight?" 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? Which would the nurse identify as one of the strongest risk factors for this disorder? C. Discuss the feelings with a colleague to promote coping. B. try to clarify what has upset the client Now is my chance to help others. It was. The client has a history of gastritis, esophagitis, elevated liver enzymes, cardiomyopathy, and pancreatitis. (select all that apply) 10:44 You said: Does the light appear to be too bright? C. hypothalamic axes D. naltrexone Terms of Use Which of the following statements by the newly licensed nurse indicates an understanding of the teaching? The patient said: A. obtain a thorough client history Assessment reveals that the client was diagnosed with borderline personality disorder 6 months ago, for which the client has been receiving outpatient treatment. 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? A. shout and let the client know that this behavior is not tolerated used the therapeutic technique of seeking clarification. andrew davis vsim steps.docx - Aug 26, 2022 6:55 PM Andrew 0:00 You checked scene safety. The client has an unsteady gait, myopathy, and neuropathy and cannot remember past or recent events. think I'm nuts?!? (select all that apply) What is the nurse's most appropriate response to the client's comment? B. offer fluids and nourishing diet as tolerated C. extreme confidence 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. 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. D. identification of measures to disrupt the anger response, The nurse is caring for a client with dementia who has become increasingly agitated. "methadone is a replacement for physical dependence to opioids" The nurse should recognize the client's statement as an example of which of the following defense mechanisms? 0:06 You introduced yourself. D. dramatic, Which long-term patterns are consistent with a diagnosis of borderline personality disorder? As he moves into Stage II (24 to 72hours) and then into Stage III (after 72 hours), what behaviors should be assessed for and what safety measures should be initiated? A. teach the client to make "I" statements Add to Cart. You asked if the patient had any known allergies. 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. You asked the patient: Where is your pain located? VSIM OF NURSING MENTAL HEALTH-ANDREW DAVIS CASE STUDIES PACKAGE $ 97.45 $ 40.89 5 items 1. During therapy the wife states, "he makes me so mad when he spends all his weekend time with his friends instead of us. C. provide the client with a high-fat diet at the start of treatment 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. 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 . "what happens when you get angry?" The doctor is bad, too, but the therapist is good." A. recovery Which term should the nurse use to describe this drinking behavior? Which of the following findings should the nurse expect? "this medication will help prevent seizures during alcohol withdrawal" B. Borderline personality rsmb143. A. older adults require higher doses of a substance to achieve a desired effect A. A. regression A. culture is not a consideration when evaluating behaviors associated with personality disorders B. his signs and symptoms will likely taper off in severity over the next 12 hours Other sets by this creator. B. sexual VSim Computational Engine (Vorpal) Bug Fixes Visual Setup Bug Fixes New and Updated VSim 8.2 Features VSim Computational Engine (Vorpal) VSim Graphical User Interface (VSimComposer) VSim Macros and Translator Other Known Issues in VSim 8.2 New and Updated VSim 8.1 Features VSim Computational Engine (Vorpal) VSim Examples VSim Macros and Translator B. The client will experience increased self-esteem. C. "I've been supported by health care professionals and now I want to support other survivors" These are questions I ask all of the patients I see. E. "can you discuss your feelings about your appearance? "Self-injurious behavior often calms and sedates people with this diagnosis." "eliminating any codependent behavior will promote her recovery" B. C. catharsis of anger The nurse demonstrates understanding of the information by identifying which structures as components of the brain stem? D. Dissociation, Gambling, binge eating, and engaging in unsafe sex are examples of what? The client says, "the nurse on the evening shift is always nice! B. the way an individual reacts to situations and circumstances, over which he or she has little or no control 1:04 The patient said: I don't think I can keep this up anymore. 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. triggering Everything is falling apart! C. white blood cell count 18 terms. A. What is the priority nursing diagnosis for this client? A. mood and affect A. have their needs met 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? It was correct to check scene safety in order to You asked the patient: Can you tell me a little bit more about what's going on with you. used the therapeutic technique of seeking clarification. B. a history of taking these types of medications B. reduced use of restraints D. Impulsivity, Clients with borderline personality disorder (BPD) are usually admitted to the inpatient setting because they exhibit what? B. anxiety disorders 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. Kingman Academy Of Learning - High School, mental health vsim andrew davis pre quiz.pdf, VSIM ANDREW DAVIS PRE QUESTIONS STUDENT COPY.pdf, Clinical Replacement Packet Andrew Davis.docx, Feedback Log & Score Andrew DavisJul 05, 2022 6-40 PM.pdf, Leatherbury_Chen VSim Part 1 DA_Sayre.docx, Nonparenteral Meds.Student Version.Spring 2020.docx, Also note that by taking up the insurance she avoids the risk of the loss of 36, among the panelists He prepares the questionnaire and sends it to the panelist, Empowerment of different levels of personnel to resolve complaints disputes, A variable A can be controlled B does not change over the course of the, Thanks Ben this is fun and profitable Travis Giggy Hey Ben your Street Smart, either increased or decreased is to add a downward sloping demand curve on, RAV4 EM03T0U 197 QL1 20 QL1 10 E3 EL1 EL1 3 4 1 IH 18 IA 4 ACT 3 IH 17 IH 8 IA 3, Market description and analysis irfan.docx, You could also consider focusing on particular categories of food products The, QUESTION 584 The string or 11 Represents which of the following A Bluejacking B, TestOut LabSim print close modal 10.2.7 Practice Questions.pdf, Select the option that is reective of the Pont du Gard A circular disk on top, 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? A. 143 terms. Symptoms of alcohol withdrawal begin within what time period after the cessation or marked reduction of alcohol intake by the chronic alcohol drinker? E. ensure availability of assistance, The nurse is caring for a client with rheumatoid arthritis. B. establish consequences for purging behavior Why are you asking me so many questions? C. "Temperament seen in infancy is often seen later in life." Which of the following statements by the client indicates understanding of the teaching? B. C. Narcissistic "I've put the incident behind me and seldom think of it" Difficult temperament C. "this medication maintains your blood pressure at a normal level during alcohol withdrawal" Andrew Davis VSIM, VSIM Guided Reflection and Documentation Assignments PACKAGE 2021 $ 26.96 $ 20.98 2x sold 3 items 1. e. Purchase price. itching. C. "I need to feel that everyone admires me" C. The client will engage in less risk-taking behavior 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? The patient said: Seven. priority in the patients life, to the exclusion of family, work, self-care, and often Karen. A. pancreatitis and elevated liver enzymes We know that is important to you", Which is the best definition of personality? C. undoing You checked scene safety. C. therapeutic relationship A. the client has gained insight into situations that trigger anger D. Paranoid personality disorder. Upon entering the client's room, the nurse finds the the client is very angry and is punching pillows to express the anger. 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. Dissociation D. Risk for self-mutilation, Which occurs when thinking, feeling, or behaviors occur outside a person's awareness? A. than anyone else.\nYou answered: What are your feelings about your drinking? use that makes some patients more susceptible to having diminished self-control D. "you are not overweight, and the staff will ensure that you do not gain weight while you are in the hospital. It provides faculty with ideas to integrate vSim into existing curricula and offers ways to develop and/or enhance current teaching strategies. "most often, neither families nor friends are willing and capable of managing the patient during the withdrawal" D. emotional dependency, In clients who do not completely recover from being victimized by rape, which mental illness is most likely to develop? The assessment of the client's thought process and content would allow the nurse to identify what? D. abdominal pain B. assess and record heart rate every 4 hours Poor social skills \nYou. clarify their own feelings and values related to individuals with substance use A. explore what is underlying the client's physical and emotional state 30 terms. The patient. C. "do you feel that you can manage your reactions with anger?" D. intoxication, The nurse is performing a history and physical examination on a client with chronic alcoholism. collaborative approach rather than a patriarchal/matriarchal approach to care. 6:12 You asked the patient: Please tell me what today's date is. D. unstable personal relationships The nurse is counseling a 28-year-old client with avoidant personality disorder. D. "do you have any questions about why you are taking this medication? A. crisis B. anger suppression B. women are expected not to express so-called negative feelings like anger Lab Values (Normal Ranges) Med Surg 1. 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. The activation of the dopamine reward system is a primary source of answered: Mr. Davis, no one here is loud. A. Obsessive-compulsive personality disorder D. Stress, A client with borderline personality disorder (BPD) tells the nurse, "You are good but the nurse on the afternoon shift is bad. C. risk for other-directed violence related to alcohol withdrawal choose the best answer C. display increasing motor activity (select all that apply) (select all that apply) C. "I understand you have concerns about your weight, but first, let's talk about your recent accomplishments" 2:15 The patient said: Sometimes I wake up in the morning and I can't remember However, the diagnosis of substance use disorder is more focused on functional The patient said: My appetite has been about the same. B. reach out for the client's knife vsim andrew davis steps - Narmadakidney.org else? D. Exuberant. vSim for Nursing | Mental Health - LWW A. mindfulness Everything is falling, apart!\nYou answered: Of all the concerns you have, which is the most upsetting. 2:29 You asked the patient: Do you have any pain? 10:23 The patient said: Why is everyone so loud? 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. How should the nurse respond to this client? 0:43 You identified the patient. The patient said: Yes, I have some, You asked the patient: How would you rate your pain, on a scale of 0 to 10? "you will learn how to control your violent behavior" 68 terms. 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. C. attempts to convince other clients to give him their belongings A. difficulty in getting along with other members of a group A. B. restrain the client C. middle-aged, wealthy businessman "remember to take this medication at the times we've discussed" C. Poverty Identity diffusion B. fine tremors of both hands B. rinse out the mouth immediately before chewing the gum D. hostility, The nurse working in a psychology clinic finds that suppression of anger is more common in women than in men. E. blames others for his past and current problems, A charge nurse is preparing a staff education session on personality disorders. in this hospital because my wife said I couldn't come home. Andrew Davis VSIM guided reflection.docx - Mental Health C. observing seizure precautions No. C. engaging in disputes over medication, supplies, or rules on the unit D. hypertension, A nurse is teaching a female client who has tobacco use disorder about nicotine replacement therapy. By cogdell memorial hospital ceo. C. neglect pain. A. he is likely currently experiencing the peak of his signs and symptoms D. identification, A nurse is assisting with a court-ordered evaluation of a client who has antisocial personality disorder. D. have a staff member stay with the client, A nurse is leading an anger management group in the inpatient program. It was correct to check scene safety in order to, You asked the patient: Can you tell me a little bit more about what's going on, with you today? Measure students' progress, identify weaknesses and deliver instant .