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: A. -hydroxybutyrate D . Upon entering the client's room, the nurse finds the the client is very angry and is punching pillows to express the anger. 30 terms. 3,4 - methylendedioxymethamphetamine B . 6:56 You asked the patient: Have you ever tried to harm or kill yourself? 2:29 You asked the patient: Do you have any pain? B. risk for self-mutilation related to alcohol withdrawal and altered thought processes The nurse should instruct the client to monitor for which of the following adverse effects? C. Sociopath On which potential issue should the nurse focus with this client? C. threatening a victim's dog Which aspect of this behavior is most likely to cause problems for the patient? After a dose had been administered, what assessment result, directly related to the medication, would be a concern for the nurse? D. 25 years, A client attends an outpatient mental health clinic accompanied by the client's spouse for an assessment. D. Stress, A client with borderline personality disorder (BPD) tells the nurse, "You are good but the nurse on the afternoon shift is bad. D. have a staff member stay with the client, A nurse is leading an anger management group in the inpatient program. B. The patient said: My appetite has been about the same. When implementing this therapy, which should occur first to promote optimal effectiveness? Identity diffusion B. his signs and symptoms will likely taper off in severity over the next 12 hours 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. B. anger suppression The patient said: No, I am A client with a blood alcohol level of 0.20 mg% is at high risk for injury related to the impairment of which function? think I'm nuts?!? vSim Pre Simulation Quiz - Linda Waterfield. dysfunctional use of alcohol. 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? 9:52 You said: Have you had any numbness? Vsim Andrew Davis Mental Health. 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. lorazepam "will your mother be available to help administer this medication for you?" D. carbamazepine, A nurse is providing teaching to the family of a client who has a substance use disorder. Include his responses to your assessment. "I can promote my client's sense of control by establishing a schedule" B. egocentricity The patient said: No, I am not seeing or hearing things that are not there. D. request the presence of additional staff Just Tylenol. B. impulsivity A. C. diagnosis involves identifying significant impairment in forming self-confidence and appropriate self-esteem B. A. orient the client frequently to time, place and person B. Psychopath A. Which would be most therapeutic when the client's parents come in to discuss discharge plans? C. display of defense mechanisms when routines are changed How should the nurse handle this situation? Which factor is most likely to decrease the severity of Mr. Davis's alcohol withdrawal signs and symptoms? This activation can be so overpowering that the alcohol becomes the Select the development time of symptoms in neuroleptic malignant syndrome. B. belief in the ability to become invisible during times of stress If you earn 6% per year on your bank account, how long will it take an account with $100 to double to$200? D. "would you rather go to the cafeteria or have dinner in the dayroom? 0 Comments C. "if you don't calm down, I will need you to go to your room" can be dangerous to your overall health. "he was so much nicer when we started dating" A. regression D. Impulsivity, Which would be the priority nursing diagnosis for a client diagnosed with borderline personality disorder (BPD)? Ecstasy 2.Select all the criteria for what is considered "At-Risk, L. J. is a 55-year-old male who attended a funeral and found himself laughing during the service, but later that evening he was irritated with himself for what he had done. Case - Nur 3480 andrew davis vsim guided reflection 3. Symptoms of alcohol withdrawal begin within what time period after the cessation or marked reduction of alcohol intake by the chronic alcohol drinker? It was appropriate to ask the patient what was going on with him Seizures - These are waves of abnormal electrical activity in the brain. D. women are more aware about the health consequences related to inappropriate anger expression, A nurse is assessing a Haitian client. B. ask the wife to provide details about what she means by "all his time" 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. C. "methadone can be used during opioid withdrawal and to maintain abstinence" B. A. A. lorazepam "one of the side effects of this medication is breast engorgement" The nurse needs to work with the patient to address consequences of B. ridiculing 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? B. Self-mutilation "please do not damage the hospital's property" my stomach. B. provide ice chips at the client's bedside C. economic dependency A. B. acceptance 2:36 You asked the patient: How would you rate your pain, on a scale of 0 to 10? allison041996. A. tolerance break 0:43 You identified the patient. A. healthcare provider on call to you? 0:00 You checked scene safety. C. "Temperament seen in infancy is often seen later in life." "most often, neither families nor friends are willing and capable of managing the patient during the withdrawal" B. "Sometimes the self-injurious behavior is undertaken to relieve stress." B. A. C. anger D. claiming to be more important than other persons ", A client is admitted to the emergency department for intoxication with alcohol. Now is my chance to help others. symptom of alcohol withdrawal. A. C. client self-monitoring for anger cues D. unstable personal relationships A. 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? 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. B. the client has increased self-esteem D. cutting body parts, Impulsivity is a characteristic of borderline personality disorder (BPD). Ketamine C . A. orienting for time, place and person as needed C. "I can expect some diarrhea from taking this medicine" The University Of Arizona Which client response would indicate to the nurse that the client engages in anger suppression? NY Times Paywall - Case Analysis with questions and their answers. B. hostility Vsim Andrew Davis Mental Health. Mental Health . D. naltrexone It's just too loud in here, if that's what you mean. A client says, "I'm feeling really tense, and I'm fidgety today." "what did you learn about anger when growing up?" 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. hypotension A. self-centeredness B. Splitting C. middle-aged, wealthy businessman Research suggests violent behavior is influenced by possession of which attribute? many questions; however, I need to complete an assessment of you today. B. Which of the following information should the nurse to include in the teaching? (select all that apply) The client describes a long history of partner abuse associated with this relationship. How should the nurse respond to this client? A. chlordiazepoxide B. C. catharsis C. falls D. be placed in their rooms by themselves, A client with schizophrenia has been brought to the hospital in an agitated state. 9:32 The patient said: I don't know what to do with my hands.\nYou answered: Are C. neurontin D. intoxication, The nurse is performing a history and physical examination on a client with chronic alcoholism. Measure students' progress, identify weaknesses and deliver instant . Chaotic families Denial is a common defense mechanism, as is the cycle of abuse, remission, and Other sets by this creator. 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). Added a new reaction type to model an arbitrary number of reactants and products. 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? The patient said: I don't think I can keep this up anymore. A. C. Narcissistic B. hypokalemia "why do you want to lose weight?" C. sexual assault nurse examiner You asked the patient: How would you rate your pain, on a scale of 0 to 10? D. Lacking empathy, Based on psychological theories, which is believed to be critical to understanding personality disorders? Which phase of the aggression cycle is this client experiencing? Which is the nurse trying to prevent? Ask the parents how they have coped with the client's behaviors over the years Andrew Davis has recruited technical content developers in the SF Bay Area since 1995. VSIM OF NURSING MENTAL HEALTH-ANDREW DAVIS CASE STUDIES PACKAGE $ 97.45 $ 40.89 5 items 1. 2:25 You asked the patient: Do you have any difficulty with your breathing? 2. B. avoidance of stimuli that provoke the anger C. medulla The client says, "the nurse on the evening shift is always nice! 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. A. anger Ketamine C . A. request a routine anti-anxiety medication for the client You asked the patient: Do you have any difficulty with your breathing? It's scary.\nYou answered: What are you concerned might happen? "taking this medication will help reduce by craving for heroin" 6:26 You asked the patient: Have you lost interest in activities that you once enjoyed? E. unrealistic self-image, Which behavior is most associated with a borderline personality disorder (BPD) and the tendency to self-harm? Which of the following is an expected finding? 10:23 The patient said: Why is everyone so loud? Which class of medication is regularly prescribed to provide a gradual withdrawal from alcohol? disorders, as well as their world view of alcohol. love_ces_sylvain. A. The nurse judges the plan of care to be effective when which outcome is met? A. allow the client to select preferred meal times 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? 7:14 You asked the patient: Can you tell me what a desired outcome of treatment A. B. establish consequences for purging behavior The client will experience increased self-esteem. you are feeling to help me better understand how together we can start to plan "I've been known to fly off the handle when I'm angry" D. "do you have any questions about why you are taking this medication? C. Mania "what is your relationship like with your family?" D. physical abuse, Which statement made by a client raises the greatest concern that the client may be experiencing relationship violence? The patient said: No, I don't have any "methadone reduces the unpleasant effects associated with abstinence syndrome" D. manipulation, The nurse caring for the client taking clozapine should advocate for monitoring using which diagnostic test? A. restrain the client C. valproic acid 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? A. Antisocial personality D. The client will form a romantic relationship. D. Functional attachments, A nurse is preparing a presentation for a group of staff nurses on personality disorders. The patient said: Yes, I have some pain. D. all the conditions are attributable to the alcohol abuse, A client drinks 24 oz of vodka every day, having gradually increased to this level over the past 2 to 3 years. 10:07 You said: Are you more aware of sounds around you? B. diazepam presenting reality and giving information. The patient said: Why do you want to ask me B. anxiety disorders An interactive, personalized simulation experience for every student. The patient said: No, not really. A. B. B. substance abuse disorders C. ask the client if the client feels triggered by another client in the group 1 week C. 3 days D. 12 hours D A. What is the possible explanation for such a finding? Docmerit is super useful, because you study and make money at the same time! 8 terms. B. odd to feelings. B. you saying you feel anxious? Case - Vsim of nursing|mental health- andrew davis-feedback log 2. Deliver instant online access, immersing students in virtual simulation wherever they prefer. C. borderline personality disorder A. post traumatic distress syndrome Which of the following medications should the nurse anticipate administering to assist the client with maintaining abstinence from alcohol? However, the diagnosis of substance use disorder is more focused on functional "life isn't worth living if I gain weight" use that makes some patients more susceptible to having diminished self-control Andrew Davis is currently in Stage I of alcohol withdrawal. Using concepts from assertiveness training and effective communication techniques, the nurse implements which intervention after hearing the wife's remarks? questions to assess your current health status and your level of alcohol 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? 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? (headache, tremor) to severe (hallucinations, delirium tremens, seizures). Which would the nurse include in the education plan for this client and family? Alcohol use disorder is a disease that carries social stigma. 8:16 You said: Do you feel sick to your stomach? yourself? A. Passive-aggressive It was correct to check scene safety in order to It helped me a lot to clear my final semester exams. B. carbamazepine 31 terms. 3. 18 terms. You asked if the patient had any known allergies. A. A. crisis June 16, 2022. 143 terms. School Harvard University Course Title NURSING HEALTH ASS Uploaded By ConstableEchidnaMaster1985 Pages 7 A. B. restrain the client Assessment reveals that the client was diagnosed with borderline personality disorder 6 months ago, for which the client has been receiving outpatient treatment. What term refers to the collection of symptoms that are associated with untreated alcohol withdrawal? A. abuse B. revictimization Which of the following information should the nurse include in the teaching? used the therapeutic technique of giving information. D. speak to the client in a firm voice, A client with aggressive behavior shows no psychotic symptoms. "I'll go to group therapy if you'll let me smoke" priority in the patients life, to the exclusion of family, work, self-care, and often C. angry outbursts B. paranoid tendencies Which response by the nurse would be most appropriate? 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? C. inform the client that restraints may be applied The client is no longer experiencing withdrawal manifestations. . D. vomiting D. low self-esteem, To defuse a critical situation, the nurse can use the therapeutic communication techniques for which reason? 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. 7:45 The patient said: I don't know why everyone is so worried. B. try to clarify what has upset the client The patient said: I like (select all that apply) C. paranoid C. risk for other-directed violence related to alcohol withdrawal C. disoriented by more than 2 calendar days B. A. C. Self-injury 9:58 You said: Do you feel bugs crawling under your skin? C. 21 years "Temperament is not changeable." Add to Cart. C. "would you describe your current eating habits?" D. Paranoid personality disorder. C. sit in an open area The nurse should recognize the client's statement as an example of which of the following defense mechanisms? Sensitivity to sound is a common D. "at what weight do you believe you will look better?" C. Discuss the feelings with a colleague to promote coping. 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. 6:33 You asked the patient: Name an activity that you enjoy. I wish they would shut up!\nYou Which term should the nurse use to describe this drinking behavior? 143 terms. E. acamprostate, A nurse is evaluating a client's understanding of a new prescription for clonidine for the treatment of opioid use disorder. 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? "I am not going to talk to you while you are angry" 10:44 You said: Does the light appear to be too bright? Case - Vsim of nursing|andrew davis mental health post-quiz 3. 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. B. Dissociation The patient said: You are the nurse here. C. mottling of the skin "I'm scared that you're going to leave me" Which statement by the nurse demonstrates appropriate offering of choices? Which of the following nursing actions should the nurse include in the client's plan of care? The, You asked the patient: Do you have any pain?
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