C. risk for other-directed violence related to alcohol withdrawal 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? The client will experience increased self-esteem. You shoul C. triggering B. panic disorder C. Sociopath B. triggering This activation can be so overpowering that the alcohol becomes the B. impulsivity Chaotic families A. chlordiazepoxide A. he is likely currently experiencing the peak of his signs and symptoms C. Poverty A. lithium A. scurvy D. encourage his family to spend time at his bedside, 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. 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. had with friends or family with substance use disorder will affect these 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. D. carbamazepine, A new nurse asks the nurse manager about the best intervention to use when trying to de-escalate a potentially violent client. patient said: No. NUR 406: Exam Three. A. chew the gum for no more than 10 min The patient said: Yes, I have some A. "this medication will help prevent seizures during alcohol withdrawal" The patient said: Seven. B. admitting to visual hallucinations "alcohol withdrawal can be life-threatening and thus requires care provided by trained staff" "you have the right to be safe and respected" 0:06 You introduced yourself. D. cerebellum Which healthcare professional should the nurse contact to collect evidence of the assault? You asked the patient: Do you have any difficulty with your breathing? The client's spouse reports the client is easily irritated if the home is not maintained in a specific order and when the client is unable to complete a "to do" list on time. C. crisis 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? Which term would the nurse most likely use? What question should the nurse ask to determine the effect of culture on the client's expression of anger? B. risk for self-mutilation related to alcohol withdrawal and altered thought processes A. self-centeredness in this hospital because my wife said I couldn't come home. C. Invalidating Projective Identity diffusion C. use should be limited to emergencies in which the risk of a client physically harming self, staff, or others is imminent Which would be most therapeutic when the client's parents come in to discuss discharge plans? questions? B. carbamazepine A. use should be limited to times when a client has demonstrated violence and has inflicted harm to self or others A. A. identity diffusion B. wernicke-korsakoff syndrome A. "what works best is what fits the client and the situation" sarah_awake. Which therapeutic goals does the nurse establish as priority? During therapy the wife states, "he makes me so mad when he spends all his weekend time with his friends instead of us. B. substance abuse disorders A. lorazepam One of the most useful resource available is 24/7 access to study guides and notes. B. ensure that his needs are met in a nonjudgmental manner I wish they would shut up!\nYou 11:36 You said: Who am I? The client also talks in a loud voice. 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. 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. monitor emotional responses Which phase of the aggression cycle is this client experiencing? Which of the following findings should the nurse expect? 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. Now is my chance to help others. C. practice assertiveness skills 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. A. stalking B. use increased doses of medication to reach a desired effect Even though the client is not currently intoxicated, the client is combative and exhibits altered thought processes. 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. 12-24 hours B. D. Impulsivity, Clients with borderline personality disorder (BPD) are usually admitted to the inpatient setting because they exhibit what? : 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. D. clozapine, Aggression control can be measured by the nurse's observation of a client's ability to do what? D. recovery, A nurse is beginning the process of providing therapy to a client with anger management problems. C. "this medication maintains your blood pressure at a normal level during alcohol withdrawal" 6:56 You asked the patient: Have you ever tried to harm or kill yourself? \nYou used the therapeutic technique of encouraging expression. The patient said: It is the 26th. (select all that apply) Identity diffusion 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. The patient said: No, I am B. restrain the client A. 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. C. "I understand you have concerns about your weight, but first, let's talk about your recent accomplishments" 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. 68 terms. 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. Loneliness B. gastritis and elevated liver enzymes (select all that apply) B. assess and record heart rate every 4 hours 1:22 You asked the patient: I would like to ask you a series of questions about how 56 terms. D. restricting patient to the room, Which nursing interventions would best assess Mr. Davis's safety issues if his CIWA-Ar score were to rise to 8 or above? D. "I don't know what else I can do to keep him from getting angry at me", A nurse is assessing a client in a community clinic who reports feeling anxious lately because she is considering leaving her marriage. 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. C. "Sometimes they do it to avoid the onslaught of delusional thinking." B. revictimization D. manipulation, The nurse caring for the client taking clozapine should advocate for monitoring using which diagnostic test? C. hypothalamic axes D. abdominal pain A. teach the client to make "I" statements A. - fibers, Select the correct description of a somatoform disorder. C. lead to aggression and violence C. "he doesn't like it when I go out with my girlfriends" Upon entering the client's room, the nurse finds the the client is very angry and is punching pillows to express the anger. 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). A. 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 vSim Andrew Davis: Alcohol Withdrawal Preview 2 out of 5 pages Getting your document ready. D. Stress, A client with borderline personality disorder (BPD) tells the nurse, "You are good but the nurse on the afternoon shift is bad. "working with survivors of sexual trauma is very fulfilling work" You answered: Of all the concerns you have, which is the most upsetting to you? A. request a routine anti-anxiety medication for the client Motivational Which assessment finding confirms that a patient is experiencing moderate alcohol withdrawal? 18 years C. implement seizure precautions 0:43 You identified the patient. The client has an unsteady gait, myopathy, and neuropathy and cannot remember past or recent events. D. "you are not overweight, and the staff will ensure that you do not gain weight while you are in the hospital. C. anger C. the number of other medications the client is taking B. C. impulsive behaviors Vsim Andrew Davis Mental Health Terms in this set (143) Symptoms of alcohol withdrawal begin within what time period after the cessation or marked reduction of alcohol intake by the chronic alcohol drinker? When treated with thiamine, the client's symptoms greatly improve. The patient said: I can't get rid of this headache. The client tells the nurse that she is afraid she is going to gain weight. 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 You asked if the patient had any known allergies. It was appropriate to ask the patient what was going on with him "people say I withdraw and pout about the problem" 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) - 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. A. "what happens when you get angry?" "taking this medication will decrease your cravings for alcohol" View full document Andrew Davis vSim Scenario Steps: You checked scene safety. The patient said: I don't think I can keep this up anymore. B. dry mouth Select the brain region that, 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? D. asking for time alone when frustrated Document the assessment finding related to Mrs. Chen's suicidality at discharge. you are feeling to help me better understand how together we can start to plan A. What is the priority nursing diagnosis for this client? C. avoid eating 15 min prior to chewing the gum 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. B. "I am here so we can talk about what is making you angry" 1:51 The patient said: Why are you asking me so many questions? 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? What symptoms would the nurse expect to find in this client? presenting reality and giving information. month? (select all that apply) A. anger Everything is falling It provides faculty with ideas to integrate vSim into existing curricula and offers ways to develop and/or enhance current teaching strategies. The assessment of the client's thought process and content would allow the nurse to identify what? A. women have a greater threshold for controlling anger Liberty University C. observing seizure precautions D. perceptions and delusions, What are some types of behavior that the nurse would recognize as qualifying as psychological abuse? 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. C. hypotension use that makes some patients more susceptible to having diminished self-control They need to be aware of how this can impact caring for patients May I ask you these A. You asked the patient: Where is your pain located? B. establish consequences for purging behavior 8:16 You said: Do you feel sick to your stomach? It was correct to check scene safety in order to maintain your own safety. 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. You washed your hands. The patient C. extreme confidence After a dose had been administered, what assessment result, directly related to the medication, would be a concern for the nurse? The C. pessimism C. 4 months A. culture is not a consideration when evaluating behaviors associated with personality disorders D. "why do you think I am not being respectful to you? B. unemployed young woman who dropped out of high school B. The patient said: No, never! Despite being employed, the client verbalizes having low quality of life due to anxiety and isolation. The client has a serious and formal demeanor. B. pons 18 terms. "relationship counseling can be very helpful" D. "do you know why you are being admitted? He was escorted out of a school board meeting after hurling racist and ethnic obscenities at pupils and their families. The patient said: No. Abuse as a child D. blood pressure of 154/90 mm Hg, What characteristic behavior demonstrated by Mr. Davis is associated with stage III withdrawal symptoms? Seizures - These are waves of abnormal electrical activity in the brain. The nurse judges the plan of care to be effective when which outcome is met? May I ask you these, The patient said: Why are you asking me so many questions? What is the nurse's best response? 7:32 You asked the patient: How do you understand your problems? B. (select all that apply) pain. C. "I need to feel that everyone admires me" D. "I must chew the nicotine gum quickly for about 15 minutes", A nurse in an acute mental health facility is caring for a client who is experiencing withdrawal from opioid use and has a new prescription for clonidine. Course Hero is not sponsored or endorsed by any college or university. D. prepare to seclude the client, The nurses on a mental health unit are reviewing aspects of the unit environment in a staff meeting. would be for you? Document findings related to the screening of Mrs. Chen with the Hamilton Rating Scale for Depression. apart!\nYou answered: Of all the concerns you have, which is the most upsetting D. dramatic, Which long-term patterns are consistent with a diagnosis of borderline personality disorder? Which of the following questions should the nurse include in the assessment? head.\nYou answered: The lights can't hurt you. 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? Ineffective coping C. eccentric A. try to subdue the client D. Dissociation, Gambling, binge eating, and engaging in unsafe sex are examples of what? 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. A client with a blood alcohol level of 0.20 mg% is at high risk for injury related to the impairment of which function? love_ces_sylvain. However, the dietitian will ensure that you don't get too many calories in your diet" C. disulfiram A. (select all that apply) D. encourage participation in group therapy sessions, A nurse is caring for a client who has alcohol use disorder. Added a new reaction type to model an arbitrary number of reactants and products. D. lying, A client with a history of angry outbursts that have caused interpersonal and work problems has been in counseling for several months. D. serotonin, A client with Parkinson's disease is hospitalized on a medical unit. B. disassociation C. disulfiram The patient said: Why do you want to ask me Karen. The client will be able to accept a job promotion. You checked scene safety. A. my stomach. C. "I've been supported by health care professionals and now I want to support other survivors" headache worse.\nYou answered: I appreciate how difficult it is to answer so B. provide ice chips at the client's bedside A. development of a therapeutic relationship C. the client reports increased feelings of self-control A. personality disorders are diagnosed in early adulthood, when personality formation is complete A. 6 months 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. 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: 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. with this diagnosis;/p>lt;p>Alcohol withdrawal has physical symptoms that 8 terms. 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. Andrew Davis- vSim Scenario Steps Preview 1 out of 4 pages Getting your document ready. The patient said: B. B. offer fluids and nourishing diet as tolerated "I'll go to group therapy if you'll let me smoke" (select all that apply) Andrew Davis is currently in Stage I of alcohol withdrawal. A. C. assure him that the withdrawal process generally lasts no more than 96 hours After a dose had been administered, what assessment result, directly related to the medication, would be a concern for the nurse? 9:58 You said: Do you feel bugs crawling under your skin? Which of the following statements by the client indicates an understanding of the teaching? can be dangerous to your overall health. A. orienting for time, place and person as needed How do generally accepted accounting principles (GAAP) differ from the laws of mathematics? B. the diagnosis of personality disorders is extremely difficult because the individual doesn't acknowledge the illness "methadone reduces the unpleasant effects associated with abstinence syndrome" to get an understanding of this. B. bupropion C. reflection Measure students' progress, identify weaknesses and deliver instant . 0:00 You checked scene safety. collaborative approach rather than a patriarchal/matriarchal approach to care. A. B. Self-mutilation The nurse in charge of an inpatient psychiatric unit is irritated with a client who has borderline personality disorder. B. belief in the ability to become invisible during times of stress priority in the patients life, to the exclusion of family, work, self-care, and often B. haloperidol A. restrain the client The, You asked the patient: Do you have any pain? B. 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 .

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