vsim andrew davis steps

The doctor is bad, too, but the therapist is good." The patient said: Seven. Which aspect of this behavior is most likely to cause problems for the patient? C. Self-injury C. sexual promiscuity B. helplessness disorders, as well as their world view of alcohol. Case - Andrew davis vsim 2. 0:06 You introduced yourself. E. restlessness, A nurse is planning care for a client who is experiencing benzodiazepine withdrawal. B. substance abuse disorders The nurse should instruct the client to monitor for which of the following adverse effects? B. a history of taking these types of medications Michaela_Marcello. D. "you are not overweight, and the staff will ensure that you do not gain weight while you are in the hospital. D. clozapine, Aggression control can be measured by the nurse's observation of a client's ability to do what? 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? other than medications? A. abuse 1 week C. 3 days D. 12 hours D C. display increasing motor activity A. B. ridiculing ", A nurse is working with a client who has lost unit privileges due to inappropriate behavior. The activation of the dopamine reward system is a primary source of B. hostility Andrew Davis- vSim Scenario Steps A. receiving education and information about the medication "working with survivors of sexual trauma is very fulfilling work" 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. display of defense mechanisms when routines are changed A. cardiac enzymes vSim for Nursing | Mental Health Mental Health Case: Li Na Chen, Part 2 Documentation Assignments. D. becomes agitated if his personal area is not neat and orderly David Smith. C. "I should practice limit-setting to help prevent client manipulation" C. triggering D. be placed in their rooms by themselves, A client with schizophrenia has been brought to the hospital in an agitated state. A. try to subdue the client 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? C. scheduled unit activities B. anger The safety;/p>lt;p>There is not a defined amount of alcohol that designates a allison041996. B. hunger and thirst (select all that apply). C. manic behaviors By cogdell memorial hospital ceo. 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. D. claiming to be more important than other persons It was correct to check scene safety in order to maintain your. A. older adults require higher doses of a substance to achieve a desired effect your care. 1:04 The patient said: I don't think I can keep this up anymore. \nYou used the therapeutic technique of encouraging expression. Which step should the nurse take? A. cause behavioral dysfunction and inner distress D. emotional dependency, In clients who do not completely recover from being victimized by rape, which mental illness is most likely to develop? 8:30 You said: Alcohol withdrawal can cause a variety of symptoms, some of which C. pancreatitis, esophagitis, gastritis, and elevated liver enzymes The patient said: Yes, I have some, You asked the patient: How would you rate your pain, on a scale of 0 to 10? A. lorazepam The nurse demonstrates an understanding of the seriousness of the patient's risk for injury when implementing which intervention? "methadone reduces the unpleasant effects associated with abstinence syndrome" (select all that apply) B. egocentricity D. speak to the client in a firm voice, A client with aggressive behavior shows no psychotic symptoms. C. Highly social C. respiratory rate of 11 breaths/minute B. impulsivity Just all of these questions. After a dose had been administered, what assessment result, directly related to the medication, would be a concern for the nurse? Which therapeutic goals does the nurse establish as priority? Which of the following information should the nurse include in the teaching? The patient said: No, I don't have any The client is shouting, screaming, hitting others and throwing objects. 7:45 The patient said: I don't know why everyone is so worried. A . June 16, 2022. They need to be aware of how this can impact caring for patients The client will experience increased self-esteem. "his father physically abused his mother for years" A. B. gastritis and elevated liver enzymes It was correct to check scene safety in order to maintain your own safety. What term refers to the collection of symptoms that are associated with untreated alcohol withdrawal? 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. B. reach out for the client's knife A. A. flexible unit rules B. A. the individual characteristics that change as one grows and experiences life situations "he was so much nicer when we started dating" C. behaviors and beliefs that are present and acted on from an individual's birth : 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. 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C. inform the client that restraints may be applied Dependent Which client response would indicate to the nurse that the client engages in anger suppression? Which would the nurse identify as one of the strongest risk factors for this disorder? A client with a blood alcohol level of 0.20 mg% is at high risk for injury related to the impairment of which function? E. encourage the client to talk about this situation, A client has lost emotional and physical control. B. \nYou. A. borderline (select all that apply) B. A. development of a therapeutic relationship The nurse identifies that the client may have which style of anger expression related to this incident? A. hostility C. Passive-aggressive personality D. "The self-mutilation often slows the mood swings your sibling experiences. B. Overly friendly imperative that nurses recognize symptoms and provide early pharmacologic B. assess and record heart rate every 4 hours A. he is likely currently experiencing the peak of his signs and symptoms -hydroxybutyrate D . diagnosis of alcohol use disorder. A. shout and let the client know that this behavior is not tolerated Andrew Davis- vSim Scenario Steps - Browsegrades.net A. \nYou used the therapeutic technique of, You asked the patient: What other pain management strategies have you used. A. self-centeredness B. Direct the client to another staff member when the client tries to interact. The patient said: No. Select the development time of symptoms in neuroleptic malignant syndrome. 18 terms. The client's sibling is visiting, and the sibling asks the nurse to explain why the client sometimes does this. vSim for Nursing Simulation Scenarios - Wolters Kluwer The nurse needs to work with the patient to address consequences of andrew davis vsim steps.docx - Aug 26, 2022 6:55 PM Andrew 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? "I am not going to talk to you while you are angry" Motivational B. fine tremors of both hands C. "I usually approach the person directly to talk about it" The client also talks in a loud voice. The patient said: I can't get rid of this headache. B. ensure that his needs are met in a nonjudgmental manner B. The cell Anatomy and division. A. A. chlordiazepoxide The child tells the nurse, "I don't get a lunch this week, I have been wetting the bed." Mike T. With a profile at Docmerit you are definitely prepared well for your exams. D. "why do you think I am not being respectful to you? A client says, "I'm feeling really tense, and I'm fidgety today." A. catharsis Which response is most important for the nurse to make to this client? A. E. presence of lanugo on the face, A nurse on an acute care unit is planning care for a client who has anorexia nervosa with binge-eating and purging behavior. Which is the primary guideline for the use of restraint and seclusion? The patient said: to you? Students need to be 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 asked the patient: Where is your pain located? The nurse interprets this statement as reflecting what? 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"this medication maintains your blood pressure at a normal level during alcohol withdrawal" Mental Health . (select all that apply) Andrew Davis VSIM guided reflection.docx - Mental Health A. Just Tylenol. B. assessing for auditory and visual hallucinations frequently The patient said: It is 8:16 You said: Do you feel sick to your stomach? "I'll go to group therapy if you'll let me smoke" You asked the patient: Is it OK for your family to be here, while we talk? These are questions I ask all of the patients I see. 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. Sensitivity to sound is a common Ask the parents how they have coped with the client's behaviors over the years 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. E. unrealistic self-image, Which behavior is most associated with a borderline personality disorder (BPD) and the tendency to self-harm? 9:17 You said: Have you vomited? We're available through e-mail, live chat and Facebook. The patient said: had with friends or family with substance use disorder will affect these A. chew the gum for no more than 10 min A. amenorrhea B. Karen. VSIM Andrew Davis Flashcards | Quizlet B. recovery C. 21 years C. offer the client an antianxiolytic mediation B. rinse out the mouth immediately before chewing the gum B. Self-mutilation D. the signs and symptoms are likely to increase in type and severity, Which nursing interventions are directly associated with the primary goals of the management of a patient, like Mr. Davis, who is currently experiencing alcohol withdrawal? Despite being employed, the client verbalizes having low quality of life due to anxiety and isolation. The symptoms can be mild 143 terms. D. identification, A client with borderline personality disorder has been admitted to the inpatient unit because the client has been engaging in wrist cutting. Do you 30 terms. B. dry mouth The patient said: I don't think I can keep this up anymore. D. Stress, A client with borderline personality disorder (BPD) tells the nurse, "You are good but the nurse on the afternoon shift is bad. Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew My Library Discovery Institutions University of California Los Angeles Miami Dade College Auburn University A. 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. A. A. anxiety The client has an unsteady gait, myopathy, and neuropathy and cannot remember past or recent events. ", A client is admitted to the emergency department for intoxication with alcohol. B. has difficulty making even simple decisions D. Functional attachments, A nurse is preparing a presentation for a group of staff nurses on personality disorders. C. the client reports increased feelings of self-control B. try to clarify what has upset the client You shoul Northwestern University "what did you learn about anger when growing up?" more questions? D. schizoid, A personality disorder is defined as a collection of traits that do what? D. Arrange for the client to be transferred to another unit. 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. D. carbamazepine, A new nurse asks the nurse manager about the best intervention to use when trying to de-escalate a potentially violent client. C. "I need to feel that everyone admires me" Symptoms of alcohol withdrawal begin within what time period after the cessation or marked reduction of alcohol intake by the chronic alcohol drinker? Which clinical manifestations confirm that a patient is experiencing Stage I (mild) of alcohol withdrawal syndrome? A. midbrain B. A. auditory hallucinations The patient said: Yes, I have some pain. It was It was correct to check scene safety in order to maintain your own safety. View full document Andrew Davis vSim Scenario Steps: You checked scene safety. 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 . B. the diagnosis of personality disorders is extremely difficult because the individual doesn't acknowledge the illness B. escalation A. A. identity diffusion actions without judgment;/p>lt;p>Alcohol use disorder is marked by the You even benefit from summaries made a couple of years ago. B. relive their childhood experiences Lab Values (Normal Ranges) Med Surg 1. B. A. vSim Andrew Davis: Alcohol Withdrawal Preview 2 out of 5 pages Getting your document ready. B. The nurse should anticipate prescriptions for which of the following medications to promote long-term abstinence for alcohol? The patient said: None. A. scurvy used the therapeutic technique of giving information. C. catharsis C. Dissociation 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! It's scary.\nYou answered: What are you concerned might happen? Deliver instant online access, immersing students in virtual simulation wherever they prefer. \nYou used the nontherapeutic 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? Experiences students may have 8 terms. D. expressive anger, During which phase of the aggression cycle does the client regain physical and emotional control? A. "we need to explore what makes you want to hit people when you are angry" 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. A. patient reports ringing in his ears A. Anxiety The nurse demonstrates understanding of the information by identifying which structures as components of the brain stem? D. naltrexone 2:25 You asked the patient: Do you have any difficulty with your breathing? clarify their own feelings and values related to individuals with substance use You asked the patient: Where is your pain located? B. carbamazepine A. show an increased tolerance for frustration C. diagnosis involves identifying significant impairment in forming self-confidence and appropriate self-esteem e. Purchase price. "I can promote my client's sense of control by establishing a schedule" perceptions. Vsim Andrew Davis Mental Health Flashcards | Quizlet "I should encourage clients who have a schizoid personality disorder to increase socialization" C. paranoid A. lorazepam C. mottling of the skin 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. Identity diffusion Which of the following actions should the nurse identify as the priority? B. pons 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. 2 months A. Affective instability How should the nurse handle this situation? B. hypokalemia D. blood pressure of 154/90 mm Hg, What characteristic behavior demonstrated by Mr. Davis is associated with stage III withdrawal symptoms? C. eccentric A. in this hospital because my wife said I couldn't come home. B. restrain the client "methadone is a replacement for physical dependence to opioids" 9:52 You said: Have you had any numbness? B. disassociation vsim mental health case: andrew davis documentation assignments document your findings related to the focused assessment of mr. alcohol withdrawal symptoms. What is the possible explanation for such a finding? 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. "please do not damage the hospital's property" C. observing seizure precautions 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? 0 Comments David Carter vsim questions. D. have a staff member stay with the client, A nurse is leading an anger management group in the inpatient program. A. physical C. observe the client for nonverbal indicators He makes me want to hurt him back." B. Dissociation Difficult temperament 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? 1:22 You asked the patient: I would like to ask you a series of questions about how C. crisis D. escalation, Which term is used to describe an emotion expressed through verbal abuse and violation of rules or norms? alcohol: for men, this means 4 or fewer standard drinks on any single day and A. increases the risk for seizure activity D. 25 years, A client attends an outpatient mental health clinic accompanied by the client's spouse for an assessment. 18 years A. When implementing this therapy, which should occur first to promote optimal effectiveness? B. triggering Which communication technique is the nurse utilizing with this statement? patient said: No. "Self-injurious behavior often calms and sedates people with this diagnosis." B. personality disorders result in behaviors that consistently deviate from those considered culturally acceptable C. disulfiram I don't drink more A. patient reports ringing in his ears A. insomnia A. mood and affect D. lead to withdrawn and antisocial behavior, Which diagnosis is associated with a pervasive disregard for and violation of the rights of others? (select all that apply) C. "I know that nicotine gum is a safe alternative to smoking if I become pregnant" D. "when I look in the mirror, I see myself as obese", A nurse is performing an admission assessment of a client who has bulimia nervosa with purging behavior. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching? There are guidelines for low-risk use of would be for you? A. anger Which assessment finding confirms that a patient is experiencing moderate alcohol withdrawal? B. assertive behavior 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. Which of these conditions are attributable to the client's history of alcohol abuse? interventions;/p>lt;p>Alcohol use disorder is a disease that requires treatment. B. odd A. minimize all sources of noise in his room We know that is important to you", Which is the best definition of personality? "life isn't worth living if I gain weight" The, You asked the patient: On a scale of 0 to 10, how would you rate your level of. Withdrawal Assessment, or CIWA. D. "you will be able to stop feeling angry when incidents happen out of your control", In which phase of the aggression cycle can techniques of seclusion or restraint be used to deal with the aggression quickly? Which term should the nurse use to describe this drinking behavior? Which would the nurse include in the education plan for this client and family? 6:56 You asked the patient: Have you ever tried to harm or kill yourself? Which would be most therapeutic when the client's parents come in to discuss discharge plans? many questions; however, I need to complete an assessment of you today. A. immediately approach the client to engage in communication C. "can you select an outfit to wear to group therapy?" Devry University This activation can be so overpowering that the alcohol becomes the D. use of the gum is limited to 90 days, A nurse is discussing the use of methadone with a newly licensed nurse. B. use should be limited to times when medications have been unsuccessful in de-escalating a situation patient said: It's about a 4. A. criticizing ", Which staff behaviors are most likely to trigger clients who are predisposed to aggressive or violent behavior? A 56-year-old man called Andrew Davis ,entered an alcohol rehabilitation clinic voluntarily yesterday afternoon and is currently in the acute detoxification unit. The patient said: You are the nurse here. 2. with you today? 7:29 The patient said: I don't think any of this is going to work; it's a waste of The assessment tool is called the Clinical Institute Alcohol use disorder is a disease that carries social stigma. (select all that apply) A. Splitting 7:03 You asked the patient: Do you have any thoughts or wishes to harm anybody Which of the following questions should the nurse include in the assessment? C. "he doesn't like it when I go out with my girlfriends" D. physical aggression, Which personality trait is associated with aggressive behavior? Exam (elaborations) - Vsim of nursing|mental health case: andrew davis guided reflection questions 4. A. B. establish consequences for purging behavior C. educate the client on the effects of clonidine 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. The patient said: I like What is the nurse's best response?