D. The client will form a romantic relationship. The activation of the dopamine reward system is a primary source of 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. D. hesitance to talk openly, Which is a pattern of repeated unwanted contact, attention and harassment that often increases in frequency? D. carbamazepine, A new nurse asks the nurse manager about the best intervention to use when trying to de-escalate a potentially violent client. Which therapeutic goals does the nurse establish as priority? E. ensure availability of assistance, The nurse is caring for a client with rheumatoid arthritis. A. healthcare provider on call B. wernicke-korsakoff syndrome C. monitor facial expressions Andrew Davis- vSim Scenario Steps A. 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. blood pressure of 154/90 mm Hg, What characteristic behavior demonstrated by Mr. Davis is associated with stage III withdrawal symptoms? What should be the nurse's response to this behavior? use that makes some patients more susceptible to having diminished self-control ", A nurse is caring for an adolescent client who has anorexia nervosa with recent rapid weight loss and a current weight of 90 lb. 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. B. odd 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? (select all that apply) C. sexual promiscuity B. providing the client with a list of possible goals for behavior change A. acetylcholine interviewing is a good intervention with alcohol use disorder as it promotes a A. Anxiety "relationship counseling can be very helpful" A. 1:04 The patient said: I don't think I can keep this up anymore. The caregiver of the client tells the nurse that the client is having an episode of Bouffe delirante. B. D. becomes agitated if his personal area is not neat and orderly C. Highly social The assessment of the client's thought process and content would allow the nurse to identify what? Which is the primary guideline for the use of restraint and seclusion? A. increases the risk for seizure activity C. Poverty \nYou A. Which intervention would be most appropriate at this point? Which of the following actions should the nurse identify as the priority? Mr. Davis reported having consumed his last drink around 4 pm, and he was admitted to the facility's detoxification unit shortly thereafter. The symptoms can be mild A. borderline C. engaging in disputes over medication, supplies, or rules on the unit B. you are feeling to help me better understand how together we can start to plan The, You asked the patient: On a scale of 0 to 10, how would you rate your level of. Case - Vsim of nursing|andrew davis mental health post-quiz 3. Nurses interface with patients at different levels of readiness to access treatment. 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. C. suction equipment is kept at the bedside C. anger Upon entering the client's room, the nurse finds the the client is very angry and is punching pillows to express the anger. "Temperament is not changeable." "I've always had good results with medications" (select all that apply) B. ridiculing allison041996. B. his signs and symptoms will likely taper off in severity over the next 12 hours \nYou used the therapeutic technique of translating Which of the following findings should the nurse expect? cravings and difficulty stopping the use of the substance. questions? The client also talks in a loud voice. C. incest Denial is a common defense mechanism, as is the cycle of abuse, remission, and A. teach the client to make "I" statements "his father physically abused his mother for years" "We need to understand that she is responsible for her disorder" A. A. have their needs met Which class of medication is regularly prescribed to provide a gradual withdrawal from alcohol? D. physical aggression, Which personality trait is associated with aggressive behavior? C. inform client that the nurse is in charge of situation Andrew Davis VSIM guided reflection.docx - Mental Health What is the nurse's most appropriate response to the client's comment? A. obtain a thorough client history The class also includes a review of the anatomy and physiology of the neurological system. Andrew Davis- vSim Scenario Steps - Andrew Davis- vSim Scenario Steps B. B. Which step should the nurse take? Andrew Davis VSIM, VSIM Guided Reflection and Documentation Assignments PACKAGE 2021 $ 26.96 $ 20.98 2x sold 3 items 1. 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? A. development of a therapeutic relationship C. falls I wish they would shut up!\nYou B. B. A. Attention seeking (select all that apply) vsim andrew davis steps - HAZ Rental Center 31 terms. C. "she should participate in an Al-Anon group to help her recover" The patient said: I don't think I can keep this up anymore. Narmada Kidney Foundation > Uncategorized > vsim andrew davis steps. Lab Values (Normal Ranges) Med Surg 1. The client has a serious and formal demeanor. C. diagnosis involves identifying significant impairment in forming self-confidence and appropriate self-esteem A. inform the client medication is required D. unstable personal relationships You even benefit from summaries made a couple of years ago. B. dopamine 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 D. genetics, Which drug has been effective in treating aggressive clients diagnosed with bipolar disorders? time.\nYou answered: Are you saying treatment is not going to work for you at Confront the client firmly about how the client's behavior makes the nurse feel. "I am here so we can talk about what is making you angry" safety;/p>lt;p>There is not a defined amount of alcohol that designates a A. C. catharsis C. offer the client an antianxiolytic mediation symptom of alcohol withdrawal. (headache, tremor) to severe (hallucinations, delirium tremens, seizures). Course Hero is not sponsored or endorsed by any college or university. 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. \nYou used the therapeutic technique of encouraging expression. B. dim the lighting in his room B. Depression B. reduced use of restraints A. 11:29 You said: What is today's date? D. institute falls precautions vSim for Nursing Mental Health | Laerdal Medical A. identity diffusion C. economic dependency You asked the patient: Is it OK for your family to be here, while we talk? else? than anyone else.\nYou answered: What are your feelings about your drinking? C. cultural norms determine the behaviors that are associated with personality disorders E. "can you discuss your feelings about your appearance? 9:58 You said: Do you feel bugs crawling under your skin? maintain your own safety. 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. What nursing intervention would most likely improve the therapeutic relationship between the nurse and a patient experiencing alcohol withdrawal by increasing the nurse's self-awareness? B. recovery A. explore what is underlying the client's physical and emotional state 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. D. "I appreciate that you are experiencing anger in an appropriate manner", An aggressive client is holding a weapon and threatening to harm other clients in the unit. The patient said: No. C. hypothalamic axes A. lorazepam Which of the following statements by a family member indicate an understanding of the teaching? B. valproate "I've put the incident behind me and seldom think of it" A. B. diazepam You answered: Of all the concerns you have, which is the most upsetting to you? A. Which would the instructor most likely include as being involved when describing psychoneuroimmunology? The client continues to maintain a job and functions well in activities of daily living, relationships, and other aspects of social life. C. pessimism These are questions I ask all of the patients I see. . There is a biological basis to dysfunctional alcohol Document findings related to the screening of Mrs. Chen with the Hamilton Rating Scale for Depression. C. behaviors and beliefs that are present and acted on from an individual's birth D. provide information regarding AA support groups think I'm nuts?!? C. "I can expect some diarrhea from taking this medicine" 0:43 You identified the patient. C. medulla Which of the following personality characteristics associated with all of the personality disorders should the charge nurse include in the teaching? C. shield oneself with a pillow Which of the following statements indicates the client is experiencing the cognitive distortion of catastrophizing? 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. B. D. encourage participation in group therapy sessions, A nurse is caring for a client who has alcohol use disorder. B. VSIM Andrew Davis Flashcards | Quizlet A. A. demonstrates extreme anxiety when placed in a social situation "many clients are concerned about their weight. D. naltrexone 9:41 You said: Have you had any pins and needles sensations? Exam One Practice Questions. C. place the client on a regular toileting schedule "people say I withdraw and pout about the problem" You are making my, headache worse.\nYou answered: I appreciate how difficult it is to answer so, many questions; however, I need to complete an assessment of you today. What is the possible explanation for such a finding? "Sometimes the self-injurious behavior is undertaken to relieve stress." Which condition was the client likely experiencing? 12-24 hours B. E. blames others for his past and current problems, A charge nurse is preparing a staff education session on personality disorders. 7:29 The patient said: I don't think any of this is going to work; it's a waste of The patient said: I like D. Maladaptive expression of emotions, A nursing instructor is teaching about the importance of bonding and how an easy temperament can serve as a protective factor against psychopathology. 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", A nurse is reviewing the medical record of a female client diagnosed with borderline personality disorder (BPD). The assessment tool is called the Clinical Institute 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. "I'll go to group therapy if you'll let me smoke" Language Proficiency Assessment Committee. The child tells the nurse, "I don't get a lunch this week, I have been wetting the bed." C. observe the client for nonverbal indicators (select all that apply) C. lead to aggression and violence C. "if I could be skinny, I know I'd be popular" B. ask the wife to provide details about what she means by "all his time" D. "Temperamental differences among children can be observed very early in life. used the therapeutic technique of seeking clarification. I am going to ask you a series of. 6:26 You asked the patient: Have you lost interest in activities that you once enjoyed? "what works best is what fits the client and the situation" The patient said: No, it's just light. C. display increasing motor activity What is the nurse's best response? The nurse needs to work with the patient to address consequences of D. recovery, A nurse is beginning the process of providing therapy to a client with anger management problems. 143 terms. You answered: A headache is a normal symptom of alcohol withdrawal. Which aspect of this behavior is most likely to cause problems for the patient? B. gastritis and elevated liver enzymes addiction. C. pancreatitis, esophagitis, gastritis, and elevated liver enzymes Which of the following questions should the nurse include in the assessment? A. social isolation A. hostility Which of the following information should the nurse include in the teaching? You shoul B. 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. Psychopath C. "people taking this medication often experience dermatitis" Which of the following statements by the client indicates an understanding of the teaching?