D. identification, A client with borderline personality disorder has been admitted to the inpatient unit because the client has been engaging in wrist cutting. Which of the following findings should the nurse expect? A. self-centeredness B. rinse out the mouth immediately before chewing the gum After a dose had been administered, what assessment result, directly related to the medication, would be a concern for the nurse? You asked the patient: Can you tell me a little bit more about what's going on with you. I just don't want to eat. Which of the following is appropriate for the nurse to include in the presentation? When considering medication for treatment, the nurse knows which will be the most effective? 9:17 You said: Have you vomited? A. anxious D. The client will form a romantic relationship. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching? The client will experience increased self-esteem. Withdrawal Assessment, or CIWA. 15 years B. belief in the ability to become invisible during times of stress You identified the patient. Which of the following information should the nurse include in the teaching? C. monitor facial expressions C. disulfiram B. paranoid tendencies Andrew Davis VSIM guided reflection.docx - Mental Health B. restrain the client The patient said: Not really sick to Which term should the nurse use to describe this drinking behavior? C. GABA A. B. A. Ketamine C . 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. 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. B. Dissociation What is the nurse's best response? B. women are expected not to express so-called negative feelings like anger D. Impulsivity, Which would be the priority nursing diagnosis for a client diagnosed with borderline personality disorder (BPD)? It's scary.\nYou answered: What are you concerned might happen? else? You asked the patient: Do you have any difficulty with your breathing? e. Purchase price. B. avoidance of stimuli that provoke the anger What symptoms would the nurse expect to find in this client? It was to you? B. impulsivity A. catharsis Which of the following statements by the client indicates understanding of the teaching? A. personality disorders are diagnosed in early adulthood, when personality formation is complete Aggression A. depression Which would the instructor most likely include as being involved when describing psychoneuroimmunology? C. provide the client with a high-fat diet at the start of treatment 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. The nurse should instruct the client to monitor for which of the following adverse effects? Linda Waterfall Post Test Flashcards | Quizlet C. Mania D. request the presence of additional staff He was escorted out of a school board meeting after hurling racist and ethnic obscenities at pupils and their families. Which nursing diagnosis would be the priority? \nYou The Mental health Vsim. C. borderline personality disorder B. provide ice chips at the client's bedside Which of the following information should the nurse to include in the teaching? What is the nurse's best response? vsim andrew davis steps. 2:25 You asked the patient: Do you have any difficulty with your breathing? A. Passive-aggressive Which of the following nursing actions should the nurse include in the client's plan of care? C. extreme confidence B. Other sets by this creator. 19 terms. had with friends or family with substance use disorder will affect these B. Parental alcohol abuse Ineffective coping B. assessing for auditory and visual hallucinations frequently Practice NCLEX Questions from the Book! Everything is falling apart! C. "I wonder if your perceptions of the relationship are accurate" B. unemployed young woman who dropped out of high school C. "can you select an outfit to wear to group therapy?" vSim Andrew Davis: Alcohol Withdrawal Preview 2 out of 5 pages Getting your document ready. B. The doctor is bad, too, but the therapist is good." C. risk for other-directed violence related to alcohol withdrawal C. practice assertiveness skills VSim Computational Engine (Vorpal) Added Euler fluid solver allowing for neutral fluid to evolve in time. D. escalation, The nurse is assessing a client who is aggressive. C. The client will engage in less risk-taking behavior A. anxiety D. "do you know why you are being admitted? B. panic disorder These are questions I ask all of the patients I see. 2021-22, Toaz - importance of kartilya ng katipunan, 324069444 Introduction to Mastering Chemistry, Is sammy alive - in class assignment worth points, 1-2 short answer- Cultural Object and Their Culture, Carbon Cycle Simulation and Exploration Virtual Gizmos - 3208158, Leadership class , week 3 executive summary, I am doing my essay on the Ted Talk titaled How One Photo Captured a Humanitie Crisis https, School-Plan - School Plan of San Juan Integrated School, SEC-502-RS-Dispositions Self-Assessment Survey T3 (1), Techniques DE Separation ET Analyse EN Biochimi 1, Blessing-Rieman College of Nursing & Health Sciences. A. 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? -hydroxybutyrate D . Mike T. With a profile at Docmerit you are definitely prepared well for your exams. Confront the client firmly about how the client's behavior makes the nurse feel. A. pancreatitis and elevated liver enzymes The assessment of the client's thought process and content would allow the nurse to identify what? How should the nurse handle this situation? 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. Exam (elaborations) - Andrew davis documentation assignments- mental health Show more By: priscyd27 1 year ago Uploaded on January 17, 2021 Company Registration Number: 61965243 B. Impulsivity B. odd Which of the following statements indicates the client is experiencing the cognitive distortion of catastrophizing? E. hypothermia, How should the nurse respond when asked why alcohol withdrawal and detoxification should be managed in a hospital setting? B. reduced use of restraints (select all that apply) Measure students' progress, identify weaknesses and deliver instant . Identity diffusion (select all that apply) C. triggering 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. allison041996. 3,4 - methylendedioxymethamphetamine B . D. identification, A nurse is assisting with a court-ordered evaluation of a client who has antisocial personality disorder. Denial is a common defense mechanism, as is the cycle of abuse, remission, and "remember to take this medication at the times we've discussed" When treated with thiamine, the client's symptoms greatly improve. 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. C. 21 years D. "you are not overweight, and the staff will ensure that you do not gain weight while you are in the hospital. A. hostility B. fewer standard drinks on a single day and fewer than 7 drinks in a week. more questions? 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. E. extreme aggression, When determining a client's potential for aggression and violence prior to engaging in a detailed psychosocial assessment, which would be most important for the nurse to do? 31 terms. B. escalation A. place the client in a separate room D. meneire's disease, A nurse must assess for characteristics that are predictive of violent behavior. A. immediately approach the client to engage in communication A. crisis B. provides a form of aversion therapy 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. slightly elevated body weight A. show an increased tolerance for frustration vSim for Nursing Simulation Scenarios - Wolters Kluwer The patient said: No, I am not seeing or hearing things that are not there. A. middle-aged woman with a college degree The patient said: I can't get rid of this headache.\nYou answered: A headache is a, normal symptom of alcohol withdrawal. A. B. neurotransmitters A. A. "what happens when you get angry?" Difficult temperament D. carbamazepine, A new nurse asks the nurse manager about the best intervention to use when trying to de-escalate a potentially violent client. D. lying, A client with a history of angry outbursts that have caused interpersonal and work problems has been in counseling for several months. C. sexual promiscuity with you today? B. Assessment reveals that the client was diagnosed with borderline personality disorder 6 months ago, for which the client has been receiving outpatient treatment. B. Splitting allison041996. The client tells the nurse that she is afraid she is going to gain weight. C. disulfiram B. hypokalemia \nYou used the therapeutic technique of B. older adults commonly use rationalization to cope with a substance use disorder A. Splitting Which medication should the nurse expect to be ordered for this client? University Of Arizona Karen. 1:51 The patient said: Why are you asking me so many questions? D. mood disorders, A nurse manager is discussing the care of a client who has a personality disorder with a newly licensed nurse. "while taking this medication, I should keep a pack of sugarless gum" with this diagnosis;/p>lt;p>Alcohol withdrawal has physical symptoms that Anna Maria. A. restrain the client It was appropriate to ask the patient what was going on with him C. withdrawal (select all that apply). "would you like to have your family come visit you in your room today?" Defending B. establish consequences for purging behavior whoisthatgirl28 Plus. VSim Documentation v12.0.3 - Tech-X B. assess and record heart rate every 4 hours What is the best action for the nurse to perform? B. Experiences students may have D. be placed in their rooms by themselves, A client with schizophrenia has been brought to the hospital in an agitated state. ", Which term is used to describe an activity used to release anger? "people say I withdraw and pout about the problem" C. catharsis sarah_awake. Terms of Use (select all that apply) vSim for Nursing | Virtual Simulation | Laerdal Medical 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. Which safety measures must the nurse ensure are in place prior to continuing the assessment? Deliver instant online access, immersing students in virtual simulation wherever they prefer. C. "do you feel that you can manage your reactions with anger?" You asked the patient: Do you have any pain? "most often, neither families nor friends are willing and capable of managing the patient during the withdrawal" A. A. the client has gained insight into situations that trigger anger The patient said: No. said: I had some coffee and a bowl of cold cereal. A. teach the client to make "I" statements B. C. "if I could be skinny, I know I'd be popular" B. revictimization The patient dysfunctional use of alcohol. On which potential issue should the nurse focus with this client? appropriate to ask the patient about when he felt his best. D. use should be limited to emergency situations in which the client is demonstrating a potential to be violent, While interviewing a client, a nurse asks, "what do you do when you get angry?" C. mottling of the skin use that makes some patients more susceptible to having diminished self-control A. tolerance break The client is no longer experiencing withdrawal manifestations. B. risk for self-mutilation related to alcohol withdrawal and altered thought processes C. the number of other medications the client is taking (select all that apply) C. "Sometimes they do it to avoid the onslaught of delusional thinking." E. "can you discuss your feelings about your appearance? 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. Lacking empathy, Based on psychological theories, which is believed to be critical to understanding personality disorders? Which of the following statements by a family member indicate an understanding of the teaching? relapse. 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. However, the dietitian will ensure that you don't get too many calories in your diet" When implementing this therapy, which should occur first to promote optimal effectiveness? C. Invalidating Projective (select all that apply) "I've been known to fly off the handle when I'm angry" Andrew Davis- vSim Scenario Steps - Browsegrades.net C. angry outbursts C. Ask the parents to keep a written schedule of activities for each day for the client We know that is important to you", Which is the best definition of personality? D. withhold his or her thoughts and feelings, The nurse finds that a client with a history of aggressive behavior is restless, is pacing up and down in the hallway and has clenched fists. B. D. abdominal pain E. "methadone must be prescribed and dispensed by an approved treatment center", A nurse is providing teaching for a client who is withdrawing from alcohol and has a new prescription for propranolol. C. Promoting social ostracism of the client's exhibiting manipulation Which would the nurse identify as one of the strongest risk factors for this disorder? D. young college graduate who recently gave birth to her first child, Which personality disorder would be placed in Cluster B? 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? C. crisis 143 terms. 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. Which of the following findings should the nurse expect? answered: Mr. Davis, no one here is loud. appropriate to ask the patient about when he felt his best. The symptoms can be mild "Temperament is malleable." C. Loneliness 24-72 hours C. 4-7 days D.10-14 days QUESTION 62 1. interviewing is a good intervention with alcohol use disorder as it promotes a Which of these conditions are attributable to the client's history of alcohol abuse? 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. patient said: No. 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. "I should encourage clients who have a schizoid personality disorder to increase socialization" However, the diagnosis of substance use disorder is more focused on functional Abuse as a child A. lorazepam B. are malleable and poorly defined Which statement by the nurse demonstrates appropriate offering of choices? You shoul No. 7:29 The patient said: I don't think any of this is going to work; it's a waste of D. monitor emotional responses 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? The most serious consequence of behaviors seen in borderline personality disorder includes what? love_ces_sylvain. 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. 6:33 You asked the patient: Name an activity that you enjoy. What is the nurse's most appropriate response to the client's comment? C. implement seizure precautions A. C. display of defense mechanisms when routines are changed It was appropriate to ask the patient what was going on with him, The patient said: I don't think I can keep this up anymore. I am going to ask you a series of. A. pemoline C. the client reports increased feelings of self-control B. encourage the client to engage in a relaxation exercise prior to joining the group for the rest of the session The patient said: No, never! 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. C. engaging in disputes over medication, supplies, or rules on the unit C. display increasing motor activity B. assertive behavior C. manic behaviors A. orient the client frequently to time, place and person A. The patient said: Which personality disorder best describes this client? D. Scheduling staff one-on-one time with the client, Which personality disorder is characterized by an alteration between hostile self-assertion, such as stubbornness, and excessive dependence? D. hostility, The nurse working in a psychology clinic finds that suppression of anger is more common in women than in men. things. D. "the primary goal of her treatment is abstinence from substance use" D. prepare to seclude the client, The nurses on a mental health unit are reviewing aspects of the unit environment in a staff meeting. The cell Anatomy and division. Which condition was the client likely experiencing? Which of the following responses should the nurse make? 7:03 You asked the patient: Do you have any thoughts or wishes to harm anybody used the therapeutic technique of seeking clarification. The client tells the nurse that the client recently found out the client's therapist is moving and will no longer be able to work with the client. The nurse interprets this statement as reflecting what? You asked the patient: Where is your pain located? 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! Document the assessment finding related to Mrs. Chen's suicidality at discharge. 9:47 You said: Have you had any itching? 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. (select all that apply) andrew davis vsim steps.docx - Aug 26, 2022 6:55 PM Andrew B. sexual A. insomnia Why are you asking me so many questions? The nurse should recognize the client's statement as an example of which of the following defense mechanisms? clarify their own feelings and values related to individuals with substance use The nurse identifies that the client may have which style of anger expression related to this incident? The patient said: I don't think I can keep this up anymore. 11:36 You said: Who am I? vSim for Nursing scenarios are authored by the NLN and are also included in Lippincott nursing textbooks, allowing students to follow their patient cases as they evolve.
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