(select all that apply) 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. C. "I usually approach the person directly to talk about it" A. lorazepam D. monitor emotional responses A. development of a therapeutic relationship A. "Sometimes the self-injurious behavior is undertaken to relieve stress." B. use increased doses of medication to reach a desired effect E. acamprostate, A nurse is evaluating a client's understanding of a new prescription for clonidine for the treatment of opioid use disorder. The patient said: Yes, I have some D. physical abuse, Which statement made by a client raises the greatest concern that the client may be experiencing relationship violence? symptom of alcohol withdrawal. "you may experience hypertension while taking this medication" itching. "his father physically abused his mother for years" (headache, tremor) to severe (hallucinations, delirium tremens, seizures). Which response by the nurse would be most appropriate? The patient said: No. A. middle-aged woman with a college degree D. claiming to be more important than other persons C. "she should participate in an Al-Anon group to help her recover" 143 terms. After a dose had been administered, what assessment result, directly related to the medication, would be a concern for the nurse? A. orienting for time, place and person as needed 24-72 hours C. 4-7 days D.10-14 days QUESTION 62 1. \nYou used the therapeutic technique of encouraging expression. Abuse as a child The patient said: I like B. The patient said: No, it's just light. Which phase of the aggression cycle is this client experiencing? It's scary.\nYou answered: What are you concerned might happen? with this diagnosis;/p>lt;p>Alcohol withdrawal has physical symptoms that 11:29 You said: What is today's date? A. C. monitor facial expressions fewer standard drinks on a single day and fewer than 7 drinks in a week. 10:23 The patient said: Why is everyone so loud? 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 love_ces_sylvain. B. dry mouth 0 Comments maintain your own safety. 8 terms. The activation of the dopamine reward system is a primary source of (select all that apply). A. restrain the client D. "do you have any questions about why you are taking this medication? 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. The client has a history of gastritis, esophagitis, elevated liver enzymes, cardiomyopathy, and pancreatitis. D. near continuous pacing D. "methadone increases the risk for acetaldehyde syndrome" The patient. C. inform client that the nurse is in charge of situation School Harvard University Course Title NURSING HEALTH ASS Uploaded By ConstableEchidnaMaster1985 Pages 7 things. A. mood and affect 6:41 You asked the patient: Can you tell me what you ate for breakfast? technique of using denial. It was correct to check scene safety in order to maintain your. B. bupropion Case - Andrew davis vsim 2. A. the individual characteristics that change as one grows and experiences life situations The caregiver of the client tells the nurse that the client is having an episode of Bouffe delirante. \nYou A. triggering Add to Cart. A. insomnia A. The nurse should recognize the client's statement as an example of which of the following defense mechanisms? "I am not going to talk to you while you are angry" E. blames others for his past and current problems, A charge nurse is preparing a staff education session on personality disorders. The client tells the nurse that she is afraid she is going to gain weight. A. 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. 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. presenting reality and giving information. alcohol: for men, this means 4 or fewer standard drinks on any single day and There are guidelines for low-risk use of "you will learn how to control your violent behavior" 1 week C. 3 days D. 12 hours D ", A client in the emergency department has self-inflicted wounds on both arms. A. hostility B. wernicke-korsakoff syndrome D. cutting body parts, Impulsivity is a characteristic of borderline personality disorder (BPD). Which of the following questions should the nurse include in the assessment? D. be placed in their rooms by themselves, A client with schizophrenia has been brought to the hospital in an agitated state. A. D. hostility, The nurse working in a psychology clinic finds that suppression of anger is more common in women than in men. D. serotonin, A client with Parkinson's disease is hospitalized on a medical unit. \nYou used the therapeutic technique of D. schizoid, A personality disorder is defined as a collection of traits that do what? D. "I sometimes feel better if I cut myself", A nurse is caring for a client who has borderline personality disorder. D. emotional dependency, In clients who do not completely recover from being victimized by rape, which mental illness is most likely to develop? . B. reduced use of restraints e. Purchase price. A. The patient said: No. E. ensure availability of assistance, The nurse is caring for a client with rheumatoid arthritis. disorders, as well as their world view of alcohol. Attempt to discuss placing the client into an assisted living environment 1:51 The patient said: Why are you asking me so many questions? A. women have a greater threshold for controlling anger A. validation Seizures - These are waves of abnormal electrical activity in the brain. B. triggering C. "I've been supported by health care professionals and now I want to support other survivors" Practice NCLEX Questions from the Book! C. "Sometimes they do it to avoid the onslaught of delusional thinking." C. observe the client for nonverbal indicators A. Vsim Andrew Davis Mental Health. The client is shouting, screaming, hitting others and throwing objects. The patient said: Why do you want to ask me A. physical 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? I don't drink more Which of the following statements is expected from a client who has this type of personality disorder? D. identification of measures to disrupt the anger response, The nurse is caring for a client with dementia who has become increasingly agitated. "Self-injurious behavior often calms and sedates people with this diagnosis." A. personality disorders are diagnosed in early adulthood, when personality formation is complete A. acetylcholine other than medications? What is the nurse's most appropriate response to the client's comment? I have already answered a lot of questions. relapse. A. A. shout and let the client know that this behavior is not tolerated A. demonstrates extreme anxiety when placed in a social situation ), borderline personality disorder is categorized as a Cluster B disorder. B. restrain the client Which safety measures must the nurse ensure are in place prior to continuing the assessment? Andrew Davis- vSim Scenario Steps Preview 1 out of 4 pages Getting your document ready. 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? 6:49 You asked the patient: Do you have any thoughts or wishes to harm or kill apart!\nYou answered: Of all the concerns you have, which is the most upsetting vsim andrew davis steps. D. have a staff member stay with the client, A nurse is leading an anger management group in the inpatient program. C. decreases cravings Dependent You shoul A. patient reports ringing in his ears You asked the patient: Have you had any changes in your appetite over the past. ", Which staff behaviors are most likely to trigger clients who are predisposed to aggressive or violent behavior? A. anger C. sexual promiscuity C. splitting D. recovery, A nurse is beginning the process of providing therapy to a client with anger management problems. D. identification, A client with borderline personality disorder has been admitted to the inpatient unit because the client has been engaging in wrist cutting. C. lead to aggression and violence NY Times Paywall - Case Analysis with questions and their answers. 3,4 - methylendedioxymethamphetamine B . Measure students' progress, identify weaknesses and deliver instant . B. rape The nurse judges the plan of care to be effective when which outcome is met? 6 months B. the diagnosis of personality disorders is extremely difficult because the individual doesn't acknowledge the illness The nurse needs to work with the patient to address consequences of D. serotonin, A nurse is assessing a child with a diagnosis of autism spectrum disorder. A. chain smoking A. C. Sociopath B. 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? D. talking excessively with the client in front of other clients, The nurse is counseling a client couple who are trying to reconcile and hold their marriage together. You asked if the patient had any known allergies. 11:42 You said: Is the light's color different? C. Dissociation C. catharsis B. risk for self-mutilation related to alcohol withdrawal and altered thought processes "you have the right to be safe and respected" A. (select all that apply) B. dim the lighting in his room D. lead to withdrawn and antisocial behavior, Which diagnosis is associated with a pervasive disregard for and violation of the rights of others? The doctor is bad, too, but the therapist is good." C. Self-harm B. C. the client reports increased feelings of self-control "what is your relationship like with your family?" A. chew the gum for no more than 10 min D. asking for time alone when frustrated What is the nurse's best response? 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. C. "if I could be skinny, I know I'd be popular" D. the behaviors demonstrated by an individual diagnosed with a personality disorder conform to cultural expectations, Which statement regarding the diagnosis of a personality disorder is accurate? C. scheduled unit activities Which term would the nurse most likely use? Which of the following is appropriate for the nurse to include in the presentation? ", A client is admitted to the emergency department for intoxication with alcohol. You identified the patient. The patient said: You are the nurse here. 10:44 You said: Does the light appear to be too bright? B. a history of taking these types of medications Why are you asking me so many questions? The patient said: None. B. belief in the ability to become invisible during times of stress The patient said: It is A . Encouraging questions and discussing the client's concerns D. vomiting The nurse in charge of an inpatient psychiatric unit is irritated with a client who has borderline personality disorder. D. prepare to seclude the client, The nurses on a mental health unit are reviewing aspects of the unit environment in a staff meeting. "while taking this medication, I should keep a pack of sugarless gum" D. encourage participation in group therapy sessions, A nurse is caring for a client who has alcohol use disorder. (select all that apply) D. physical aggression, Which describes a strong emotional response to a real or perceived provocation? perceptions. B. his signs and symptoms will likely taper off in severity over the next 12 hours A. Despite being employed, the client verbalizes having low quality of life due to anxiety and isolation. C. avoid eating 15 min prior to chewing the gum 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. Ketamine C . Everything is falling C. reflection B. gastritis and elevated liver enzymes B. ensure that his needs are met in a nonjudgmental manner 143 terms. D. "the primary goal of her treatment is abstinence from substance use" 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. D. "The self-mutilation often slows the mood swings your sibling experiences. The Other sets by this creator. A. patient reports ringing in his ears A. mindfulness She is still experiencing the triad of symptoms associated with ADHD (impaired. Deliver instant online access, immersing students in virtual simulation wherever they prefer. The nurse should anticipate prescriptions for which of the following medications to promote long-term abstinence for alcohol? 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. 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? May I ask you these, The patient said: Why are you asking me so many questions? B. assess and record heart rate every 4 hours 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. Karen. Which of the following is an expected finding? The nurse should instruct the client to monitor for which of the following adverse effects? B. Avoidant personality disorder B. revictimization D. clozapine, Aggression control can be measured by the nurse's observation of a client's ability to do what? Ketamine C . my work and it keeps me busy. Document the assessment finding related to Mrs. Chen's suicidality at discharge. D. speak to the client in a firm voice, A client with aggressive behavior shows no psychotic symptoms. "one of the side effects of this medication is breast engorgement" 11:36 You said: Who am I? interviewing is a good intervention with alcohol use disorder as it promotes a A. "what did you learn about anger when growing up?" D. Arrange for the client to be transferred to another unit. D. Cognitive schema, A nurse is describing histrionic personality disorder to a group of new nurses. C. "if you don't calm down, I will need you to go to your room" C. disulfiram The client continues to maintain a job and functions well in activities of daily living, relationships, and other aspects of social life. A. There is a biological basis to dysfunctional alcohol C. withdrawal Research suggests violent behavior is influenced by possession of which attribute? A. anxious C. "I can expect some diarrhea from taking this medicine" Other sets by this creator. The child has severe uncontrollable temper outburst and repeatedly bangs the head on the wall or door. 18 years A. 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. 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? The patient said: Sometimes I wake up in the morning and I can't remember, things. B. C. pancreatitis, esophagitis, gastritis, and elevated liver enzymes The patient said: No. "We need to understand that she is responsible for her disorder" 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. You performed medication reconciliation. B. establish consequences for purging behavior 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! The client is no longer experiencing withdrawal manifestations. Sensitivity to sound is a common C. behaviors and beliefs that are present and acted on from an individual's birth D. young college graduate who recently gave birth to her first child, Which personality disorder would be placed in Cluster B? C. display of defense mechanisms when routines are changed B. helplessness B. women are expected not to express so-called negative feelings like anger We're available through e-mail, live chat and Facebook. Which of the following medications should the nurse anticipate administering to assist the client with maintaining abstinence from alcohol? 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. D. "Temperamental differences among children can be observed very early in life. D. alcoholic dementia, Which term describes a situation that occurs when very small amounts of alcohol intoxicates the person after continued heavy drinking? 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? 56 terms. D. Impulsivity, Which would be the priority nursing diagnosis for a client diagnosed with borderline personality disorder (BPD)? C. insomnia You asked the patient: Do you have any pain? D. "I should implement assertiveness training with clients who have antisocial personality disorder", A nurse is caring for a client who has avoidant personality disorder. "would you like to have your family come visit you in your room today?" D. manipulation, The nurse caring for the client taking clozapine should advocate for monitoring using which diagnostic test? University Of Arizona The patient said: Yes, I have some pain. Instructing the staff to enforce all unit rules consistently 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. 6:12 You asked the patient: Please tell me what today's date is. It was appropriate to ask the patient what was going on with him The client's sibling is visiting, and the sibling asks the nurse to explain why the client sometimes does this. The patient said: Not really sick to A. receiving education and information about the medication A. Everything is falling apart! The, You asked the patient: Do you have any pain? A. Introverted The nurse is counseling a 28-year-old client with avoidant personality disorder. B. C. Poverty C. shield oneself with a pillow C. ask the husband to discuss why he spends so much time with his friends A. social isolation A. lithium B. substance abuse disorders B. pons A. 7:32 You asked the patient: How do you understand your problems? Andrew Davis has recruited technical content developers in the SF Bay Area since 1995. C. suction equipment is kept at the bedside (review sheet 4), Philippine Politics and Governance W1 _ Grade 11/12 Modules SY. allison041996. B. intentional risk taking C. "the cost of the treatment is covered by insurance only if delivered in a hospital setting" else? 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. 8:30 You said: Alcohol withdrawal can cause a variety of symptoms, some of which A. healthcare provider on call ", A nurse is reviewing the medical record of a female client diagnosed with borderline personality disorder (BPD). B. personality disorders result in behaviors that consistently deviate from those considered culturally acceptable When treated with thiamine, the client's symptoms greatly improve. C. disulfiram D. intoxication, The nurse is performing a history and physical examination on a client with chronic alcoholism. B. head.\nYou answered: The lights can't hurt you. B. valproate An interactive, personalized simulation experience for every student. Which of the following statements by a family member indicate an understanding of the teaching? Everything is falling, apart!\nYou answered: Of all the concerns you have, which is the most upsetting. Using concepts from assertiveness training and effective communication techniques, the nurse implements which intervention after hearing the wife's remarks? A. show an increased tolerance for frustration If you earn 6% per year on your bank account, how long will it take an account with $100 to double to$200? C. hypothalamic axes C. Ask the parents to keep a written schedule of activities for each day for the client You even benefit from summaries made a couple of years ago. \nYou (select all that apply) Which of the following nursing actions should the nurse include in the client's plan of care? 2:00 You asked the patient: Over the past year, when did you feel your best?
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