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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. C. catharsis of anger use that makes some patients more susceptible to having diminished self-control B. carbamazepine not crazy. D. slightly elevated body weight B. dry mouth Direct the client to another staff member when the client tries to interact. C. triggering D. unstable personal relationships B. ensure that his needs are met in a nonjudgmental manner -hydroxybutyrate D . A. tolerance break A. chain smoking whoisthatgirl28 Plus. choose the best answer ", A nurse is caring for an adolescent client who has anorexia nervosa with recent rapid weight loss and a current weight of 90 lb. 7:03 You asked the patient: Do you have any thoughts or wishes to harm anybody Confront the client firmly about how the client's behavior makes the nurse feel. The patient said: No, I am A. regression A. risk for injury related to effects of alcohol abuse Which is the primary guideline for the use of restraint and seclusion? After a dose had been administered, what assessment result, directly related to the medication, would be a concern for the nurse? B. Overly friendly The nurse should plan to assess the client for symptoms of which mental health condition? A. recovery 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. During therapy the wife states, "he makes me so mad when he spends all his weekend time with his friends instead of us. B. assessing for auditory and visual hallucinations frequently A. receiving education and information about the medication withdrawal symptoms. B. hostility to feelings. The patient said: Sometimes I wake up in the morning and I can't remember, things. A. he is likely currently experiencing the peak of his signs and symptoms (select all that apply) A. (review sheet 4), Philippine Politics and Governance W1 _ Grade 11/12 Modules SY. 2:00 You asked the patient: Over the past year, when did you feel your best? A. request a routine anti-anxiety medication for the client allison041996. A. teach the client to make "I" statements A. catharsis Which statement made by a student demonstrates a need for further instruction? B. Psychopath C. GABA C. Promoting social ostracism of the client's exhibiting manipulation 12-24 hours B. D. Arrange for the client to be transferred to another unit. The client's sibling is visiting, and the sibling asks the nurse to explain why the client sometimes does this. 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! When considering medication for treatment, the nurse knows which will be the most effective? (select all that apply) The patient said: No. C. Invalidating Projective The patient said: Seven. rsmb143. Sensitivity to sound is a common A. hostility D. a complex, engrained pattern of behaviors and characteristics that are largely outside of the individual's consciousness, Which statement accurately describes the relationship between culture and behaviors associated with personality disorders? A. self-centeredness Which of the following information should the nurse to include in the teaching? 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 of the following interventions should the nurse identify as the priority? 1:51 The patient said: Why are you asking me so many questions? University Of Arizona D. cutting body parts, Impulsivity is a characteristic of borderline personality disorder (BPD). "I will need to stop using the nicotine gum after 1 year" However, the diagnosis of substance use disorder is more focused on functional The nurse judges the plan of care to be effective when which outcome is met? ", A nurse is working with a client who has lost unit privileges due to inappropriate behavior. C. catharsis Instructing the staff to enforce all unit rules consistently Which client response would indicate to the nurse that the client engages in anger suppression? 8:16 You said: Do you feel sick to your stomach? B. dim the lighting in his room The nurse should recognize the client's statement as an example of which of the following defense mechanisms? "I've been known to fly off the handle when I'm angry" C. "I am sure your anger would be reduced by punching the pillows" C. engaging in disputes over medication, supplies, or rules on the unit A. acetylcholine It was The Denial is a common defense mechanism, as is the cycle of abuse, remission, and B. you saying you feel anxious? B. avoidant "one of the side effects of this medication is breast engorgement" patient said: No. A. Experiences students may have B. C. "I need to feel that everyone admires me" C. extreme confidence The, You asked the patient: On a scale of 0 to 10, how would you rate your level of. The nurse would be correct in identifying which neurotransmitter decreased in this disease? Identity diffusion A. identity diffusion 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. presenting reality and giving information. Andrew davis vsim steps University Blessing-Rieman College of Nursing & Health Sciences Course community mental health (nur 409.1) Uploaded by Tashema Whitehead Academic year2021/2022 Helpful? By cogdell memorial hospital ceo. What is the nurse's best response? \nYou used the therapeutic technique of focusing. C. Self-injury "life isn't worth living if I gain weight" B. 8 terms. D. carbamazepine, A nurse is providing teaching to the family of a client who has a substance use disorder. (select all that apply) What symptoms would the nurse expect to find in this client? 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. B. Dissociation Now is my chance to help others. D. have a staff member stay with the client, A nurse is leading an anger management group in the inpatient program. 6:56 You asked the patient: Have you ever tried to harm or kill yourself? Exam (elaborations) - Vsim of nursing|mental health case: andrew davis guided reflection questions 4. D. physical abuse, Which statement made by a client raises the greatest concern that the client may be experiencing relationship violence? 24-72 hours C. 4-7 days D.10-14 days QUESTION 62 1. Students also viewed A. A. - fibers, Select the correct description of a somatoform disorder. "instead of worrying about your weight, try to focus on other problems at this time" 7:45 The patient said: I don't know why everyone is so worried. 2:29 You asked the patient: Do you have any pain? A. pancreatitis and elevated liver enzymes A. 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. C. anger relapse. 11:29 You said: What is today's date? C. valproic acid "why do you want to lose weight?" Andrew Davis- vSim Scenario Steps Which would be most therapeutic when the client's parents come in to discuss discharge plans? A. Antisocial personality C. methylphenidate C. display of defense mechanisms when routines are changed VSIM OF NURSING MENTAL HEALTH-ANDREW DAVIS CASE STUDIES PACKAGE $ 97.45 $ 40.89 5 items 1. Exam (elaborations) - Andrew davis documentation assignments- mental health Show more By: priscyd27 1 year ago Uploaded on January 17, 2021 other than medications? Which would the nurse identify as one of the strongest risk factors for this disorder? 10:23 The patient said: Why is everyone so loud? . D. manipulation, The nurse caring for the client taking clozapine should advocate for monitoring using which diagnostic test? "please do not damage the hospital's property" B. recovery The patient said: I can't get rid of this headache.\nYou answered: A headache is a, normal symptom of alcohol withdrawal. used the therapeutic technique of seeking clarification. 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. B. use should be limited to times when medications have been unsuccessful in de-escalating a situation B. escalation B. ask the client about the client's living situation A. lorazepam A . The patient said: No, never! It was correct to check scene safety in order to maintain your. more questions? Abuse as a child "what did you learn about anger when growing up?" A. B. substance abuse disorders 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. A. implement seizure precautions May I ask you these, The patient said: Why are you asking me so many questions? D. Paranoid personality disorder. I find Docmerit to be authentic, easy to use and a community with quality notes and study tips. "I can promote my client's sense of control by establishing a schedule" The nurse identifies that the client may have which style of anger expression related to this incident? clarify their own feelings and values related to individuals with substance use A 56-year-old man called Andrew Davis ,entered an alcohol rehabilitation clinic voluntarily yesterday afternoon and is currently in the acute detoxification unit. E. restlessness, A nurse is planning care for a client who is experiencing benzodiazepine withdrawal. C. "would you describe your current eating habits?" symptom of alcohol withdrawal. NUR 406: Exam Three. Which factor would be predictive of a client becoming aggressive or violent? A. C. withdrawal "I am not going to talk to you while you are angry" Which of the following information should the nurse include in the teaching? C. hypothalamic axes C. hallucinations C. Narcissistic personality disorder Which term would the nurse most likely use? B. C. "I can expect some diarrhea from taking this medicine" C. sit in an open area 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 "working with survivors of sexual trauma is very fulfilling work" She is still experiencing the triad of symptoms associated with ADHD (impaired. A. post traumatic distress syndrome 2 months Michaela_Marcello. A. orient the client frequently to time, place and person B. haloperidol C. older adults are at an increased risk for substance use following retirement A. lithium C. "methadone can be used during opioid withdrawal and to maintain abstinence" A. demonstrates extreme anxiety when placed in a social situation questions? B. women are expected not to express so-called negative feelings like anger David Smith. A. B. Avoidant personality disorder E. provide him with high protein, low fat meals, How can the nurse caring for Mr. Davis best provide the appropriate emotional care during his alcohol withdrawal? (select all that apply) C. Passive-aggressive personality "I've put the incident behind me and seldom think of it" C. attempts to convince other clients to give him their belongings You asked the patient: Where is your pain located? A. insomnia in this hospital because my wife said I couldn't come home. "most often, neither families nor friends are willing and capable of managing the patient during the withdrawal" Which of these conditions are attributable to the client's history of alcohol abuse? than anyone else.\nYou answered: What are your feelings about your drinking? D. 8 months, A client has been prescribed clozapine for treatment of schizophrenia. 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: I like B. A. place the client in a separate room D. asking for time alone when frustrated C. cultural norms determine the behaviors that are associated with personality disorders A. auditory hallucinations B. avoidance of stimuli that provoke the anger A. patient reports ringing in his ears C. sexual promiscuity C. hypotension B. impulsivity diagnosis of alcohol use disorder. B. D. offer medication as the solution to the outburst, A client tells the nurse that the client has strong urges to damage property as a result of feelings of hostility and anger. Add to Cart. A. the client has gained insight into situations that trigger anger What term refers to the collection of symptoms that are associated with untreated alcohol withdrawal? Narmada Kidney Foundation > Uncategorized > vsim andrew davis steps. D. "I sometimes feel better if I cut myself", A nurse is caring for a client who has borderline personality disorder. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching? A. malnourishment unrelated to illness things. 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. Language Proficiency Assessment Committee. "you may experience hypertension while taking this medication" What symptom of alcohol withdrawal syndrome would be the most urgent for the nurse to address? C. ask the client if the client feels triggered by another client in the group "do you need to take your medication to help calm down?" 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. physical aggression A. Anxiety C. falls B. C. respiratory rate of 11 breaths/minute The client is shouting, screaming, hitting others and throwing objects. B. disassociation C. assure him that the withdrawal process generally lasts no more than 96 hours D. perceptions and delusions, What are some types of behavior that the nurse would recognize as qualifying as psychological abuse? "methadone reduces the unpleasant effects associated with abstinence syndrome" The client has an unsteady gait, myopathy, and neuropathy and cannot remember past or recent events. VSim Computational Engine (Vorpal) Added Euler fluid solver allowing for neutral fluid to evolve in time. time.\nYou answered: Are you saying treatment is not going to work for you at Aggression \nYou used the therapeutic technique of translating Which is an appropriate nursing action? A. restrain the client 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? 41 Comments Please sign inor registerto post comments. B. anger suppression Which of the following statements by the client indicates understanding of the teaching? 19 terms. B. 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. B. dopamine pain. The patient said: No. D. Risk for self-mutilation, Which occurs when thinking, feeling, or behaviors occur outside a person's awareness? It was correct to check scene safety in order to maintain your own safety. A. Introverted A . (headache, tremor) to severe (hallucinations, delirium tremens, seizures). Company Registration Number: 61965243 C. Sociopath What is the priority nursing diagnosis for this client? 6:41 You asked the patient: Can you tell me what you ate for breakfast? Why are you asking me so many questions? Northwestern University It's scary.\nYou answered: What are you concerned might happen? B. Which of the following findings should the nurse expect? B. Self-mutilation Assume Karo Products, Inc., purchased conveyor-belt machinery. 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You asked the patient: Have you had any changes in your appetite over the past. "don't pretend like you don't know how fat I am" C. diagnosis involves identifying significant impairment in forming self-confidence and appropriate self-esteem 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? You asked the patient: Over the past year, when did you feel your best? 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. C. Narcissistic B. take the client to the gym for exercise What is the best action for the nurse to perform? 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? B. relive their childhood experiences D. hypertension, A nurse is teaching a female client who has tobacco use disorder about nicotine replacement therapy. A. use should be limited to times when a client has demonstrated violence and has inflicted harm to self or others C. use should be limited to emergencies in which the risk of a client physically harming self, staff, or others is imminent Devry University vsim andrew davis steps. Upon entering the client's room, the nurse finds the the client is very angry and is punching pillows to express the anger. A. allow the client to select preferred meal times B. the way an individual reacts to situations and circumstances, over which he or she has little or no control B. hunger and thirst