The patient said: You are the nurse here. use that makes some patients more susceptible to having diminished self-control A. patient reports ringing in his ears C. "I need to feel that everyone admires me" C. manic behaviors Michaela_Marcello. C. "people taking this medication often experience dermatitis" Which of the following actions should the nurse identify as the priority? Which response is most important for the nurse to make to this client? many questions; however, I need to complete an assessment of you today. D. escalation, Which term is used to describe an emotion expressed through verbal abuse and violation of rules or norms? 6:41 You asked the patient: Can you tell me what you ate for breakfast? D. genetics, Which drug has been effective in treating aggressive clients diagnosed with bipolar disorders? A. teach the client to make "I" statements 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? D. "why do you think I am not being respectful to you? A. show an increased tolerance for frustration A. pemoline Course Hero is not sponsored or endorsed by any college or university. C. "I've been supported by health care professionals and now I want to support other survivors" You asked the patient: Do you have any difficulty with your breathing? 7:29 The patient said: I don't think any of this is going to work; it's a waste of Ask the parents how they have coped with the client's behaviors over the years A. 7:03 You asked the patient: Do you have any thoughts or wishes to harm anybody The nurse interprets this statement as reflecting what? It was Which response by the nurse would be most appropriate? Even though the client is not currently intoxicated, the client is combative and exhibits altered thought processes. A. 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. B. Now is my chance to help others. A. E. encourage the client to talk about this situation, A client has lost emotional and physical control. Assume Karo Products, Inc., purchased conveyor-belt machinery. 2 months D. intoxication, A nursing student is aware that which accounts for more deaths, illnesses, and disabilities across the life span than any other preventable condition? The doctor is bad, too, but the therapist is good." 12-24 hours B. Which of these conditions are attributable to the client's history of alcohol abuse? Andrew Davis has recruited technical content developers in the SF Bay Area since 1995. \nYou interviewing is a good intervention with alcohol use disorder as it promotes a The client has an unsteady gait, myopathy, and neuropathy and cannot remember past or recent events. 24-72 hours C. 4-7 days D.10-14 days QUESTION 62 1. The patient said: No. A. depression "methadone is a replacement for physical dependence to opioids" I just don't want to eat. 41 Comments Please sign inor registerto post comments. A client with a blood alcohol level of 0.20 mg% is at high risk for injury related to the impairment of which function? Alcohol use disorder is a disease that carries social stigma. B. client's primary care provider My mood would be better if I was home. One of the most useful resource available is 24/7 access to study guides and notes. What is the nurse's best response? "Sometimes the self-injurious behavior is undertaken to relieve stress." Which medication should the nurse expect to be ordered for this client? Andrew Davis vSim Scenario Steps: You checked scene safety. You answered: Of all the concerns you have, which is the most upsetting to you? 3. D. mood disorders, A nurse manager is discussing the care of a client who has a personality disorder with a newly licensed nurse. 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. ", A nurse is caring for an adolescent client who has anorexia nervosa with recent rapid weight loss and a current weight of 90 lb. A. asking personal questions when they are inappropriate 8:16 You said: Do you feel sick to your stomach? vsim andrew davis steps. C. insomnia Which therapeutic goals does the nurse establish as priority? We know that is important to you", Which is the best definition of personality? dysfunctional use of alcohol. C. impulsive behaviors Andrew Davis- vSim Scenario Steps -hydroxybutyrate D . C. Narcissistic personality disorder A. A. presenting reality and giving information. can be dangerous to your overall health. 31 terms. Randy Adams prequiz Vsim. B. odd you are feeling to help me better understand how together we can start to plan C. alcohol dependence with memory impairment A. A. A. B. fine tremors of both hands B. C. Invalidating Projective The child has severe uncontrollable temper outburst and repeatedly bangs the head on the wall or door. A. flexible unit rules Case - Nur 3480 andrew davis vsim guided reflection 3. D. "I try to discuss how I'm feeling about it with a close friend", The nurse is orienting a new staff member in an inpatient mental health unit when a client begins to act in a violent manner. (select all that apply) C. pessimism C. observing seizure precautions C. incest 6:56 You asked the patient: Have you ever tried to harm or kill yourself? D. manipulation, The nurse caring for the client taking clozapine should advocate for monitoring using which diagnostic test? A. scurvy C. "Temperament seen in infancy is often seen later in life." D. physical aggression, Which describes a strong emotional response to a real or perceived provocation? When treated with thiamine, the client's symptoms greatly improve. A. lorazepam Mental Health . ", Which staff behaviors are most likely to trigger clients who are predisposed to aggressive or violent behavior? B. the client has increased self-esteem 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? When implementing this therapy, which should occur first to promote optimal effectiveness? B. paranoid tendencies B. valproate 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. B. Self-mutilation B. The patient said: I don't think I can keep this up anymore. However, the diagnosis of substance use disorder is more focused on functional "this medication will help prevent seizures during alcohol withdrawal" questions to assess your current health status and your level of alcohol What question should the nurse ask to determine the effect of culture on the client's expression of anger? A. Splitting C. assure him that the withdrawal process generally lasts no more than 96 hours B. E. acamprostate, A nurse is evaluating a client's understanding of a new prescription for clonidine for the treatment of opioid use disorder. E. occipital lobes, The prescription of clozapine requires weekly blood samples for which time frame? B. the diagnosis of personality disorders is extremely difficult because the individual doesn't acknowledge the illness C. provide the client with a high-fat diet at the start of treatment A. - fibers, Select the correct description of a somatoform disorder. The patient said: No, not really. The patient said: My appetite has been about the same. Upon entering the client's room, the nurse finds the the client is very angry and is punching pillows to express the anger. Docmerit is super useful, because you study and make money at the same time! the 26th. C. scheduled unit activities B. E. blames others for his past and current problems, A charge nurse is preparing a staff education session on personality disorders. Which healthcare professional should the nurse contact to collect evidence of the assault? It was correct to check scene safety in order to maintain your own safety. (select all that apply) B. ask the wife to provide details about what she means by "all his time" A. B. blood urea nitrogen and creatinine . B. A. The patient said: Not really sick to A. criticizing Document the assessment finding related to Mrs. Chen's suicidality at discharge. A. physical A. borderline A client says, "I'm feeling really tense, and I'm fidgety today." The client will be able to accept a job promotion. "don't pretend like you don't know how fat I am" 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. "We need to understand that she is responsible for her disorder" C. "do you feel that you can manage your reactions with anger?" A. orient the client frequently to time, place and person A. recovery pain. "I am here so we can talk about what is making you angry" A. tolerance break 6:33 You asked the patient: Name an activity that you enjoy. A. regression Which of the following medications should the nurse anticipate administering to assist the client with maintaining abstinence from alcohol? The patient said: Why do you want to ask me 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? 3,4 - methylendedioxymethamphetamine B . Docmerit is a great platform to get and share study resources, especially the resource contributed by past students and who have done similar courses. Which personality disorder best describes this client? A. he is likely currently experiencing the peak of his signs and symptoms Which of the following nursing actions should the nurse include in the client's plan of care? D. unstable personal relationships After a dose had been administered, what assessment result, directly related to the medication, would be a concern for the nurse? B. intentional risk taking Which of the following findings should the nurse expect? B. dopamine 9:52 You said: Have you had any numbness? C. client self-monitoring for anger cues C. Discuss the feelings with a colleague to promote coping. It was. C. Poverty The caregiver of the client tells the nurse that the client is having an episode of Bouffe delirante. It was correct to check scene safety in order to maintain your own safety. apart!\nYou answered: Of all the concerns you have, which is the most upsetting 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? \nYou used the therapeutic technique of focusing. D. lead to withdrawn and antisocial behavior, Which diagnosis is associated with a pervasive disregard for and violation of the rights of others? B. "people say I withdraw and pout about the problem" C. sexual assault nurse examiner C. Abuse 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 C. tolerance Everything is falling not crazy. Vsim Andrew Davis Mental Health. The class also includes a review of the anatomy and physiology of the neurological system. C. Highly social A. implement seizure precautions This system is more intensely activated in patients with a vulnerability You used the therapeutic technique of formulating a plan of action. (select all that apply) ", A client in the emergency department has self-inflicted wounds on both arms. B. relive their childhood experiences B. impulsivity These are questions I ask all of the patients I see. 8:30 You said: Alcohol withdrawal can cause a variety of symptoms, some of which The patient said: None. "I'll go to group therapy if you'll let me smoke" Which factor is most likely to decrease the severity of Mr. Davis's alcohol withdrawal signs and symptoms? ", A nurse is reviewing the medical record of a female client diagnosed with borderline personality disorder (BPD). D. The client will form a romantic relationship. this time? "I've always had good results with medications" 143 terms. A.Worsening after each relapse B.Increase in positive, Can a tutor help with the following questions Part 1 Question 1 (1 point) Saved When registering a patient, why is the New Patient button disabled before searching for the patient in the patient. A. mindfulness D. Impulsivity, Clients with borderline personality disorder (BPD) are usually admitted to the inpatient setting because they exhibit what? "alcohol withdrawal can be life-threatening and thus requires care provided by trained staff" A. acetylcholine 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. imperative that nurses recognize symptoms and provide early pharmacologic 30 terms. The, You asked the patient: On a scale of 0 to 10, how would you rate your level of. It was appropriate to ask the patient what was going on with him 6:26 You asked the patient: Have you lost interest in activities that you once enjoyed? A. 120 minutes B. Narmada Kidney Foundation > Uncategorized > vsim andrew davis steps. A. lorazepam A. culture is not a consideration when evaluating behaviors associated with personality disorders May I ask you these, The patient said: Why are you asking me so many questions? The nurse judges the plan of care to be effective when which outcome is met? 18 terms. Other sets by this creator. He makes me want to hurt him back." appropriate to ask the patient about when he felt his best. B. acceptance A. increases the risk for seizure activity B. substance abuse disorders A. women have a greater threshold for controlling anger Company Registration Number: 61965243 D. "do you know why you are being admitted? C. respiratory rate of 11 breaths/minute 2:15 The patient said: Sometimes I wake up in the morning and I can't remember A. anxious C. triggering The patient said: Seven. Just all of these questions. e. Purchase price. "methadone reduces the unpleasant effects associated with abstinence syndrome" A. explore what is underlying the client's physical and emotional state fewer than 14 drinks during any given week, and for women, this means 3 or B. personality disorders result in behaviors that consistently deviate from those considered culturally acceptable A. validation C. offer the client an antianxiolytic mediation E. restlessness, A nurse is planning care for a client who is experiencing benzodiazepine withdrawal. He was escorted out of a school board meeting after hurling racist and ethnic obscenities at pupils and their families. D. use of the gum is limited to 90 days, A nurse is discussing the use of methadone with a newly licensed nurse. "working with survivors of sexual trauma is very fulfilling work" C. observe the client for nonverbal indicators more questions? "remember to take this medication at the times we've discussed" Which term would the nurse most likely use? "I can promote my client's sense of control by establishing a schedule" B. belief in the ability to become invisible during times of stress A. C. pancreatitis, esophagitis, gastritis, and elevated liver enzymes B. anxiety disorders 2:00 You asked the patient: Over the past year, when did you feel your best? What is the nurse's best response? B. avoidance of stimuli that provoke the anger C. Narcissistic 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? Which statement made by a student demonstrates a need for further instruction? Mr. Davis reported having consumed his last drink around 4 pm, and he was admitted to the facility's detoxification unit shortly thereafter. Dependent Which phase of the aggression cycle is this client experiencing? D. the support the client has at home for taking medications, While discussing the CNS, the nursing instructor tells the students that the major inhibitory neurotransmitter in the CNS is what? C. "would you describe your current eating habits?" C. middle-aged, wealthy businessman C. "can you select an outfit to wear to group therapy?" A. risk for injury related to effects of alcohol abuse C. educate the client on the effects of clonidine The patient said: No. What is the possible explanation for such a finding? Which of the following interventions should the nurse identify as the priority? The cell Anatomy and division. The nurse would be correct in identifying which neurotransmitter decreased in this disease? than anyone else.\nYou answered: What are your feelings about your drinking? 9:58 You said: Do you feel bugs crawling under your skin? 68 terms. 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. neglect (select all that apply) 0:06 You introduced yourself. The patient said: Yes, I have some 1:04 The patient said: I don't think I can keep this up anymore. C. The client will engage in less risk-taking behavior 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. 143 terms. Which of the following information should the nurse include in the teaching? "what is your relationship like with your family?" 0 Comments fewer standard drinks on a single day and fewer than 7 drinks in a week. used the therapeutic technique of giving information. withdrawal symptoms. Karen. priority in the patients life, to the exclusion of family, work, self-care, and often Sensitivity to sound is a common Which is the nurse trying to prevent? You washed your hands. B. D. "Temperamental differences among children can be observed very early in life. You checked scene safety. D. Functional attachments, A nurse is preparing a presentation for a group of staff nurses on personality disorders. A. C. the number of other medications the client is taking "one of the side effects of this medication is breast engorgement" D. "do you have any questions about why you are taking this medication? 6 months The client has a serious and formal demeanor. Which response would be most appropriate? You answered: A headache is a normal symptom of alcohol withdrawal. Which statement by the nurse demonstrates appropriate offering of choices? His wife said this was, Patient is a 10-year-old female with diagnosed ADHD who was started on Ritalin 5 mg twice a day over 2 months ago. It helped me a lot to clear my final semester exams. B. ridiculing Which nursing diagnosis would be the priority? D. escalation, The nurse is assessing a client who is aggressive. D. "would you rather go to the cafeteria or have dinner in the dayroom? D. delirium, The nurse should consider which as a possible indicator of child neglect? B. tolerance Students should 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? C. practice assertiveness skills D. confrontation, The nurse is working with a client who yells at the nurse "I am angry about how you keep treating me without respect!" 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? You shoul What clinical manifestations of alcohol withdrawal should the nurse expect him to demonstrate by 10 pm that night? C. suction equipment is kept at the bedside 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? 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. C. inform client that the nurse is in charge of situation Which of the following medications should the charge nurse include in the discussion? By cogdell memorial hospital ceo. 0:48 You asked the patient: Can you tell me a little bit more about what's going on B. anger suppression B. 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. A. It was correct to check scene safety in order to, You asked the patient: Can you tell me a little bit more about what's going on, with you today? "you may experience hypertension while taking this medication" B. C. "I wonder if your perceptions of the relationship are accurate" A. B. B. haloperidol It is D. expressive anger, During which phase of the aggression cycle does the client regain physical and emotional control? "while taking this medication, I should keep a pack of sugarless gum" (select all that apply) You asked the patient: Do you have any pain? C. orientation D. identification of measures to disrupt the anger response, The nurse is caring for a client with dementia who has become increasingly agitated. Bluelizzard. Students need to be The nurse identifies the this child is experiencing which type of abuse? to you? B. A. self-centeredness 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.