had with friends or family with substance use disorder will affect these D. recovery, A nurse is beginning the process of providing therapy to a client with anger management problems. You even benefit from summaries made a couple of years ago. 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? clarify their own feelings and values related to individuals with substance use It was correct to check scene safety in order to D. naltrexone Deliver instant online access, immersing students in virtual simulation wherever they prefer. B. older adults commonly use rationalization to cope with a substance use disorder C. older adults are at an increased risk for substance use following retirement A. mindfulness Which clinical manifestations confirm that a patient is experiencing Stage I (mild) of alcohol withdrawal syndrome? "I should encourage clients who have a schizoid personality disorder to increase socialization" B. provide ice chips at the client's bedside 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. 8 terms. A. chlordiazepoxide D. clozapine, Aggression control can be measured by the nurse's observation of a client's ability to do what? A. receiving education and information about the medication A client with a blood alcohol level of 0.20 mg% is at high risk for injury related to the impairment of which function? You asked if the patient had any known allergies. The class also includes a review of the anatomy and physiology of the neurological system. A. older adults require higher doses of a substance to achieve a desired effect C. Ask the parents to keep a written schedule of activities for each day for the client A. Andrew Dave documents - vsim - Mental Health Case: Andrew Davis The nurse understands that which of the following is the primary behavioral characteristic of this cluster of disorders? D. physical abuse, Which statement made by a client raises the greatest concern that the client may be experiencing relationship violence? distress? you saying you feel anxious? D. unstable personal relationships over use. C. catharsis B. anxiety disorders The doctor is bad, too, but the therapist is good." Ketamine C . 12-24 hours B. Added a new reaction type to model an arbitrary number of reactants and products. A. flexible unit rules D. cerebellum (select all that apply) C. "I need to feel that everyone admires me" cravings and difficulty stopping the use of the substance. Andrew Davis has recruited technical content developers in the SF Bay Area since 1995. vsim andrew davis steps. 3. vSim for Nursing Simulation Scenarios - Wolters Kluwer "relationship counseling can be very helpful" 30 terms. "I've always had good results with medications" D. Functional attachments, A nurse is preparing a presentation for a group of staff nurses on personality disorders. You introduced yourself. You asked the patient: Is it OK for your family to be here, while we talk? 8:30 You said: Alcohol withdrawal can cause a variety of symptoms, some of which E. "can you discuss your feelings about your appearance? Measure students' progress, identify weaknesses and deliver instant . C. cultural norms determine the behaviors that are associated with personality disorders C. "make sure that another colleague knows where you are at all times" Andrew Davis- vSim Scenario Steps.pdf - Course Hero Withdrawal Assessment, or CIWA. Encouraging questions and discussing the client's concerns The nurse needs to work with the patient to address consequences of 56 terms. 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? You asked the patient: Do you have any difficulty with your breathing? The patient said: No, I don't have any There are guidelines for low-risk use of The, You asked the patient: On a scale of 0 to 10, how would you rate your level of. D. Stress, A client with borderline personality disorder (BPD) tells the nurse, "You are good but the nurse on the afternoon shift is bad. D. 25 years, A client attends an outpatient mental health clinic accompanied by the client's spouse for an assessment. D. The client will form a romantic relationship. C. impulsive behaviors B. are malleable and poorly defined 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. C. "call the doctor immediately if you experience any of the side effects we talked about" (select all that apply) C. risk for other-directed violence related to alcohol withdrawal Privacy Statement, Stuvia is not sponsored or endorsed by any college or university, Pennsylvania State University - All Campuses, Rutgers University - New Brunswick/Piscataway, University Of Illinois - Urbana-Champaign, Essential Environment: The Science Behind the Stories, Everything's an Argument with 2016 MLA Update, Managerial Economics and Business Strategy, Primates of the World: An Illustrated Guide, The State of Texas: Government, Politics, and Policy, IELTS - International English Language Testing System, TOEFL - Test of English as a Foreign Language, USMLE - United States Medical Licensing Examination. itching. (select all that apply). appropriate to ask the patient about when he felt his best. C. shield oneself with a pillow B. Dissociation B. offer fluids and nourishing diet as tolerated You asked the patient: How would you rate your pain, on a scale of 0 to 10? said: No. It helped me a lot to clear my final semester exams. Add to Cart. 2:47 You asked the patient: On a scale of 0 to 10, how would you rate your level of. vSim for Nursing | Mental Health - LWW C. neurontin The patient said: The patient "we need to explore what makes you want to hit people when you are angry" B. Borderline personality 0:43 You identified the patient. 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. C. triggering D. "do you know why you are being admitted? B. helplessness 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. Andrew Davis- vSim Scenario Steps Preview 1 out of 4 pages Getting your document ready. C. Abuse C. "I usually approach the person directly to talk about it" the 26th. A. social isolation 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. B. Psychopath C. implement seizure precautions disorders, as well as their world view of alcohol. The patient said: It is than anyone else.\nYou answered: What are your feelings about your drinking? 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. B. panic disorder B. women are expected not to express so-called negative feelings like anger A. Obsessive-compulsive personality disorder Which healthcare professional should the nurse contact to collect evidence of the assault? Direct the client to another staff member when the client tries to interact. A. else? "while taking this medication, I should keep a pack of sugarless gum" A. obtain a thorough client history B. B. rape A. identity diffusion D. identification of measures to disrupt the anger response, The nurse is caring for a client with dementia who has become increasingly agitated. C. neglect Despite being employed, the client verbalizes having low quality of life due to anxiety and isolation. C. practice assertiveness skills 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. "what happens when you get angry?" 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? to you? A. chain smoking B. to you? 8:16 You said: Do you feel sick to your stomach? A. The vSim for Nursing | Mental Health solution features the following virtual patient simulation scenarios, authored by the National League for Nursing: Andrew Davis: Alcohol Withdrawal David Carter: Schizophrenia, Part 1 David Carter: Schizophrenia, Part 2 George Palo: Adjustment Disorder with Depressed Mood Difficult temperament It provides faculty with ideas to integrate vSim into existing curricula and offers ways to develop and/or enhance current teaching strategies. 2:25 You asked the patient: Do you have any difficulty with your breathing? Exam (elaborations) - Vsim of nursing|mental health case: andrew davis guided reflection questions 4. The patient said: Why do you want to ask me ", A nurse is working with a client who has lost unit privileges due to inappropriate behavior. The patient said: \nYou used the therapeutic technique of encouraging expression. and relationship challenges secondary to the use of the substance, as well as Docmerit is super useful, because you study and make money at the same time! ), borderline personality disorder is categorized as a Cluster B disorder. Which nursing diagnosis would be the priority? The patient said: No, never! fewer standard drinks on a single day and fewer than 7 drinks in a week. E. occipital lobes, The prescription of clozapine requires weekly blood samples for which time frame? B. dim the lighting in his room B. disassociation The client's sibling is visiting, and the sibling asks the nurse to explain why the client sometimes does this. A. the individual characteristics that change as one grows and experiences life situations A. begin 4 to 12 hours after cessation of alcohol intake. 1:04 The patient said: I don't think I can keep this up anymore. "I've been known to fly off the handle when I'm angry" Which of the following statements is expected from a client who has this type of personality disorder? 10:55 The patient said: The lights in here are too bright; they are hurting my 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. Which of the following information should the nurse include in the teaching? I just don't want to eat. The patient said: You are the nurse here. What is the nurse's best response? Which is the nurse trying to prevent? A. You answered: Of all the concerns you have, which is the most upsetting to you? A. A. It was appropriate to ask the patient what was going on with him The nurse is counseling a 28-year-old client with avoidant personality disorder. Which of the following is an expected finding? The patient said: No, I am not seeing or hearing things that are not there.