circulation (ABC) approach to the client is to assess respiratory status of a client Elimination. Yes No Step 3: What is the dose available? support adequate cardiac output and perfusion of body tissues. Self-destructive thought without suicide intent. gathering tool that supports clinical decision making and scientifically based that supports clinical decision making and scientifically based nursing practice. Anxiety Symptoms: SOB, Chest pain, headaches, restlessness, and trembling. Step 1: What is the unit of measurement the nurse should calculate? She is restless and fidgety, has poorconcentration, and has been experiencing chest pain and shortness of breath. PATHOHYSIOLOGY AND ETIOLOGY OF BIPOLAR DISODER . Nurse T completes the Hamilton-A assessment of Ms. S and determines her score to be 26. Alcohol Abuse Rationale Splitting is the inability to blend both the positive and negative qualities of self. clients and resolution of problems. of the equation, along with any needed conversion factors, to cancel out an individual at an earlier stage in life. Which of the following instructions should Ben include in his teaching? 8. Nurse B is leading a group therapy session and Susan Choi interrupts the session. 1 mLXmL=&#1604 mg related complications. Nurse Stacy implements seizure precautions for Mr. Moore. What should the nurse include in her report? Recommendation: Needs antiemetic and medication for agitation and withdrawal. In addition, the Scenario Performance for each student is provided, along with date, time, and time use for 2. Teaching Prenatal and Newborn Care, All scenarios:Well ChildGastroenteritis and DehydrationCystic Fibrosis/Inpatient CareCystic Fibrosis/Community CareType 1 Diabetes Mellitus, All scenarios: resolution of problems. These realistic clinical scenarios give students experience building the clinical reasoning, patient safety, and clinical decision-making skills they need. based on a clients physiological, psychological, sociological, spiritual, and Which of the following actions should Nurse A recommend? The above factors cause limitations related to comparing scores across students or groups of students. Denial: conscious effort of not thinking about an unpleasant event or occurence that causes stress. Ingestion, Digestion, Step 6: Set up an equation and solve for X. Rationalization is the belief in or Scenario Nurse Tara is admitting Ms. Simpson. Optimal Decision appear next to the question when the most optimal option was selected. Lorazepam A score of 26 on the Hamilton-A assessment indicates severe level of anxiety. If there are 4 the inner organs from the external environment and injury. Anxiety Disorder Tutorial: Module: Reasoning Scenario Details Anxiety Disorder - Use on 11/7/2019 4:08:53 PM Page 1 of 6 Reasoning Scenario Performance Related to Outcomes: *See Score Explanation and Interpretation below for additional details. that support filtration and excretion of liquid wastes, regulate fluid and List the findings. mg/mL and the amount prescribed is 2 mg, it makes sense to administer 0. His family is great 50 terms. nursing practice. Step 5: What is the quantity of the dose available? mL for Tara to take? Alcohol Abuse Disorder Have you ever felt bad or guilty about your drinking? 13 terms. Nurse A is teaching K and E about relapses of Schizophrenia. members of the health care team. 3. Excretion The anatomical structures (kidney, ureters, and bladder) and body functions Available 4mg/mL, ordered was 2mg. Safety The minimization of risk factors that could cause injury or harm while promoting quality Question Nurse Tara is listening to Ms. Simpson while she describes the stressors that X mL = 0 Step 3: What is the dose available? mg/mL and the amount prescribed is 2 mg, it makes sense to administer 0. Alcohol Abuse Disorder mg/mL and the amount prescribed is 2 mg, it makes sense to administer 0. Which of the following responses by Ben is appropriate? Nurse T is communicating with Ms. S. Which is an appropriate action for T to take? Clients uninvolved in the situation. 2. Scenario Nurse Tara is initiating therapeutic communication with Ms. Simpson. Reports mild headache. The percentage of students earning a Scenario Performance of Strong, Satisfactory, or Needs Improvement is Step 1: What is the unit of measurement the nurse should calculate? Which of the following is a serious adverse effect of this medication? A detrimental decision indicates the need to remediate the related topic area to prevent detrimental outcomes in the Alcohol Abuse Disorder Which of the following responses should Nurse A make when further communicatin with K about his auditory hallucinations? Dose to administer = After making your selection, click on the submit button.). The nurse should administer lorazepam 0 mL IM. (Place the ratio on the right side of the equation, ensuring that the (Select all that apply. : an American History (Eric Foner), Civilization and its Discontents (Sigmund Freud), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Unit 4: Real Life Clinical Reasoning Scenarios - Mental Health - Anxiety Disorder. 11. 5. The nurse should have a direct path to the door in case the client becomes violent & the nurse needs to leave the room immediately. 4. response to internal and external stimuli. Nurse A is providing info to K and E about a durable power of attorney for health care (DPAHC). 13. nurse tara is calculating the dose of lorazepam (Ativan). implementation of a plan to improve health care services and better meet the which of the following statements should tara include in the teaching? detection of illness, as well as the promotion of health. Alcohol Abuse Disorder Yes or No Olanzapoine 10 mg IM for pt SC, for acute mania. Nurse Ben is preparing to instruct Susan Choi and her family regarding lithium therapy. clients and resolution of problems. Anxiety ends immediately and an indicator that a detrimental decision has been made appears in the score report. 7. Step 8: Determine whether the amount to administer makes sense. Pt is not experiencing command hallucinations, the nurse should reassure the pt he is safe ans show empathy fo.r his feelings. Which thought processes is most likely a reflection of Ms. S behavior? The delivery of client care in partnership with multidisciplinary members of the health which of the following video clips demonstrates an appropriate interaction between the nurse and the client? All students receive consistent clinical experience, encountering the same sets of clients and scenarios with the ability to practice as often as they need and refine skills through remediation. Using the SBAR format, Nurse S calls Dr. E and reports her assessment findings. Providing nursing care that decreases the risk of clients developing health-related that support adequate oxygenation of tissues and removal of carbon dioxide. Nurse Tara is admitting Ms. Simpson. DPAHC can be terminated by the client. Which of the following coping mechanisms is Ms. Which type or types of inventory timing system (periodic or perpetual) requires the user to record two journal entries every time a sale is made. Nurse T is initiating therapeutic communication with Ms. S. Which video demosntrate an appropriate interaction between the nurse and the pt? Other sets by this creator. I need you to stop. small and large bowel, and rectum) and body functions that support ingestion, which of the following is an appropriate action for tara to take, restate the concerns voiced by ms. simpson, nurse tara is listening to ms. simpson while she describes the stressors that contribute to her anxiety. Selected Option Assess respiratory status. Real Life RN Mental Health: Anxiety Disorder SBAR S (Situation): Ms. Simpson is a 22-year-old African-American female admitted to the inpatient mental health unit for anxiety. Nurse Stacy offers a therapeutic response to Mr. Moore, who is using the defense mechanism of denial Ataxia unit of measure being calculated on the left side of the equation.) clients statements. NUR 201 - ATI Schizophrenia notes. The If there are 4 A. Altered speech pattern of communication in which the pt shifts from one idea to another. The admission orders indicate Susan Choi is to have several la tests drawn and to start therapy with lithium. Selected Option Restate the concerns voiced by Ms. Simpson. Pt experiencing manic disorder can't benefit from group therapy at the moment. 4. The anatomical structures (mouth, esophagus, stomach, gall bladder, liver, small and Canadians visiting in the United States for more than 2 days are allowed to bring into Canada one bottle of liquor and one carton of cigarettes. 3. Assessment: Alert to person and place, but not time. "When the client shares suicidal thoughts, the nurse shoudl ask if there is a specific plan and then determine the lethality of the method and whether or not the client has access to the desired method. occurrence that is causing stress. One of the things that I like most about Real Life is the students have the opportunity to be accountable for the decisions that they've made., Carol Houston, Director, School of NursingCalifornia State University, Chico. Satisfactory Exhibits reasoning that results in mildly helpful or neutral outcomes in the care of clients and A yes Answer to 2 or more of these questions indicates >>Then the probability of you having an alcohol problem is about 50%, 3 75%, 4 100%. 14. Desired 2 mg implementation of a plan to improve health care services and better meet the Which of the following coping mechanisms is Ms. BondcarryingamountatbeginningofperiodInterestpaidduringperiodInterestexpenseallocabletotheperiod$216,221,7925,000,0004,864,990. You should report increased thoughts of suicide. avoid whispering or talking quietly to others when in the same room as Ken. body. Which of the following is the priority action for Tara to take? Therefore, obtaining a prescription for lorazepam is appropriate. Anxiety Disorder 7/15/2020 10:12:01 AM 42 min Strong, Real Life RN Mental Health 3. How many mL should the nurse admin? 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Bipolar Disorder CIWA score of 23. each attempt. Which of Nurse . "Do you have a plan for how you would end your life? Which of the following is a relapse prevention strategy? This disorder, also known as conduct disorder, is one of two disruptive behaviour and dissocial disorders, the other is oppositional defiant disorder. S (Situation) = Ms. Simpson is a 22-year-old African-American female admitted to the inpatient mental health unit for anxiety. Test 4 adult 2. 14. Continue to gather more information regarding finances. 11. Nurse Tara is deciding on which assessment scale to use with Ms. Simpson. Control, Incorporating preventative safety measures in the provision of client care that provides Ingestion, Digestion, Which of the following assessment for the nurse to take? mg/mL and the amount prescribed is 2 mg, it makes sense to administer 0. Cranial nerve assessment. Bipolar Disorder Which thought processes is most likely a reflection of Ms. S behavior? e Score Anxiety Disorder 11/11/2020 12:47:51 PM 56 min Satisfactory Reasoning Scenario Performance Related to Outcomes: *See Score Explanation and Interpretation below for additional details. 12 Test Bank - Gould's Ch. Step 2: What is the dose the nurse should administer? 6. 1 mL mL nearest tenth.). Download. Quality Improvement Care related and organizational processes that involve the development and Step 2: What is the dose the nurse should administer? clinical judgment and client care are based. 12. BSN, Anxiety Disorder 11/7/2019 4:22:10 PM 13 min Strong, Real Life RN Mental Health 2. The anatomical structures (brain, central and peripheral nervous systems, eyes [Show more] Preview 1 out of 4 pages and gambling behavior to be the cause of her inability to pay rent is an example Nurse T has discovered Ms. S self-injury. Step 4: Should the nurse convert the units of measurement? Nurse T is listening to Ms. S while she describes the stressors that contribute to her anxiety. Fall Risk Assessment Step 3: Place any remaining ratios that are relevant to the item on the right side Scenario Nurse Tara is communicating with Ms. Simpson. . Schizophrenia We've heard this sentiment expressed as "my husband completes me," or, "my wife completes me.". However, there are limitations. filtration and excretion of liquid wastes, regulate fluid and electrolyte and acid-base Canadians who visit the United States often buy liquor and cigarettes, which are much cheaper in the United States. percentage of responses associated with the level of performance of that outcome. Nurse T is providing medication teaching regarding escitalopram. circulation (ABC) approach to the client is to assess respiratory status of a client 5. Educators are responsible for following their state board of nursing guidelines for clinical replacement hours. Question Nurse Tara is initiating therapeutic communication with Ms. Simpson. and others. No which of the following is the priority action for tara to take? Hamilton-A The following data relate to a $200,000,000, 5% bond issued for a selected semiannual interest period: Bondcarryingamountatbeginningofperiod$216,221,792Interestpaidduringperiod5,000,000Interestexpenseallocabletotheperiod4,864,990\begin{array}{lr} Step 2: Determine the ratio that contains the same unit as the unit being unit in the numerator matches the unit being calculated.) 1 CHE101 - Summary Chemistry: The Central Science, Dr. Yost - Exam 1 Lecture Notes - Chapter 18, 1.1 Functions and Continuity full solutions. USe a firm, calm, matter of fact approach. 9. and body functions related to inflammation, immunity, and cell growth. Psychosocial Integrity Promoting mental, emotional, and social wellbeing of clients and significant Nurse B is preparing to instruct Susan Choi and her family regarding Lithium therapy. mL. Nurse B is attempting to admin the olanzapine (Zyprexa) IM to Susan Choi, but she forcefully refuses it. Body Function Strong Satisfactory Needs Improvement Cognition and Sensation 90.9% 9.1% Oxygenation 100% NCLEX RN Strong Satisfactory Needs Improvement RN Health Promotion and Maintenance 100% RN . resolution of problems. determines her score to be 26. As a student watches a scenario, they are prompted to make decisions about the patients care that significantly impact client outcomes. Informatics The use of information technology as a communication and information Step 1: What is the unit of measurement the nurse should calculate? unit in the numerator matches the unit being calculated.) No 14. Thre are 4 questions in the CAGE questionnaire: implementation of a plan to improve health care services and better meet the needs of Providing nursing care that decreases the risk of clients developing health 15. care and maintaining a secure environment for clients, self, and others. provides for the health and wellbeing of clients, significant others, and Books You don't have any books yet. . People suffering from anxiety disorders can demonstrate unusual behaviors such as panic without reason, unwarranted fear of objects, or unexplainable or unwavering worry. Elimination. Students gain exposure to situations theyll see every day, plus less common situations that traditional clinical rotations often miss. The client blaming the boyfriends drinking assistance is an example of rationalization. Ask the AP to assist the client out of the room. Promoting mental, emotional, and social well-being of clients and significant others Question Nurse Tara is discussing Ms. Simpsons most stressful situation. 12. benzodiazepine, such as lorazepam, as an anxiolytic agent. How many mL should the nurse admin? Nurse T is calculating the dose of lorazepam. No auditory or visual disturbances. Outcomes associated with Nurse Stacy is planning care for Mr. Moore. Simpson exhibiting? Using relaxation technique is an indicator of positive self control, monitoring of anxiety levels and environmental distractions, and the ability to maintain restful sleep. 1 mLX _P/ _ #1604 mg 4. that support adequate cardiac output and perfusion of body tissues. Visit us (http://www.khanacademy.org/science/healthcare-and-medicine) for health and medicine content or (http://www.khanacademy.org/test-prep/mcat) for MCAT. Support. She is restless and fidgety, has poor concentration, and has been experiencing chest pain and shortness of breath.B (Background) = She has a history of generalized anxiety disorder and has previously taken paroxetine 20 mg PO daily, but has not been taking it for . following actions should Tara take first? Uses the trerapeutic communication of broad opening and open ended questions. Adverse effect if Mr. Moore uses alcohol with it. needs of clients. Rationale The priority action the nurse should take when using the airway, breathing, Schizophrenia prostate, scrotum, and penis) and body functions that support reproductive functions. Have you ever felt you needed a drink first thing in the morning (Eye-opener) to steady your nerves or to get rid of a hangover? Dose to administer = Alcohol Abuse Disorder \text { Bond carrying amount at beginning of period } & \$ 216,221,792 \\ X mL = 0 mL Bipolar Disorder The use of current knowledge from research and other credible sources, upon -Paroxetine (Paxil)-- antidepressant and is not used to tx acute alcohol withdrawal. Alcohol Abuse Disorder Anxiety Disorder - Individual Name: Institution: Program Type: Juliet Daffin Chamberlain U Troy BSN - Studocu Unit 4: Real Life Clinical Reasoning Scenarios - Mental Health - Anxiety Disorder module report tutorial: real life rn mental health module: anxiety disorder DismissTry Ask an Expert Ask an Expert Sign inRegister Sign inRegister Home She is restless and fidgety, has poor concentration, and has been experiencing chest pain and shortness of breath.B (Background) = She has a history of generalized anxiety disorder and has previously taken paroxetine 20 mg PO daily, but has not been taking it for approximately 2 weeks.A (Assessment)= Her vital signs from report at 0745 were: heart rate 115, blood pressure 148/76, respirations 32, oxygen saturation 96% on room air, and temperature 37.0 C (98.6 F). Decrease noise, lights, and interactions. the client has shortness of breath, chest pain, headaches, restlessness, and trembling nurse tara completes the Hamilton-A assessment of ms. Simpson and determines her score to be 26. which of the following is an appropriate action for the nurse to take? The client stating that she will be fine without Desired 2 mg Which of the following is the priority action The use of current knowledge from research and other credible sources, upon which Side Effects: Premenstrual Syndrome Symptoms and weight gain. Which of the following nursing interventions is appropriate for a client in alcohol withdrawal? 16. 1 mL If there are 4 mg/mL and the amount prescribed is 2 mg, it makes sense to administer 0. Which of the following coping mechanisms is Ms. (Place the 6. Nurse B and the nursing staff conduct a care planning conference to discuss nursing actions to promote Susan Choi's recovery. 1 mL acting upon an idea that is unrealistic in order to satisfy the response of the The nurse should monitor for ataxia, blurred vision, and oliguria which are signs of severe lithium tocxicity Step 5: Round if necessary. treatment of anxiety is individualized to degree of anxiety the client is experiencing. Benzodiazepine commonly used to treat acute alcohol withdrawal. Based On The ATI Real Life RN Mental Health, Modules On Schizophrenia And Anxiety Disorder 3.0,. Rn Community Health Nursing (NR-443) advances physical assessment (CGN 5601) Nurs & Healthcare I: Foundations [Lec] (NURS 356) . Step 5: What is the quantity of the dose available? atitesting Assessment Technologies Institute, Inc. Scenario Nurse Tara is discussing Ms. Simpsons most stressful situation. grandiose thoughts are common in clients experiencing delusions, and also occur in a manic phase of bipolar disorder. "tell me some of your reasons for using marijuana" Step 1: What is the unit of measurement the nurse should calculate? Step 6: Determine whether the amount to administer makes sense. Desired 2 mg Bipolar Disorder for Tara to take? Students clinical decision-making abilities are measured alongside QSEN competencies, NCLEX Client Need Categories, and relevant Body Function. UESTION 48 Select the two most commonly co-occurring anxiety disorders that may present with generalized anxiety disorder. Providing and directing nursing care that encourages prevention and early A brief description of the Information related to each question answered in a scenario attempt is listed in the report. Body Function Strong Satisfactory ImprovementNeeds Needs Improvement Exhibits reasoning that results in harmful or detrimental outcomes in the care 2. More info. Real Life Mental Health Anxiety Disorder 1 - Individual Name: Institution: Program Type: Joann Chiu - Studocu On Studocu you find all the lecture notes, summaries and study guides you need to pass your exams with better grades. Nurse Ben responds to Susans despondent behavior. Informatics The use of information technology as a communication and information gathering tool Providing and directing nursing care for clients experiencing physical illness. ATI Real Life RN Mental Health 3.0-Anxiety Disorder 1 Module Report Tutorial: Module: Real Life RN Mental Health 3.0 Anxiety Disorder Individual Name: Institution: Program Type: Amanda Lemus West Coast U Miami BSN BSN Standard Use Time and Score Date/Time Time Use Score Anxiety Disorder 11/11/2020 12:47:51 PM 56 min Satisfactory Reasoning Scenario Performance Related to Outcomes: *See Score . States: "I feel the bugs all over me." Step 6: Set up an equation and solve for X. Dose available = Have 4 mg Displacement happens when there is a transfer of feelings Mobility The anatomical structures (bones, joints, and muscles) and body functions that support The pt has the right to refuse the treatment. People with social phobia may worry for days or weeks before a social event. carolinecorum. health care team, to achieve continuity of care and positive client outcomes. cultural needs, preferences, and values. Stand off to the side of Ken, more than arms reach away To avoid increasing the pt's anxiety. Mr. Moore talks to Social Worker Eva about going out for drinks at the end of the day with other construction workers. Which of the following should Stacy include in the plan of care? Nurse T admit Ms. S. Priority action for T to take? Which of the following assessment about an individual or circumstance to another person or object that is Which of the following questions is included in this questionnaire? needs of clients. Nurse T is listening to Ms. S while she describes the stressors that contribute to her anxiety. Module Report Tutorial: Real Life RN Mental Health 3.0 Module: Anxiety Disorder Individual Name: Elsa Rationale Splitting is the inability to blend both the positive and negative qualities of self. Scenario Nurse Tara is initiating therapeutic communication with Ms. Simpson. A low-stimulation environment promotes rest and energy conservation, and is calming for the client, 7. Anxiety disorders comprise a group of conditions that share a key feature of excessive anxiety with ensuing behavioral, emotional, cognitive, and physiologic responses. Her score on the Hamilton A scale is 26, and she has been unable to focus on answering questions due to her severe level of anxiety. provides for the health and wellbeing of clients, significant others, and trembling. It can also be used before surgery and medical procedures to relieve anxiety. calculated. Ensuring that K is able to overhear conversations decreases the possible belief that others are talking about him. Anxiety Step 4: Solve for X. The nurse should administer lorazepam 0 mL IM. effective communication and will assist in building a rapport with the client. clients statements. Follow these steps for the Desired Over Have method of calculation: Scenario Nurse Tara is discussing Ms. Simpsons most stressful situation. Which of the following is the priority action Which of the following lab test must be drawn prior to starting lithium therapy? Selected Option Obtain a prescription for lorazepam (Ativan). Have people Annoyed you by criticizing your drinking? What is the unamortized amount of the discount or premium account at the beginning of the period? 10. mL. Bipolar Disorder percentage of responses associated with the level of performance of that outcome. A. PTSD B. Dissociative disorder C. OCD D . and body functions related to inflammation, immunity, and cell growth. Scenario Nurse Tara has completed the Hamilton-A assessment of Ms. Simpson. Anxiety Disorder 6/18/2022 7:13:21 PM 44 min Strong. S (Situation) = Ms. Simpson is a 22-year-old African-American female admitted to the inpatient mental health unit for anxiety. Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, Anxiety Disorder - Use on 11/7/2019 4:08:53 PM, Report Created on: 11/7/2019 04:22 PM EST, Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. Which of the and others. Which of the following is an Scenario Nurse Tara is exploring coping skills with Ms. Simpson. HaveDesired=&#160QuantityX4 mg2mg=&#1601 mLX mL 9 terms. Alcohol Abuse Disorder Percentages are based on the number of questions answered correctly out of the total number of questions that were Nurse T assess Ms. S. Which assessment scales is appropriate? Step 2: What is the dose the nurse should administer? Follow these steps for the Desired Over Have method of calculation: Rationale Restating the clients concerns allows for exploration and clarification of the Question Nurse Tara is communicating with Ms. Simpson. Selected Option Continue to gather more information regarding finances. therapy. Visualization techniques, meditation and yoga are examples of relaxation techniques that can ease anxiety. 1. Encourage Mr. Moore to write important info in a notebook. protecting the inner organs from the external environment and injury. Outcomes have varying numbers of questions assigned to them. Bipolar Disorder In an intensive outpatient program, care will be individualized to meet your treatment needs. and body functions that support perception, interpretation, and response to internal The client blaming the boyfriends drinking -lithium should be between 2.0 and 2.5 mQg/L. Preterm Labor Which of the following is the priority action Step 4: Should the nurse convert the units of measurement? ), Selected Ordering DenialDisplacementRationalizing. Gestational Diabetes Early Screening Excretion The anatomical structures (kidney, ureters, and bladder) and body functions that support