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7/20/2020 vSim for Nursing | Mental Health

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vSim for Nursing > Mental Health Case: George Palo >
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Post-Simulation Quiz
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The workflow below is a suggested learning path. You may complete the materials more than once.
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However, you cannot access the post-simulation quiz, documentation assignments, and guided
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reflection questions until you have completed the vSim once.


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1  Suggested Reading
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2  Pre-Simulation Quiz

3  vSim
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4  Post-Simulation Quiz

5  Documentation Assignments

6  Guided Reflection Questions

Post-Simulation Quiz
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7/20/2020 vSim for Nursing | Mental Health

Name: Aimee Mora Quiz completed in: 2.21 mins


Date: 2020-7-20 Time: 16:55:20 Questions answered: 10
Number correct: 10 (100%)

Answer Key

QUESTION 1: Considering Mr. Palo’s history and assessment findings, which


factor is most likely the primary contributor to his recent
weight loss?

Your Response: Correct!

Correct Response: Depression

Explanation: A commonly observed physical response to depression is poor


appetite and the resulting weight loss. Although nausea and
vomiting are possible side effects of galantamine, there are no

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assessment data to suggest the patient is experiencing either. 
Both living alone and dementia (including Alzheimer disease),

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especially in its later stages, can affect the patient’s interest
in preparing and eating food, but neither has the high degree

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of influence presented by depression.
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Lippincott Procedures, Nutritional screening
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Videbeck, S. Psychiatric-Mental Health Nursing, 8th


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Edition, p. 304
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QUESTION 2: Which assessment findings would indicate that Mr. Palo is


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experiencing both insufficient nutritional and fluid intake?


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(Select all that apply.)

Your Response: Correct!


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Correct Response: General weakness


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Altered mental status


Poor skin turgor
Weight loss
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Explanation: Indications of poor nutritional and fluid intake would include


all the options with the exception of bradycardia. Such
deficiencies would result in tachycardia and hypotension.

Lippincott Procedures, Nutritional screening

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QUESTION 3: Which nursing interventions implemented during Mr Palo’s
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7/20/2020 vSim for Nursing | Mental Health
QUESTION 3: Which nursing interventions implemented during Mr. Palo s
assessment will assist him to communicate as effectively as his
cognitive deterioration allows? (Select all that apply.)

Your Response: Correct!

Correct Response: Allowing ample time for the patient to respond to questions
Phrasing questions so as to require simple answers
Providing simple explanations about why questions are being
asked
Arranging for frequent breaks in the assessment process

Explanation: The nurse provides simple explanations as often as patients


need them, such as “I’m asking these questions so the staff
can see how your health is.” It helps to ask simple questions
(those that require simple answers) rather than compound
questions, and to allow patients ample time to answer.
Patients may become confused or tire easily, so frequent
breaks in the interview may be needed. Although it might
become necessary to rely on family for answers to assessment

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questions, Mr. Palo appears capable of being the primary

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information provider. Relying on his daughter at this point

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would be nontherapeutic because it would minimize his role in

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the assessment process.

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Videbeck, S. Psychiatric-Mental Health Nursing, 8th
Edition, p. 464
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QUESTION 4: When Mr. Palo is unable to button his shirt appropriately after
numerous attempts, the nurse matter-of-factly assumes the
task for him. What is the primary rationale for the nurse’s
actions?
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Your Response: Correct!

Correct Response: Minimizes his frustration with his failure to complete the task

Explanation: The nurse is correct in using a matter-of-fact approach when


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assuming tasks the patient can no longer perform. Preventing


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patients from working unsuccessfully at a task for an extended


time helps in preserving their dignity and minimizing their
frustration with their progressive memory loss. Although the
nurse’s action does help achieve the other options, none of
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them is the primary reason for the intervention.

Videbeck, S. Psychiatric-Mental Health Nursing, 8th


Edition, p. 467

This study source was downloaded by 100000822865927Which statementonmade by Mr. Palo identifies an intervention
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7/20/2020
Q vSim for Nursing | Mental Health

that his family has implemented to help deal with his decline
in executive functioning?

Your Response: Correct!

Correct Response: “I put all my bills in a special box, and Maggie pays them twice
a month.”

Explanation: Having difficulty paying one’s bills on time and correctly would
be an example of a disturbance in executive functioning,
which is the ability to think abstractly and to plan, initiate,
sequence, monitor, and stop complex behavior. The other
options address Mr. Palo’s poor nutrition, social isolation, and
ineffective self-hygiene issues.

Videbeck, S. Psychiatric-Mental Health Nursing, 8th


Edition, p. 460

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QUESTION 6: Which statement made by Mr. Palo would demonstrate that his

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religious belief system is influential in his decision not to
consider suicide?

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Your Response:
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Correct Response: “No! He gives it and only He can take it away.”

Explanation: Suicidal thoughts are common in people with mood disorders,


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especially depression. An individual’s belief systems and values


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can influence his or her decision concerning the act of suicide.


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Mr. Palo’s reference to his belief in the time of death being


determined only by God supports the religious influence on his
decision. The other statements express various ethical
objections to suicide but do not indicate that they are based
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on his religious belief system.


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Videbeck, S. Psychiatric-Mental Health Nursing, 8th


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Edition, p. 320
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QUESTION 7: Mr. Palo states, “I’m old; when you get old, you naturally get
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depressed thinking of all the people you’ve lost and the things
that have changed.” To best address his safety, which initial
response should the nurse make?

Your Response: Correct!

Correct Response: “Depression isn’t a normal part of getting older. Are you
thinking about ending your life?”

Explanation: Depression is not an expected, normal part of aging. To


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diagnose and treat the estimated 14% of older adults with
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7/20/2020 vSim for Nursing | Mental Health
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depression, a standard, routine screening for depression should
be part of a regular visit to the primary provider. Too often,
both provider and older adult patient may view changes in
d t f h i l ill “j t t b t d”A

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