Name
vSim Mental Health-Bob McKay
5/17/21
POST SIMULATION
1) How did this simulation make you feel?
Ans: More confident than the last simulation assignment
2) What did you feel you did well?
Ans: Understanding the concept.
3) What would you do differently next time?
Ans: Start earlier on the simulations.
4) What were the nursing NANDA nursing diagnoses?
1. Chronic Confusion
2. Social Isolation
3. Disturbed Sleep Pattern
4. Disturbed Thought Process
5. Compromised Family Coping
6. Self-Care Deficit: Bathing/Hygiene/Grooming
5) What goals did you assign to each of the NANDA nursing diagnoses?
1. Patient will have minimal confusion, cognitive impairment, and other dementia
manifestations.
2. Patient will be able to maintain effective social interaction with others within
limitations of disease process.
3. Patient will achieve and maintain restorative restful sleep.
, Name
vSim Mental Health-Bob McKay
5/17/21
4. Patient will have appropriate maintenance of mental and psychological function as long
as possible, and reversal of behaviors when possible.
5. Family members will achieve increased coping ability concerning patient’s dementia
and care needs.
6. Patient will have self-care needs met and have few, if any complications.
6) What priority nursing actions apply to the case study (Saunders document along with page
number) as applies.
a. If there is NO Saunders for the topic then you can write your own priorities.
1. Assess potential for injury to self/others
2.Conduct debriefing of unit community
3.Call for therapeutic team support
4. Call Physician for onsite assessment
5. Conduct debriefings of staff and patient post-containment
7) Develop an NCP on your patient to include: this does not mean underdeveloped!
a. Assessment data (from the case study)
Vital Signs:
BP: 132/82, P: 68, R: 18, T: 97.8 F, SpO2: 97% on Room air
Head, Ears, Eyes, Nose, Throat:
Head: is symmetrical; no twitching of the face noted; eyes and ears are at same level;
cranial nerves I-XII is intact; head is without masses, indentation or skin breakdown;
hair is without any infestation.
Ears: No redness, drainage or pain; tympanic membrane gray and intact; hearing intact
Eyes: sclera are white; no swelling; no erythema; conjunctiva is moist and pink;
PERRLA
vSim Mental Health-Bob McKay
5/17/21
POST SIMULATION
1) How did this simulation make you feel?
Ans: More confident than the last simulation assignment
2) What did you feel you did well?
Ans: Understanding the concept.
3) What would you do differently next time?
Ans: Start earlier on the simulations.
4) What were the nursing NANDA nursing diagnoses?
1. Chronic Confusion
2. Social Isolation
3. Disturbed Sleep Pattern
4. Disturbed Thought Process
5. Compromised Family Coping
6. Self-Care Deficit: Bathing/Hygiene/Grooming
5) What goals did you assign to each of the NANDA nursing diagnoses?
1. Patient will have minimal confusion, cognitive impairment, and other dementia
manifestations.
2. Patient will be able to maintain effective social interaction with others within
limitations of disease process.
3. Patient will achieve and maintain restorative restful sleep.
, Name
vSim Mental Health-Bob McKay
5/17/21
4. Patient will have appropriate maintenance of mental and psychological function as long
as possible, and reversal of behaviors when possible.
5. Family members will achieve increased coping ability concerning patient’s dementia
and care needs.
6. Patient will have self-care needs met and have few, if any complications.
6) What priority nursing actions apply to the case study (Saunders document along with page
number) as applies.
a. If there is NO Saunders for the topic then you can write your own priorities.
1. Assess potential for injury to self/others
2.Conduct debriefing of unit community
3.Call for therapeutic team support
4. Call Physician for onsite assessment
5. Conduct debriefings of staff and patient post-containment
7) Develop an NCP on your patient to include: this does not mean underdeveloped!
a. Assessment data (from the case study)
Vital Signs:
BP: 132/82, P: 68, R: 18, T: 97.8 F, SpO2: 97% on Room air
Head, Ears, Eyes, Nose, Throat:
Head: is symmetrical; no twitching of the face noted; eyes and ears are at same level;
cranial nerves I-XII is intact; head is without masses, indentation or skin breakdown;
hair is without any infestation.
Ears: No redness, drainage or pain; tympanic membrane gray and intact; hearing intact
Eyes: sclera are white; no swelling; no erythema; conjunctiva is moist and pink;
PERRLA
