During a psychosocial assessment, the nurse documents a patient's orientation as oriented X3. This means:

Oriented to time, place and personal hygiene

Alert and oriented to person, place and time

Anxious, alert and oriented to place

Awake and oriented to place

Answer and Explanation

The Correct Answer is B

A. Oriented to time, place and personal hygiene: This is incorrect. Orientation X3 refers to being oriented to person, place, and time, not personal hygiene.
B. Alert and oriented to person, place and time: This is correct. "Oriented X3" means that the client is aware of who they are (person), where they are (place), and what time it is (time).
C. Anxious, alert and oriented to place: This is incorrect. Orientation X3 does not specifically address anxiety or focus solely on orientation to place.
D. Awake and oriented to place: This is incorrect. Orientation X3 includes person, place, and time, not just being awake and oriented to place.

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Correct Answer is D

Explanation

A. Severe: Severe anxiety includes difficulty focusing and physical symptoms but does not typically involve the ability to communicate effectively.
B. Mild: Mild anxiety may include slight nervousness but not the described behaviors.
C. Panic: Panic anxiety involves a complete inability to communicate and can include a sense of impending doom.
D. Moderate: Moderate anxiety can include increased speech rate and loudness, along with repetitive statements. While the client is exhibiting signs of distress, the symptoms described don't quite reach the intensity typically associated with severe anxiety.

A. Express sympathy for the client during interaction. B. Assist the client in decision-making by giving sound advice. C. Tell the client that he should make direct eye contact when communicating verbally. D. Watch the client for nonverbal cues.

Correct Answer is D

Explanation

A. Express sympathy for the client during interaction: Sympathy can create a sense of pity and isn't as effective as empathy, which fosters understanding.
B. Assist the client in decision-making by giving sound advice: Giving advice can undermine the client's autonomy and may not be suitable in therapeutic communication.
C. Tell the client that he should make direct eye contact when communicating verbally: Forcing direct eye contact can be intimidating for someone who is depressed.
D. Watch the client for nonverbal cues: Observing nonverbal cues can provide valuable information about the client's emotional state and needs.

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During a psychosocial assessment, the nurse documents a patient's orientation as oriented X3. This means:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in an urgent care clinic is caring for a client who is using loud and rapid speech, and continuously repeats, "I don't know why my wife left me." Which of the following levels of anxiety is the client experiencing?

Correct Answer is D

Explanation

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Correct Answer is D

Explanation

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