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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. A nurse should only assess one type of communication when talking to a client: Effective communication involves assessing both verbal and nonverbal cues.
B. Verbal communication is the most important because it’s what the patient says: Nonverbal communication can often provide more information about a client's feelings and attitudes than verbal communication.
C. Nonverbal communication is not important when dealing with mental health illness: Nonverbal communication is crucial in mental health, as it can convey emotions and states that clients may not be able to express verbally.
D. Nonverbal communication is the behavior that accompanies verbal content such as body language, eye contact, facial expression, tone of voice, speed and hesitations in speech, grunts and groans, and distance from the speakers.: Correct. This statement accurately describes the various components of nonverbal communication.
Correct Answer is B
Explanation
A. "Can the children's mother get by for a while until you get better?": This statement is dismissive of the client's responsibility and does not show positive regard.
B. "How is not working right now affecting you?": Correct. This statement shows empathy and concern for the client's well-being without passing judgment, which reflects positive regard.
C. "You need to somehow support your children.": This statement is directive and judgmental, not reflecting positive regard.
D. "How do you expect your kids to be provided for?": This statement is confrontational and does not demonstrate positive regard.
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