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 B
Explanation
A. "When is she coming home?" This is a specific question but lacks concrete details. It is an open-ended query that may not be as precise as a concrete message.
B. "Help me put this pile of books on Marsha's desk" This is a concrete message because it provides specific instructions and clear action steps.
C. "Get this out of here": This is an ambiguous message that lacks clarity and specific details about what needs to be removed and where it should go.
D. "They said it is too early to get in.": This message is somewhat vague and lacks specific details about who "they" are and what "get in" refers to.
Correct Answer is C
Explanation
A. Disclose some personal information to the client: Disclosing personal information is not appropriate and may not help in building trust.
B. Wait for the client to initiate interactions with the nurse. This approach might prolong the establishment of trust and rapport.
C. Set aside short, frequent times each day to spend with the client. Regular, consistent interaction helps build trust and establish a relationship.
D. Tell the client he reminds the nurse of her father. Making personal comparisons can be inappropriate and may not be helpful in building a professional relationship.
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