How would a nurse document the condition in which a client has a normal state of awareness?
"Easily distracted, alternates between drowsiness and excitability."
"Disoriented, restless, agitated, hallucinating."
"Can't be aroused and does not respond to stimuli."
"Aware of self and environment."
The Correct Answer is D
A normal state of awareness is characterized by being aware of oneself and one's surroundings. In this case, a nurse would document the client's condition as being "aware of self and environment" to indicate that the client has a normal state of awareness.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
During the introductory (orientation) phase of the nurse-client relationship, the nurse should focus on establishing trust and rapport with the client. One way to do this is by eliciting information from the client through active listening and open-ended questioning. This allows the nurse to gather important information about the client's health status, needs, and concerns and helps to establish a foundation for the therapeutic relationship. Reviewing progress toward personal objectives and encouraging self-exploration is more appropriate for later phases of the relationship.
Talking with others who have information about the client may also be helpful, but it is important to prioritize direct communication with the client during this phase.
Correct Answer is D
Explanation
The number "+3" in this documentation represents the pulse amplitude. Pulse amplitude refers to the strength or force of the pulse and is typically measured on a scale of 0 to 4+. A "+3" pulse is considered to be full or strong, indicating good blood flow to the area being palpated.

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