The nurse assesses the patient and notes the patient moves his arm as if to push something away when the nurse firmly touches the arm, but the patient is unable to follow commands and does not speak. The nurse describes this patient as
a. lethargic c. semicomatose
b. obtunded d. comatose
C
Lethargic is defined as responding appropriately to stimuli but may be slow to respond. The obtunded patient sleeps most of the time and is difficult to arouse with minimal response. The semicomatose patient responds with purposeful movement when stimulated but does not follow commands and is nonverbal. The comatose patient is unconscious with no meaningful response to stimuli.
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