When the nurse observes that the post-craniotomy patient is unresponsive to and unaware of environmental stimuli, the nurse uses which of the following terms to describe the patient in his documentation?
A) Unresponsive
B) Comatose
C) Demonstrating akinetic mutism
D) In a persistent vegetative state
Ans: A
Feedback: Coma is a clinical state of unarousable unresponsiveness in which there are no purposeful responses to internal or external stimuli, although nonpurposeful responses to painful stimuli and brainstem reflexes may be present. Persistent vegetative state is a condition in which the patient is described as wakeful but devoid of conscious content, without cognitive or affective mental function. In unresponsiveness, the patient is unresponsive to and unaware of environmental stimuli. Akinetic mutism is a state of unresponsiveness to the environment in which the patient makes no movement or sound but sometimes opens the eyes.
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