How would a nurse document the condition in which a client has a normal state of awareness?
A) "Aware of self and environment, responsive, well-oriented."
B) "Easily distracted, alternates between drowsiness and excitability."
C) "Disoriented, restless, agitated, hallucinating."
D) "Can't be aroused and does not respond to stimuli."
Ans: A
A normal state of awareness is one in which there is awareness of self and the external environment, including being well-oriented and responsive.
You might also like to view...
Which interventions would the nurse implement in order to support the unresponsive client in the dorsal recumbent position?
Select all that apply. 1. Place several pillows under the client's head. 2. Place a pillow under the lower legs from knee to ankle. 3. Place trochanter rolls laterally against the femur. 4. Always place a rolled towel or small pillow under the lumbar curvature. 5. Elevate the upper arms on pillows.
A 40-year-old male patient has been newly diagnosed with type 2 diabetes mellitus. Which information about the patient will be most useful to the nurse who is helping the patient develop strategies for successful adaptation to this disease?
a. Ideal weight b. Value system c. Activity level d. Visual changes
A nurse makes a medication error immediately assesses the patient and reports the air to the nurse manager and the primary care provider. Which characteristic of a professional is the nurse demonstrating?
A. Autonomy B. Collaboration C. Accountability D. Altruism
A 20-year-old client who is at 10 weeks' gestation confides that the pregnancy was unplanned and is unsure about continuing it or sharing news about it with her partner. How should the nurse respond to this client?
1. "You should go to a pregnancy support group to be a good mother." 2. "It's common to feel ambiguous about pregnancy in the first trimester." 3. "These thoughts are because your mother died when you were 4 years old." 4. "It's really unusual for a pregnant woman to feel this way early in the pregnancy."