During a psychosocial assessment, the nurse documents a patient's orientation as oriented X3. This means:

A. A client with delusions states, "I'm going to get them before they get to me" This statement is concerning because it suggests a potential threat. However, it is vague and does not specify a particular individual or group. While it warrants further assessment and monitoring, it may not immediately trigger a duty to warn a specific third party without more information.
B. A client says he plans to blow up the government. This statement indicates a threat to a broad and non-specific target (the government). While it is serious and requires intervention, it does not fall under the typical duty to warn a specific third party. Instead, it would likely involve notifying authorities to prevent potential harm.
C. A client states "If I can't have my girlfriend back, then no one can have her." This statement is a direct threat to a specific individual (the girlfriend), indicating potential harm. In such cases, the nurse has a duty to warn the third party and take appropriate steps to ensure their safety.
D. A hostile client says "I hate all police" While this statement indicates hostility, it does not specify a direct threat of harm or action, so it may not necessarily indicate an immediate duty to warn.

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.