During a psychosocial assessment, the nurse documents a patient's orientation as oriented X3. This means:
Oriented to time, place and personal hygiene
Alert and oriented to person, place and time
Anxious, alert and oriented to place
Awake and oriented to place
The Correct Answer is B
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. "Tell me about the concerns that you have regarding your relationship." This open-ended question encourages the client to share their concerns and is appropriate.
B. "I think you should try to see your wife's point of view as well as your own." This statement provides advice and can appear to be taking sides, which requires intervention.
C. "We should invite your partner to be a part of our discussion." Including the partner in the discussion can be beneficial for family therapy and is appropriate.
D. "Relationship difficulties are stressful and require effort to resolve." This statement validates the client's experience and is appropriate.
Correct Answer is C
Explanation
A. A condition caused by genetic factors that affects mental health stability: This describes a genetic predisposition to mental health issues, not a maturational crisis.
B. A severe mental illness that requires long-term psychiatric treatment: A maturational crisis is temporary and not necessarily severe or requiring long-term treatment.
C. A temporary state of emotional turmoil and confusion that arises during a predictable event and/or significant life transitions: Correct. This accurately describes a maturational crisis, which occurs during predictable life transitions such as adolescence.
D. A chronic condition characterized by persistent mental health issues throughout the lifespan: A maturational crisis is temporary, not chronic.
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