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. 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.
Correct Answer is C
Explanation
A. Abandon old needs: This is not realistic or supportive during the working phase. The working phase involves addressing current issues and developing strategies for change, rather than abandoning old needs outright.
B. Seek assistance: Seeking assistance is more appropriate for the orientation phase.
C. Explore feelings: Exploring feelings is key during the working phase to understand and address issues affecting their mental health. It facilitates self-awareness and emotional processing.
D. Show positive change: While desirable, focusing on showing positive change is more of an outcome rather than a directive during the working phase
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