Which of the following do you assess when asking questions about a patient’s orientation?
Determining the client’s pain level is an important part of an assessment but does not provide information as to the client’s orientation to time, place, and person.
Personal hygiene.
Mental state.
Family medical history.
The Correct Answer is C
Choice A reason: Pain level assessment is important but unrelated to orientation, which evaluates mental state via time, place, and person questions. Assuming pain assesses orientation risks missing cognitive deficits, delaying diagnosis of delirium or dementia, critical for tailoring care and interventions in patients with altered mental status.
Choice B reason: Personal hygiene reflects self-care ability, not orientation to time, place, or person, which assesses mental state. Assuming hygiene evaluates orientation misguides assessment, risking oversight of cognitive impairments, essential for diagnosing conditions like Alzheimer’s or acute confusion, requiring targeted interventions in clinical practice.
Choice C reason: Orientation questions assess mental state, evaluating cognitive function through awareness of time, place, and person. This detects impairments in conditions like delirium or dementia, guiding care planning. Accurate assessment ensures timely interventions, critical for managing cognitive decline and supporting patient safety and communication in healthcare settings.
Choice D reason: Family medical history provides genetic context but doesn’t assess orientation, which targets mental state. Assuming history evaluates orientation risks missing cognitive issues, delaying diagnosis of acute or chronic cognitive impairments, critical for implementing cognitive support or pharmacological interventions in patients with suspected mental status changes.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Dementia is a progressive condition causing memory decline and impaired daily activities, as seen in Alzheimer’s or vascular dementia. This definition aligns with clinical criteria, guiding diagnosis and care like cognitive therapy or medications. Accurate recognition ensures proper support, critical for improving quality of life in affected patients.
Choice B reason: Assuming false is incorrect, as dementia accurately describes progressive cognitive and functional decline. Misidentifying this risks misunderstanding the condition, potentially delaying diagnosis or interventions like cholinesterase inhibitors. Recognizing dementia’s definition ensures timely care planning, essential for managing symptoms and supporting patients and families in chronic cognitive disorders.
Correct Answer is C
Explanation
Choice A reason: The trigeminal nerve (V) controls facial sensation and chewing, not smell, which is governed by the olfactory nerve (I). Misidentifying this risks incorrect neurological assessment, potentially missing olfactory deficits indicating brain injury or tumors, critical for accurate diagnosis and management in patients with sensory complaints.
Choice B reason: The optic nerve (II) governs vision, not smell, which is the olfactory nerve’s function (I). Assuming optic involvement misguides cranial nerve assessment, risking oversight of olfactory dysfunction, which may signal neurological conditions like Parkinson’s or trauma, requiring targeted evaluation and intervention in clinical practice.
Choice C reason: The olfactory nerve (I) is responsible for the sense of smell, transmitting sensory input from the nasal mucosa to the brain. Accurate identification ensures proper neurological assessment, detecting deficits that may indicate trauma, tumors, or neurodegenerative diseases, guiding diagnosis and treatment in patients with smell-related complaints.
Choice D reason: The vestibulocochlear nerve (VIII) controls hearing and balance, not smell, which is the olfactory nerve’s role (I). Misidentifying this risks incorrect assessment, potentially overlooking olfactory issues signaling neurological pathology, delaying diagnosis and management critical for addressing sensory deficits in clinical neurological evaluations.
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