Author Question: The nurse documents that a client is fully conscious. What did the nurse assess in this client? ... (Read 32 times)

roselinechinyere27m · **on:** Jul 23, 2018

The nurse documents that a client is fully conscious. What did the nurse assess in this client?

1. Client responded to verbal stimuli.
2. Client responded to written words.
3. Client oriented to time, place, and person.
4. Client demonstrated poor memory.
5. Client alert.

Question 2

A client asks the nurse to please close the door when entering or exiting the room because the noise is more than the client is used to because he lives alone.

The nurse identifies the reason for this client's response to sensory stimuli as being due to which factor?
1. Lifestyle
2. Developmental stage
3. Culture
4. Illness

tranoy · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 1, 2, 3, 5
Rationale 1: A characteristic of being fully conscious is responding to verbal stimuli.
Rationale 2: A characteristic of being fully conscious is responding to written words.
Rationale 3: A characteristic of being fully conscious is being oriented to time, place, and person.
Rationale 4: Demonstrating poor memory is a characteristic of being confused.
Rationale 5: A characteristic of being fully conscious is being alert.

Answer to Question 2

Correct Answer: 1
Rationale 1: Lifestyle influences the quality and quantity of stimulation to which an individual is accustomed. A client who lives alone is exposed to fewer, less diverse stimuli.
Rationale 2: There is no information to support that the client's response to sensory stimuli is because of developmental stage.
Rationale 3: There is no information to support that the client's response to sensory stimuli is because of culture.
Rationale 4: There is no information to support that the client's response to sensory stimuli is because of illness.