A nurse documents the following on a client chart: client ...

[notis]

A nurse documents the following on a client chart: client manifests difficulties with spatial orientation, memory language, and changes in personality. What state of arousal/awareness does this describe?
 
  A) Delirium
  B) Dementia
  C) Confusion
  D) Locked-in syndrome

Question 2

How would a nurse document the condition in which a client has a normal state of awareness?
 
  A) Aware of self and environment, responsive, well-oriented.
  B) Easily distracted, alternates between drowsiness and excitability.
  C) Disoriented, restless, agitated, hallucinating.
  D) Can't be aroused and does not respond to stimuli.

[owenfalvey]

Answer to Question 1

Ans: A
Difficulties with spatial orientation, memory, language, and changes in personality occur with delirium. Disorientation, restlessness, confusion, hallucinations, and agitation, alternating with other conscious states, occurs with dementia. In confusion, the client manifests reduced awareness, is easily distracted, easily startled by sensory stimuli, and alternates between drowsiness and excitability. In locked-in syndrome, the client displays full consciousness, sleepwake cycles are present, and auditory and visual function and emotions are preserved.

Answer to Question 2

Ans: A
A normal state of awareness is one in which there is awareness of self and the external environment, including being well-oriented and responsive.

[notis]

TYSM

[cici]

Excellent