Assuming that all are accurate, which documentation about a ...

[mia]

Assuming that all are accurate, which documentation about a patient's level of consciousness is best?
 
  a. Patient is lethargic and slept when undisturbed.
  b. Patient responds to tactile stimulation; falls back to sleep immediately after tactile and verbal stimulation are stopped.
  c. Patient slept throughout the day, missing his meals and bath.
  d. Patient appears to be tired as he slept throughout the day except when bathed.

Question 2

Which assessment question helps assess immediate memory?
 
  a. How did you get to the hospital today?
  b. Can you repeat the numbers 2, 7, 9 for me?
  c. Do you Knowledge the three items I mentioned earlier?
  d. What was your birth date including the year?

[LVPMS]

Answer to Question 1

B
The option that includes the most detailed information provides the most accurate description of the patient's level of consciousness. The other documentation provides little information about the level of consciousness. From those descriptions, the patient might have a decreased level of consciousness or could simply be exhausted.

Answer to Question 2

B
The nurse can assess immediate memory by asking the patient to repeat a series of three numbers and gradually increasing the length of the series until the patient cannot repeat the series correctly. The nurse can assess recent memory by asking the patient how he got to the hospital or by asking the patient to repeat three items what the nurse had mentioned earlier in the examination. The nurse can assess remote memory by asking the patient his birth date or the date of a significant historical event.