A male client tells the nurse that he does not know where he is or what
year it is. What data should the nurse document that is most accurate?
A) demonstrates loss of remote memory.
B) exhibits expressive dysphasia.
C) has a diminished attention span.
D) is disoriented to place and time.
D) is disoriented to place and time
The client is exhibiting disorientation (D). (A) refers to memory of the
distant past. The client is able to express himself without difficulty (B),
and does not demonstrate a diminished attention span (C).
year it is. What data should the nurse document that is most accurate?
A) demonstrates loss of remote memory.
B) exhibits expressive dysphasia.
C) has a diminished attention span.
D) is disoriented to place and time.
D) is disoriented to place and time
The client is exhibiting disorientation (D). (A) refers to memory of the
distant past. The client is able to express himself without difficulty (B),
and does not demonstrate a diminished attention span (C).
