NCLEX PN Practice Tests Practice Question
Following a motor vehicle accident, the client does not know where he is or what year it is and has short-term memory impairment. Which nursing action is most appropriate?
Correct Answer: B
Rationale: In this scenario, the client is experiencing disorientation and short-term memory impairment, making it essential to provide clear and simple guidance. Giving simple directions (Option B) helps the client focus on one task at a time, reducing confusion and promoting understanding.
Offering several choices (Option A) may overwhelm the client, exacerbating disorientation. Providing details of care (Option C) could be too complex for someone with memory issues, leading to further confusion. Written instructions (Option D) might not be effective if the client struggles with memory retention, as they may not recall the information shortly after reading it.
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