Which of the following questions by the nurse would be most… Which of the following questions by the nurse would be most appropriate to assess a client’s orientation to time?A. What did you eat for breakfast?B. What is the season?C. What is your name?D. Where are you currently? * I am having trouble with this because “what is your name?” assesses level of consciousness but is not part of the MMSE (Mini Mental Status Exam). “Where are you currently?” is part of orientation to place as part of MMSE but the question above is asking about orientation to time. Please adviseAccording to the textbook on levels of consciousness in potters and perry:Level of Consciousness”A person’s level of consciousness exists along a continuum from full awakening, alertness, and cooperation to unresponsiveness. Talk with the patient, asking questions about events involving his or her concerns about any health problems. A fully conscious patient responds to questions quickly and expresses ideas logically. With a lowering of a patient’s consciousness, use the Glasgow Coma Scale (GCS) for an objective measurement of consciousness on a numerical scale (Table 30.36). The patient needs to be as alert as possible before testing. Take care when using the scale if the patient has sensory losses (e.g., vision or hearing). The GCS allows evaluation of a patient’s neurological status over time. The higher the score, the better the patient’s neurological function. Ask short, simple questions such as “What is your name?” “Where are you?” and “What day is this?” Also ask the patient to follow simple commands such as “Move your toes.”According to the textbook on MMSE in potters and perry: MMSE”The Mini-Mental State Examination (MMSE) is an instrument developed by Folstein et al. (1975) that measures orientation and cognitive function. The questions in Box 30.30 offer examples of questions found on the MMSE. The maximum score on the MMSE is 31. Patients with scores of 21 or less generally reveal cognitive impairment requiring further evaluation.”Sample questions from the book below: Orientation to time “What is the date?”Registration”Listen carefully. I am going to say three words. Say them back after I stop.Ready? Here they are . . .HOUSE (pause), CAR (pause), LAKE (pause). Now repeat these words back to me.”(Repeat up to 5 times but score only the first trial.)Naming”What is this?” (Point to a pencil or pen.)Reading”Please read this and do what it says.” (Show examinee the words on the stimulus form.)Close Your Eyes Health Science Science NursingNURS 3307
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