The nurse is caring for a patient who is recovering from a traumatic brain injury and frequently becomes disoriented to everything except her location. Which nursing intervention would be effective in orienting a patient with neurological deficit?
a. Assessing the patients level of consciousness and documenting every 4 hours
b. Keeping a day-by-day calendar at the patients bedside and having the patient manage it
c. Placing a patient observer in the patients room for safety
d. Informing the patient that she cannot be discharged unless she is awake, alert, and oriented
Answer: B
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