Factors Affecting Patient/ Safety: Clients with impaired awareness include individuals who lack sleep; are unconscious or semiconscious; are disoriented and may not be understand where they are or what to do to help themselves; perceive stimuli that do not exist; and whose judgment is altered by disease or medications, such as opioids, tranquilizers, hypnotics, and sedatives. Mildly confused clients may momentarily forget where they are, wander from their rooms, misplace personal belongings, and so forth