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What indicates that a casualty is voice responsive when checking levels of consciousness?

  1. They open their eyes on their own

  2. They respond to verbal stimulus

  3. They move away from painful stimuli

  4. They complain of discomfort

The correct answer is: They respond to verbal stimulus

A casualty being voice responsive means they react to verbal stimuli. This indicates a certain level of consciousness where the individual can hear and respond to someone speaking, which is crucial for assessing their awareness and orientation. When someone responds verbally—whether it's by speaking, making sounds, or indicating understanding—it shows that their cognitive functions are somewhat intact. The other options describe different levels of responsiveness but do not specifically align with the definition of being voice responsive. For example, opening the eyes on their own suggests a higher level of consciousness but doesn't necessarily involve interaction or response to verbal cues. Moving away from painful stimuli indicates awareness of pain but does not reflect responsiveness to verbal commands or questions. Complaining of discomfort suggests some cognitive function as well, but it is a reaction to a sensation rather than a direct response to a person speaking, which differentiates it from being voice responsive.