A client is hospitalized with numerous acute health problems. According to Maslow's hierarchy of needs model, which nursing diagnosis should the nurse identify as being the highest priority for this client?

Self-Care Deficit related to weakness and debilitation

Powerlessness related to chronic disease state

Altered Nutrition, Less Than Body Requirements related to the inability to absorb nutrients

Risk for Injury related to unsteady gait

Answer and Explanation

The Correct Answer is C

According to Maslow's hierarchy of needs model, physiological needs such as food, water, and shelter are the most basic and fundamental needs that must be met before higher-level needs can be addressed. In this scenario, the nursing diagnosis of Altered Nutrition, Less Than Body Requirements related to inability to absorb nutrients addresses a fundamental physiological need and should be identified as the highest priority for this client. The other nursing diagnoses listed address important needs related to safety, self-care, and psychological well-being, but these needs are considered higher-level needs according to Maslow's hierarchy and should be addressed after the client's basic physiological needs have been met.

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Correct Answer is ["A","D"]

Explanation

A test to determine the amount of residual urine is used to measure the amount of urine that remains in the bladder after voiding. This assessment can be used for several reasons, including to determine the need for medications that can help improve bladder emptying and to evaluate the amount of retained urine after voiding. Retained urine can increase the risk of urinary tract infections and other complications. This test is not typically used to evaluate ﬂuid volume status, glomerular filtration rate, or the extent of renal failure.

A. Review the action of insulin therapy. B. Ask the client to perform a return demonstration of insulin injection. C. Explore the client's feelings about dietary modifications. D. Have the client practice blood-glucose monitoring using a glucometer.

Correct Answer is C

Explanation

To focus on aﬀective learning with this client, the nurse should explore the client's feelings about dietary modifications. Aﬀective learning involves the development of values, attitudes, and emotions. By exploring the client's feelings about dietary modifications, the nurse can help the client understand and accept the changes that are necessary for managing their condition.

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A client is hospitalized with numerous acute health problems. According to Maslow's hierarchy of needs model, which nursing diagnosis should the nurse identify as being the highest priority for this client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client needs a test to determine the amount of residual urine. The nurse realizes that this assessment is used for which reason(s)? Select all that apply.

Correct Answer is ["A","D"]

Explanation

A nurse is providing care for a client who has recently been diagnosed with type 1 diabetes mellitus. To focus on aﬀective learning with this client, the nurse should use which of the following interventions?

Correct Answer is C

Explanation

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