A nurse is assessing a homeless patient who presents with dehydration and malnutrition. According to Maslow's hierarchy of needs, what should the nurse prioritize first?
Finding the patient shelter.
Discussing the patient's future goals for self-fulfillment.
Connecting the patient with a social worker for long-term support.
Providing food and water.
The Correct Answer is D
A. Finding shelter addresses safety needs, which are important, but basic physiological needs take priority according to Maslow’s hierarchy.
B. Discussing future goals addresses self-actualization, which is the highest-level need and should not be prioritized when basic survival needs are unmet.
C. Connecting the patient with a social worker addresses long-term support and safety, but immediate physiological needs must be met first.
D. Providing food and water addresses the patient’s primary physiological needs—nutrition and hydration—which are the foundation of Maslow’s hierarchy. Ensuring these needs are met is essential before higher-level interventions can be effective.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Providing records only at discharge limits the client’s legal right to access their medical information at any time during their care.
B. Clients have the right to review their medical record according to HIPAA regulations. A written request ensures proper documentation and compliance with facility policy, making this the correct response.
C. Requiring the client to explain why they want to review their record is not necessary and may be viewed as a barrier to accessing their own health information.
D. Denying access is legally incorrect, as clients are entitled to view their health records, request corrections, and obtain copies.
Correct Answer is A
Explanation
A. Tuberculosis is primarily transmitted via airborne particles, known as droplet nuclei, that can remain suspended in the air for extended periods. Inhalation of these particles by a susceptible person can lead to infection, making airborne precautions, including N95 respirators and negative-pressure rooms, essential.
B. Zoonotic transmission involves diseases transmitted from animals to humans, which is not the main route for TB.
C. Contact transmission occurs through direct or indirect contact with contaminated surfaces or body fluids. While hand hygiene is important, TB is not typically spread this way.
D. Droplet transmission involves larger respiratory droplets that travel short distances (usually <3 feet). TB spreads through smaller airborne particles, so droplet precautions alone are insufficient.
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