A nurse is caring for a group of clients. Using Maslow's Hierarchy of Needs to prioritize safety, which client should the nurse address first?
A client asks for a nicotine patch and verbalizes irritability while in the hospital.
A client reports loneliness and requests visitors to help them feel more connected.
A client verbalizes concern about their roommate's machine alarms.
A client indicates they are feeling hopeless and considering suicide.
The Correct Answer is D
Choice A reason: While nicotine withdrawal and irritability may affect comfort and emotional regulation, they do not pose an immediate threat to life or safety. This concern falls under physiological or psychological needs but is not the highest priority in terms of safety.
Choice B reason: Loneliness relates to love and belonging needs in Maslow’s hierarchy. Although important for emotional well-being, it does not represent an urgent safety issue compared to threats of self-harm.
Choice C reason: Concern about machine alarms may reflect anxiety or environmental discomfort. Unless the alarms indicate a malfunction affecting care, this is a lower priority than direct threats to life.
Choice D reason: Expressions of hopelessness and suicidal ideation represent a critical threat to life and safety. According to Maslow’s hierarchy, safety needs—especially those involving risk of harm—must be addressed before other concerns. Immediate intervention is required to ensure the client’s safety and initiate appropriate mental health support.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Excessive empathy may be a sign of emotional overinvestment, but it is not a definitive indicator of compassion fatigue. Compassion fatigue typically results in emotional exhaustion and detachment, not heightened empathy.
Choice B reason: Discussing strong intimate relationships is not related to compassion fatigue. In fact, healthy relationships can be protective against burnout and emotional distress.
Choice C reason: Difficulty making clinical decisions is a hallmark of compassion fatigue. It reflects cognitive impairment due to emotional exhaustion, reduced concentration, and decreased ability to prioritize care. This can compromise patient safety and nurse performance.
Choice D reason: Rarely using sick days may indicate dedication or lack of self-care, but it is not a direct symptom of compassion fatigue. It could be due to other factors such as workload or personal choice.
Correct Answer is B
Explanation
Choice A reason: While reducing healthcare costs may be an indirect benefit of Healthy People 2030, it is not the mission. The initiative focuses on improving health outcomes and equity rather than economic goals.
Choice B reason: Promoting health and well-being for all is the core mission of Healthy People 2030. It emphasizes achieving health equity, eliminating disparities, and improving the health of all population groups through evidence-based objectives.
Choice C reason: Healthy People 2030 does not provide healthcare services. It is a strategic framework for public health goals and priorities, not a healthcare delivery program.
Choice D reason: Eliminating chronic diseases is an aspirational goal, but not the stated mission. Healthy People 2030 aims to reduce the burden of chronic diseases through prevention and health promotion, not complete eradication.
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