A nurse is caring for a postoperative client who is unable to sleep and refusing to see their partner. The client states, “I'm feeling anxious.” Using Maslow's hierarchy of needs, which area should the nurse prioritize when planning care for the client?
Anxiousness
Refusal to see partner
Inability to sleep
Wound care
The Correct Answer is D
Choice A reason: Anxiety is a psychological concern that falls under safety and emotional needs. While important, it is secondary to physiological needs such as wound care, which directly impacts survival and physical integrity.
Choice B reason: Refusal to see a partner relates to love and belonging needs. These are higher-level needs in Maslow’s hierarchy and are not prioritized over basic physiological or safety needs.
Choice C reason: Inability to sleep affects physiological well-being but is not as immediately critical as wound care in a postoperative client. Sleep disturbances can be addressed after ensuring physical recovery.
Choice D reason: Wound care addresses the most fundamental physiological need—physical health and healing. In Maslow’s hierarchy, physiological needs are the foundation and must be met before addressing emotional or social concerns.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Colorectal cancer screening is primarily designed to detect precancerous polyps before they develop into cancer. Early identification and removal of these polyps significantly reduce the risk of progression to malignancy. This preventive approach is supported by clinical guidelines and has been shown to improve outcomes and reduce mortality. The nurse should emphasize the proactive benefit of screening even in asymptomatic individuals.
Choice B reason: This statement is incorrect and misleading. Screening is intended for individuals who may not have symptoms, precisely to catch disease early. Waiting for symptoms often means the disease is already advanced, which reduces treatment effectiveness and increases complications.
Choice C reason: While screening can identify cancer at various stages, its primary goal is early detection—ideally before symptoms appear or before cancer develops. Framing it as a tool for identifying advanced cancer may discourage participation and misrepresent its preventive value.
Choice D reason: Colorectal cancer screening is specific to the colon and rectum. It is not used to diagnose other types of cancer. This statement is inaccurate and could confuse the client about the purpose and scope of the screening.
Correct Answer is B
Explanation
Choice A reason: Implementing clean water policies is a public health measure that supports environmental health and disease prevention. However, it is more passive and regulatory than actively engaging residents in health-promoting behaviors.
Choice B reason: Organizing a walking group directly involves residents in physical activity, fostering social connection and cardiovascular health. It exemplifies active health promotion by encouraging lifestyle changes through community engagement.
Choice C reason: Enforcing a smoking ban is a legislative action that reduces exposure to secondhand smoke but does not actively involve individuals in health-promoting behaviors. It is a form of passive prevention.
Choice D reason: Encouraging consumption of fortified milk supports nutritional health but lacks the interactive and behavioral engagement seen in organized group activities. It is educational but not as participatory.
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