A nurse is using Maslow's hierarchy to prioritize care for an anxious patient that is not eating and will not see family members. Which area should the nurse address first?

Anxiety

Not seeing family members

Not eating

Mental Health

Answer and Explanation

The Correct Answer is C

A) Anxiety: While anxiety is a significant concern, Maslow’s hierarchy of needs emphasizes addressing physiological needs first, as they form the foundation for higher-level needs. Anxiety can be a secondary concern, but it is often tied to unmet basic needs like hunger, so addressing the physiological need for nourishment should take priority.

B) Not seeing family members: Emotional support from family members is important for mental health and well-being, but according to Maslow's hierarchy, psychological needs like social connection come after physiological needs. The patient’s refusal to see family members may be influenced by underlying physiological issues such as hunger or anxiety, making it less urgent to address initially.

C) Not eating: According to Maslow’s hierarchy, the most immediate priority is addressing physiological needs such as food, water, and shelter. If a patient is not eating, it can lead to further health complications like malnutrition, weakness, and decreased energy. Ensuring the patient’s basic physiological needs are met, such as eating, should be the nurse's first priority to stabilize the patient before addressing other concerns.

D) Mental Health: Mental health concerns, like anxiety, are important but are considered a higher-level need in Maslow's hierarchy, following physiological needs. Addressing mental health issues such as anxiety may be necessary, but it is more effective once the basic physiological needs, such as eating and hydration, are met.

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Correct Answer is A

Explanation

A) Activate the fire alarm: The nurse's priority in the event of a fire is to activate the fire alarm immediately. This alerts others in the building, including staff and emergency responders, to the potential danger. It initiates the necessary protocol to ensure the safety of all individuals in the area and enables timely evacuation if needed. Ensuring that others are aware of the fire risk is the first critical step in managing the situation effectively.

B) Move any clients in the immediate vicinity: While moving clients away from the immediate danger is important, it should come after the alarm has been activated. The fire alarm alerts everyone to evacuate or take necessary precautions, allowing the nurse and other staff to focus on evacuation or safety measures. The priority is to ensure that everyone is aware of the potential fire hazard and follows the evacuation procedures.

C) Close the fire doors on the unit: Closing fire doors is part of fire containment, but it should occur after the alarm has been activated and the fire response plan is in motion. Fire doors are designed to limit the spread of fire, but the initial priority is to alert others to the fire, activate the alarm, and ensure everyone is aware of the emergency situation.

D) Use a fire extinguisher to put out the fire: Using a fire extinguisher is appropriate if the fire is small and manageable, but activating the fire alarm is still the first priority. In cases of small fires, if safe to do so, the nurse can attempt to put it out. However, the primary focus should be on alerting everyone in the facility to the danger so that emergency protocols can be followed.

A. Droplet B. Contact C. Airborne D. Protective environment

Correct Answer is C

Explanation

A) Droplet: Droplet precautions are used for infections that spread through respiratory droplets when an infected person coughs, sneezes, or talks. While measles is transmitted through respiratory droplets, the virus is highly contagious and requires airborne precautions, not just droplet precautions.

B) Contact: Contact precautions are used for infections spread through direct contact with the patient or their environment, such as gastrointestinal or skin infections. Measles is primarily spread through the air and is not classified as a contact transmission infection.

C) Airborne: Measles is an airborne illness, which means that it can be transmitted through small respiratory droplets that remain suspended in the air for long periods of time. Airborne precautions are necessary to protect healthcare workers and other patients from exposure. These precautions include placing the child in a negative pressure room and requiring healthcare workers to wear N95 respirators.

D) Protective environment: Protective environment precautions are used for patients with severely weakened immune systems, such as those undergoing chemotherapy or organ transplantation. These precautions are designed to protect the patient from infections, not to prevent the spread of contagious illnesses like measles.

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A nurse is using Maslow's hierarchy to prioritize care for an anxious patient that is not eating and will not see family members. Which area should the nurse address first?

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