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 C

Explanation

A) Tanning beds are much safer than lying in the sun: This statement is inaccurate. Tanning beds can actually be more harmful than sun exposure, as they expose the skin to concentrated ultraviolet (UV) radiation, which increases the risk of skin cancer, premature aging, and other skin damage. Health promotion teaching should focus on the dangers of tanning and emphasize safe sun practices, such as using sunscreen and avoiding tanning beds.

B) "Share piercing needles only with close friends you trust": This statement is dangerous and misleading. Sharing needles for piercings or tattoos, regardless of trust, can transmit bloodborne infections such as HIV, hepatitis B, and hepatitis C. The nurse should emphasize the importance of using sterilized, single-use needles and ensuring proper hygiene to prevent infections.

C) Your need for sleep will increase during periods of growth: This statement is accurate. Adolescents experience significant physical and cognitive growth, which increases their need for sleep. The nurse should encourage adolescents to prioritize adequate sleep, as it is essential for physical development, emotional well-being, and overall health.

D) "Limit your caloric intake to avoid becoming overweight": While maintaining a balanced diet is important, the focus should not be solely on limiting caloric intake. Adolescents are in a period of rapid growth and development, and their nutritional needs are higher. Health promotion should emphasize eating a balanced diet with appropriate portions of nutrients rather than focusing on restricting calories.

A. Return any fresh linen not used for a client to the linen supply: B. Tie linen bags securely at the top. C. Fili linen bags with as much soiled linen as possible: D. Use double bagging to remove soiled linen from the client's room.

Correct Answer is B

Explanation

A) Return any fresh linen not used for a client to the linen supply: Fresh linen that has been placed on a client’s bed but not used should not be returned to the linen supply. This is to prevent cross-contamination. Once linen is brought into a patient’s room, it should be considered contaminated, even if it was not used, and should be discarded properly.

B) Tie linen bags securely at the top: This is the correct action. When disposing of soiled linens, tying the linen bag securely helps to prevent the spread of pathogens and minimizes the risk of contamination. It also keeps the environment clean and safe for both staff and patients.

C) Fill linen bags with as much soiled linen as possible: Linen bags should not be overfilled. Overfilling bags can make them difficult to handle and can increase the risk of exposure to contaminants. Bags should be filled to a safe and manageable level to ensure proper handling and safety when transporting soiled linens.

D) Use double bagging to remove soiled linen from the client's room: Double bagging is typically not necessary unless there is a significant risk of contamination, such as with highly infectious material. Standard practice is to use a single, securely tied bag. Double bagging can create unnecessary waste and complicate disposal procedures unless specifically indicated by the situation or facility protocols.

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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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