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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is A
Explanation
A) Reach around the pack and open the top flap away from the body: The nurse should open the top flap of the sterile pack first by pulling it away from the body. This ensures that the sterile contents of the pack are not contaminated by touching the body or clothing. It is important to open the flap away from the body and face to maintain the sterility of the field and prevent any potential contamination.
B) Move to the opposite side of the pack to open the fourth flap: Moving to the opposite side of the pack to open the fourth flap is not necessary. The nurse should open the pack from the side where it is placed, and typically the sterile pack has a specific order for opening the flaps to maintain a sterile field. Opening the fourth flap from the opposite side would not be the most efficient or safest practice.
C) Place the pack on a sterile work surface: While placing the sterile pack on a sterile work surface is important, this step is not directly related to opening the sterile pack. Ensuring the work surface is sterile is crucial, but the question specifically addresses the proper way to open the pack, which involves how to handle the flaps safely.
D) Open the right flap with the left hand: It is essential to avoid crossing over sterile areas or using non-dominant hands for opening the pack's flaps in a manner that could risk contamination. Each flap should be opened in a controlled way, usually with the dominant hand, and this action must follow the correct sequence to prevent any potential contamination, especially when handling the pack’s sterile contents.
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