A nurse is working with a patient who has successfully managed their chronic illness and is now interested in engaging in community volunteer work. Which of Maslow's needs is this patient likely pursuing?
Safety needs
Physiological needs
Self-actualization needs
Esteem needs
The Correct Answer is C
A. Safety needs involve security, stability, and protection from harm, which are not the focus of engaging in volunteer work.
B. Physiological needs include basic survival requirements such as food, water, and shelter, which are already met for this patient.
C. Self-actualization needs involve pursuing personal growth, fulfillment, and meaningful activities. Engaging in community volunteer work reflects the patient’s desire to realize personal potential and contribute to society, consistent with Maslow’s highest-level need.
D. Esteem needs involve gaining respect, recognition, and self-confidence. While volunteering may enhance esteem, the primary motivation in this scenario aligns with self-actualization, as it fulfills purpose and personal growth.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. PHI applies to all forms of client information, including verbal, written, and electronic communication, so it is incorrect to say it does not apply to verbal transfer.
B. PHI can only be shared with other providers without the client’s permission if it is for treatment, payment, or healthcare operations under HIPAA regulations. Blanket sharing without reason is not permitted.
C. PHI includes all health information, past and present, so it is incorrect to exclude past illnesses.
D. Protected health information (PHI) encompasses any individually identifiable health information, including medical history, diagnoses, treatments, and payment information. Payment and billing records are considered PHI because they link to the individual and their care, and must be protected under HIPAA.
Correct Answer is A
Explanation
A. Guiding the client away from background noise improves the ability to hear and understand spoken instructions, as hearing deficits are often exacerbated by environmental noise. This action supports effective communication and client comprehension.
B. Standing next to the client is less effective; the nurse should face the client directly so that lip movements and facial expressions are visible, which aids understanding.
C. Repeating misunderstood phrases may help, but without addressing environmental factors such as noise, communication may still be impaired.
D. Providing instructions in Braille is appropriate for clients with visual impairments, not hearing deficits.
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