A patient is anxious about their upcoming surgery. How should the nurse apply Maslow's framework to prioritize their care?
Focus care on self-esteem by providing compliments
Encourage the patient to practice meditation techniques
Provide education about the procedure to address safety concerns
Schedule a consult with a counselor
The Correct Answer is C
A. Focus care on self-esteem by providing compliments: Self-esteem is a high-level psychological need that is addressed after physiological and safety needs are secured. While compliments may improve mood, they do not resolve the primary source of preoperative anxiety. This approach ignores the more fundamental need for safety and predictability.
B. Encouraging the patient to practice meditation techniques: Meditation addresses self-actualization or higher-level emotional regulation. While helpful for stress, it does not provide the concrete information required to satisfy safety and security needs. Maslow's hierarchy requires that foundational safety concerns be addressed before achieving mental tranquility through meditation.
C. Provide education about the procedure to address safety concerns: According to Maslow, safety and security are second-tier needs that must be met once physiological stability is confirmed. Providing clear information about what to expect reduces fear of the unknown and satisfies the patient's need for security. This is the most effective way to lower anxiety levels.
D. Schedule a consult with a counselor: Referral to a counselor addresses psychosocial needs but may delay the immediate resolution of the patient's anxiety. Most preoperative anxiety is rooted in a lack of specific knowledge regarding the surgical process. Direct nursing education is a more immediate and appropriate intervention for safety.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Client experiences respiratory depression: Codeine is an opioid agonist that suppresses the medullary cough center and can concurrently depress the respiratory drive. A significant reduction in respiratory rate or tidal volume indicates systemic toxicity and compromised gas exchange. This life-threatening adverse effect necessitates immediate clinical intervention.
B. Dry mouth persists throughout the day: Xerostomia is a common anticholinergic-like side effect associated with various opioid medications used for antitussive purposes. While uncomfortable for the patient, it does not represent an acute physiological threat or a failure of the therapeutic regimen. It is managed with oral hygiene.
C. Client reports mild drowsiness after each dose: Opioids cross the blood-brain barrier and exert sedative effects on the central nervous system. Mild somnolence is an expected pharmacological response and generally does not require intervention unless it progresses to an altered level of consciousness. It is a predictable side effect.
D. Coughing partially improves but persists at night: The therapeutic goal of codeine in an upper respiratory infection is the symptomatic relief of a non-productive cough. Partial improvement suggests the medication is reaching therapeutic levels but may not completely abolish the reflex. Persistent coughing is a clinical observation.
Correct Answer is D
Explanation
A. By consulting non-peer-reviewed blogs:These sources often lack rigorous scientific scrutiny and may contain anecdotal evidence or biased information. Relying on unverified online content can lead to the application of unsafe or ineffective nursing interventions. Professional practice must be grounded in validated, peer-reviewed clinical literature.
B. By ignoring patient preferences:Evidence-based practice is a triad that must include clinical expertise, research evidence, and the patient's unique values. Disregarding the patient's perspective violates the holistic nature of nursing care and reduces treatment adherence. Ethical practice requires the integration of individual preferences into the care plan.
C. By replicating outdated practices:Following tradition or "the way it has always been done" without questioning the scientific basis hinders clinical progress. Outdated methods may be less effective or even harmful compared to modern standards. Continuous quality improvement requires abandoning obsolete protocols for newer, proven strategies.
D. By reviewing the latest research and clinical guidelines:Identifying high-level evidence from randomized controlled trials and systematic reviews ensures interventions are scientifically sound. Clinical guidelines from professional organizations provide synthesized data for safe bedside application. This practice promotes the best possible patient outcomes through validated methodology.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.