How can the nurse apply Maslow's Hierarchy when assessing a patient admitted with severe burns?
Assist the patient in setting recovery goals
Prioritize fluid resuscitation and wound care
Encourage family visits to improve emotional support
Ensure a safe and secure environment
The Correct Answer is B
A. Assist the patient in setting recovery goals: Goal setting falls under the categories of self-actualization or self-esteem within the hierarchical framework. While important for long-term rehabilitation, these needs are secondary during the acute phase of a medical crisis. They cannot be addressed until the underlying physiological stability is secured.
B. Prioritize fluid resuscitation and wound care: Physiological needs represent the most fundamental level of the hierarchy and must be met to ensure survival. Severe burns cause massive fluid shifts and loss of skin integrity, leading to hypovolemic shock and electrolyte imbalances. Addressing these immediate life-threatening deficits is the highest priority.
C. Encourage family visits to improve emotional support: Emotional support and belongingness are mid-level needs that contribute to psychological well-being. Although family involvement is beneficial for the patient's holistic recovery, it does not take precedence over physiological stabilization. These needs are addressed once the patient is no longer medically unstable.
D. Ensure a safe and secure environment: Safety and security form the second level of the hierarchy, just above physiological requirements. While protecting the patient from further injury or infection is crucial, it is contingent upon the primary restoration of physiological homeostasis. Fluid resuscitation is more immediate than environmental safety.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Recommend replacing conventional treatments immediately:Abandoning evidence-based biomedical interventions can lead to rapid disease progression and acute physiological decompensation. Replacing primary treatments without clinical oversight violates the principle of non-maleficence and jeopardizes patient safety. It ignores the synergistic potential of integrated care models.
B. Discourage all forms of alternative and complementary medicine:This approach alienates patients and may cause them to conceal the use of supplements that have significant drug-herb interactions. It disregards the holistic needs and cultural values of the individual. Dismissive attitudes hinder the development of a therapeutic nursing relationship.
C. Evaluate the client's preferences and safety of the modalities involved:Assessing the risk of interactions between pharmacotherapy and natural products is essential for patient safety. This step respects autonomy while ensuring that any integrated therapy does not contraindicate the primary medical regimen. It allows for a coordinated and safe care plan.
D. Focus exclusively on educating the patient about conventional medicine:Neglecting to discuss non-traditional methods leaves the patient vulnerable to unmonitored side effects from self-administered remedies. Comprehensive nursing care requires an understanding of all substances or practices the patient utilizes. Omitting CAM discussion creates a deficit in the clinical assessment.
Correct Answer is B
Explanation
A. Herbal remedies are only effective if taken excessively:This is a dangerous misconception that increases the risk of organ toxicity and metabolic disturbances. Many herbal products have a narrow therapeutic window, and "excessive" doses can be lethal. Education should emphasize adherence to recommended doses rather than promoting overconsumption.
B. Potential interactions with prescribed medications:Many herbs act as substrates, inhibitors, or inducers of hepatic enzymes like the Cytochrome P450 system. This can lead to dangerously high or low levels of life-saving prescription drugs in the blood. Identifying these interactions is a critical safety priority for all nurses.
C. Excessive dependency on professional medical advice:Encouraging patients to rely on professional advice is a safety measure, not a safety issue. Self-medicating with unregulated herbal products without clinical guidance is the actual risk. The nurse should promote, rather than discourage, consultation with healthcare providers regarding supplement use.
D. Difficulty in finding natural sources for herbal remedies:The accessibility of herbal products is a logistical or market issue rather than a clinical safety concern. The primary risk lies in the pharmacological effects of the substances once they are consumed. Safety education focuses on physiological impact rather than procurement challenges.
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