What would be the most appropriate action by the student nurse when the client asked the student nurse to keep it a secret that the client plan to kill a family member?

A. Assist the client in addressing a specific problem: While Maslow’s hierarchy can help identify underlying needs that may contribute to a specific problem, it is not primarily used for addressing specific problems directly. Instead, it provides a framework for understanding the broader context of a client’s needs.
B. Change a client's behavior: Maslow’s hierarchy is not specifically designed to change behavior. It is more about understanding the different levels of needs that motivate behavior. Behavior change might be a result of addressing these needs, but it is not the primary purpose of the hierarchy.
C. Establish a therapeutic relationship: Understanding a client’s needs according to Maslow’s hierarchy can help build rapport and trust, which are essential for a therapeutic relationship. However, the primary use of the hierarchy is not to establish relationships but to understand and prioritize needs.
D. Prioritize care: This is the most accurate use of Maslow’s hierarchy. It helps nurses prioritize care by addressing the most fundamental needs first (such as physiological and safety needs) before moving on to higher-level needs (such as love/belonging, esteem, and self-actualization). This ensures that the most critical needs are met first, which is essential in a healthcare setting.

A. Identifying if friends or family are available to help: Important for support but not the immediate priority.
B. Identifying the client's coping skills: Important for long-term care but not the immediate priority.
C. Determining if the client has thoughts of self-harm: Correct. Assessing for self-harm or suicidal ideation is crucial for immediate safety.
D. Asking the client to identify the cause of the crisis: Important for understanding the crisis but not the immediate priority.