A charge nurse is reviewing the documentation completed by a newly licensed nurse. Which of the following entries should the charge nurse recommend for revision?

A) Muscle mass:
Passive range of motion (ROM) exercises do not directly increase muscle mass. These exercises primarily help maintain joint function and flexibility rather than build muscle tissue, which requires active resistance exercises and strength training.

B) Bone density:
While weight-bearing activities can help improve bone density, passive ROM exercises do not have a significant impact on bone density. Passive ROM helps preserve joint function and flexibility but does not address the strengthening of bones.

C) Joint flexibility:
Passive ROM exercises are specifically designed to improve and maintain joint flexibility. These exercises involve the nurse or caregiver moving the client’s joints through their full range of motion without the client’s active participation. The goal is to maintain or increase the joint's flexibility and prevent stiffness, especially in patients who are unable to move their limbs actively, such as those who have had a stroke.

D) Muscle strength:
Passive ROM does not increase muscle strength because the client is not actively engaging their muscles. Muscle strength is built through active movements or resistance exercises, where the client’s muscles work against a force. Passive ROM helps maintain joint mobility, not muscle strength.

A) Safety needs:
In Maslow's hierarchy of needs, safety needs are the second level, after physiological needs, and include the need for security and protection from harm. In this scenario, the client’s concern about where to hide their cellphone during the procedure reflects anxiety related to the potential loss or theft of personal property, which relates to safety and security. By offering to lock the cellphone in a secure area, the nurse is addressing the client's need for safety and reassurance about their belongings while undergoing a medical procedure.

B) Esteem needs:
Esteem needs are related to feelings of self-worth, accomplishment, and respect from others. While a person’s sense of esteem can be affected by how others treat their belongings, this particular situation does not relate to the client seeking recognition or respect. The client’s anxiety about where to place the cellphone is more about feeling secure and protected, rather than about esteem or recognition from others.

C) Love and belonging needs:
Love and belonging needs are associated with the need for interpersonal relationships, affection, and social connections. While the nurse’s interaction with the client may help foster a sense of comfort and connection, the concern about the cellphone does not stem from a need for social support or relationships. Instead, it is related to safety and security.

D) Physiological needs:
Physiological needs represent the most basic level of Maslow's hierarchy and include things like air, food, water, and shelter. Although the client is preparing for a medical procedure, their concern about the cellphone does not fall under this category. The focus here is on the safety of the client’s belongings, which is a higher-level need than basic physiological survival.