A client is being assessed for nursing diagnoses related to suicidal ideation. Which nursing diagnosis prioritization principle should the nurse apply according to Maslow's hierarchy of needs?
Psychological needs are more important than physiological needs.
Social isolation takes precedence over impaired coping.
Physiological needs are more important than psychological needs.
Grieving is considered the highest priority diagnosis.
The Correct Answer is C
Choice A rationale:
Psychological needs are more important than physiological needs. This statement contradicts Maslow's hierarchy of needs. According to Maslow's theory, physiological needs, such as air, water, food, and shelter, are at the base of the hierarchy and must be satisfied before addressing higher-level psychological needs.
Choice B rationale:
Social isolation takes precedence over impaired coping. While social isolation can indeed have a significant impact on a person's well-being, Maslow's hierarchy places physiological needs as the foundation. Without satisfying basic physiological needs, addressing higher-level psychological and social needs becomes less effective.
Choice C rationale:
Physiological needs are more important than psychological needs. This choice aligns with Maslow's hierarchy of needs. The hierarchy starts with physiological needs as the most fundamental, followed by safety, belongingness and love, esteem, and finally, self-actualization. A person's physiological needs (like breathing, food, water, sleep) must be met before psychological needs (such as self-esteem, achievement) can be effectively addressed.
Choice D rationale:
Grieving is considered the highest priority diagnosis. Grieving, while important, isn't necessarily the highest priority diagnosis according to Maslow's hierarchy. It falls under psychological and emotional needs, which are secondary to physiological needs. Urgent physiological needs take precedence over emotional needs in this context.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
Modifying the plan of care based on the patient's current status is a fundamental aspect of the evaluation phase. Patients' conditions can change, and the plan of care should be flexible enough to adapt to their evolving needs. By making necessary adjustments, the nurse ensures that the patient continues to receive appropriate and effective care.
Choice B rationale:
Comparing the patient's current status with baseline data only is insufficient for a comprehensive evaluation. Baseline data is useful for establishing a starting point, but it doesn't account for changes that may have occurred since then. Effective evaluation involves considering both baseline data and the patient's current condition.
Choice C rationale:
Disregarding the patient's feedback about their care is not appropriate during the evaluation phase. Patient feedback provides valuable insights into their experience, concerns, and whether the current plan of care is meeting their needs. Ignoring their feedback can lead to unaddressed issues and a lack of patient-centered care.
Choice D rationale:
Documenting outcomes without assessing the patient's response undermines the purpose of the evaluation phase. Evaluation involves not only documenting outcomes but also assessing how the patient has responded to interventions. This assessment informs whether the outcomes are positive, need adjustment, or require a different approach.
Correct Answer is ["A","D","E"]
Explanation
Choice A rationale:
Monitoring the client's access to lethal means is a crucial intervention to ensure the client's safety. This involves assessing the client's access to items that could be used for self-harm or suicide, such as medications, sharp objects, firearms, or other potentially dangerous items. By controlling the client's access to these means, the nurse can reduce the immediate risk of harm.
Choice D rationale:
Collaborating with the client's family and friends is essential in providing a supportive environment. These individuals can offer emotional support, encouragement, and supervision, which can contribute to the client's overall safety. The nurse can educate the client's support network about warning signs and appropriate responses, fostering a more secure environment.
Choice E rationale:
Administering sedative medications to keep the client calm is not a recommended intervention for ensuring the safety of a client displaying suicidal ideation. Sedative medications may temporarily mask the client's distress but will not address the underlying issues contributing to their suicidal thoughts. Moreover, sedatives can have side effects and potentially interact with other medications, further complicating the situation.
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.