A client is hospitalized with numerous acute health problems. According to Maslow's hierarchy of needs model, which nursing diagnosis should the nurse identify as being the highest priority for this client?
Self-Care Deficit related to weakness and debilitation
Powerlessness related to chronic disease state
Altered Nutrition, Less Than Body Requirements related to the inability to absorb nutrients
Risk for Injury related to unsteady gait
The Correct Answer is C
According to Maslow's hierarchy of needs model, physiological needs such as food, water, and shelter are the most basic and fundamental needs that must be met before higher-level needs can be addressed. In this scenario, the nursing diagnosis of Altered Nutrition, Less Than Body Requirements related to inability to absorb nutrients addresses a fundamental physiological need and should be identified as the highest priority for this client. The other nursing diagnoses listed address important needs related to safety, self-care, and psychological well-being, but these needs are considered higher-level needs according to Maslow's hierarchy and should be addressed after the client's basic physiological needs have been met.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
An unlicensed assistive person (UAP) is a healthcare worker who is not licensed to perform nursing tasks but can assist with basic care under the supervision of a licensed nurse. Taking and recording vital signs is a task that can be delegated to a UAP. Making a bed and assisting with bathing are also tasks that can be delegated to a UAP. However, an unlicensed assistive person may not delegate tasks to others as they are not licensed to do so.
Correct Answer is ["C","D"]
Explanation
When planning interventions to promote a client's appetite, it would be important to include providing a tidy, clean environment that is free of unpleasant sights or odors and encouraging or providing oral hygiene after mealtime in the client's plan. A pleasant and comfortable environment can help stimulate the appetite and make mealtime more enjoyable. Good oral hygiene can also help improve the taste of food and promote appetite. Unpleasant or uncomfortable treatments should not be performed before or after a meal as they may decrease the client's appetite. Providing unfamiliar food may not be helpful in promoting appetite as clients may prefer familiar and comforting foods.
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