A nurse in a community health clinic is interviewing a couple who just lost their house in a fire. Using the priority framework of Maslow's hierarchy of needs, which category should the nurse identify for the client's situation?
Safety
Self-actualization
Esteem
Love and belonging
The Correct Answer is A
Choice A reason: This is the correct answer because safety is the second level of Maslow's hierarchy of needs, and it includes the needs for security, stability, protection, and freedom from fear and anxiety. The couple who just lost their house in a fire are likely experiencing a threat to their safety needs, as they have lost their shelter, possessions, and sense of security. The nurse should identify and address their safety needs as a priority, and help them find alternative housing, financial assistance, and emotional support.
Choice B reason: This is not the correct answer because self-actualization is the highest level of Maslow's hierarchy of needs, and it includes the needs for personal growth, fulfillment, and realization of one's potential. The couple who just lost their house in a fire are unlikely to be concerned with their self-actualization needs at this time, as they have more pressing and basic needs to meet. The nurse should focus on their lower-level needs first, before helping them achieve their higher-level needs.
Choice C reason: This is not the correct answer because esteem is the fourth level of Maslow's hierarchy of needs, and it includes the needs for self-respect, confidence, recognition, and appreciation. The couple who just lost their house in a fire may experience a loss of esteem, as they may feel ashamed, helpless, or worthless. However, their esteem needs are not the most urgent or important at this time, as they have more fundamental needs to satisfy. The nurse should support their esteem needs by showing empathy, respect, and encouragement, but not neglect their lower-level needs.
Choice D reason: This is not the correct answer because love and belonging is the third level of Maslow's hierarchy of needs, and it includes the needs for affection, intimacy, friendship, and social acceptance. The couple who just lost their house in a fire may benefit from their love and belonging needs, as they may seek comfort, support, and connection from others. However, their love and belonging needs are not the primary or essential at this time, as they have more basic and vital needs to fulfill. The nurse should facilitate their love and belonging needs by providing a caring and compassionate environment, but not overlook their lower-level needs.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Environmental stress is not the correct answer. Environmental stress is caused by external factors that are beyond the person's control, such as noise, pollution, weather, or natural disasters. These factors can affect the person's physical and mental health, but they are not related to the person's specific situation or event.
Choice B reason: Situational stress is the correct answer. Situational stress is caused by a particular situation or event that the person faces, such as a test, a job interview, a conflict, or a loss. These situations or events can create pressure, uncertainty, or anxiety for the person, and they may require the person to adapt or cope with the change or challenge.
Choice C reason: Daily Hassle stress is not the correct answer. Daily Hassle stress is caused by the minor annoyances or frustrations that the person encounters in their everyday life, such as traffic, deadlines, bills, or household chores. These hassles can accumulate and affect the person's mood, health, or well-being, but they are not related to the person's specific situation or event.
Choice D reason: Episodic stress is not the correct answer. Episodic stress is caused by frequent or chronic exposure to stressful situations or events, such as work overload, financial problems, or family issues. These situations or events can create a constant state of worry, agitation, or distress for the person, and they may affect the person's physical and mental health. Episodic stress is not a type of stress, but rather a result of experiencing too much stress over a long period of time.
Correct Answer is C
Explanation
Choice A reason: I try to walk in the hallway each day with assistance is a correct statement. Walking is a form of physical activity that can stimulate bowel movements and prevent constipation. Walking also has other benefits such as improving circulation, muscle strength, and mood. The patient should be encouraged to walk as much as possible with assistance to prevent falls and injuries.
Choice B reason: I need to increase fiber in my diet and drink more water is a correct statement. Fiber is a type of carbohydrate that is not digested by the body and helps to form soft and bulky stools. Fiber can be found in foods such as fruits, vegetables, whole grains, nuts, and seeds. Water is essential for hydration and helps to soften the stools and ease their passage. The patient should be advised to consume at least 25 grams of fiber and 8 glasses of water per day to prevent constipation.
Choice C reason: I take my laxative every morning and an enema every night is an incorrect statement that requires follow-up teaching by the nurse. Laxatives and enemas are medications that are used to treat constipation by stimulating or lubricating the bowel. However, they should not be used routinely or excessively, as they can cause side effects such as dehydration, electrolyte imbalance, abdominal cramps, diarrhea, or dependence. The patient should be instructed to use laxatives and enemas only as prescribed by the doctor and for a short period of time. The patient should also be informed of the potential risks and complications of overusing laxatives and enemas.
Choice D reason: The pain medication I take tends to make my constipation worse is a correct statement. Pain medications, especially opioids, can slow down the movement of the bowel and cause constipation. This is a common and expected side effect of pain medications. The patient should be educated on how to manage constipation caused by pain medications, such as increasing fiber and water intake, exercising regularly, and using stool softeners or laxatives as needed. The patient should also be reassured that constipation does not mean that the pain medication is not working or that they are addicted to it.
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