A nurse is caring for a client with a scheduled procedure. While preparing the client for the transport they appear anxious and ask the nurse where they should hide their cellphone during the procedure. The nurse offers to lock the item in a secure area. Which category of Maslow's hierarchy of needs is the nurse addressing?

Safety needs

Esteem needs

Love and belonging needs

Physiological needs

Answer and Explanation

The Correct Answer is A

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.

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Correct Answer is D

Explanation

A) Heart failure:
While heart failure can cause a variety of symptoms, including shortness of breath, fatigue, and nocturnal respiratory disturbances, it is not a direct cause of obstructive sleep apnea (OSA). However, heart failure can exacerbate the effects of sleep apnea, particularly in individuals who already have OSA, leading to a condition known as "central sleep apnea with Cheyne-Stokes respiration.

B) Brainstem injury:
Brainstem injury can affect the regulation of breathing and may lead to central sleep apnea, where the brain fails to send the proper signals to the muscles that control breathing. However, brainstem injury does not directly cause obstructive sleep apnea, which is typically caused by physical blockages or obstructions in the upper airway.

C) Recent weight loss:
Recent weight loss is generally not associated with the development of obstructive sleep apnea. In fact, weight loss can sometimes reduce the severity of OSA in overweight or obese individuals. OSA is more commonly associated with excess weight and fat deposits around the neck and throat, which can contribute to airway obstruction during sleep.

D) Enlarged tonsils:
Enlarged tonsils, especially in children, are a well-known cause of obstructive sleep apnea (OSA). The enlarged tonsils can block the upper airway during sleep, leading to periods of apnea or hypopnea (reduced airflow). This obstruction can result in snoring, choking, and interrupted sleep.

A. Experiencing the pain of grief B. Finding an enduring connection while embarking on a new life C. Accepting the reality of the loss D. Adjusting to an environment without the deceased

Correct Answer is D

Explanation

A) Experiencing the pain of grief:
Experiencing the pain of grief is one of the early stages of mourning, according to Worden's tasks of grieving. This task involves confronting and processing the emotional pain and sorrow that accompany the loss. However, the statement provided by the client — "I am learning how to pay my own bills" — suggests they are adapting to life changes and responsibilities, which is more aligned with the later stages of grieving. This does not reflect the immediate pain of grief, but rather a focus on adjusting to life after the loss.

B) Finding an enduring connection while embarking on a new life:
Finding an enduring connection while embarking on a new life refers to the task of establishing a continued relationship with the deceased, while simultaneously moving forward with one's life. While this task is essential in the long-term grieving process, it does not directly relate to the client's statement, which focuses on practical changes, such as learning to manage finances, rather than a spiritual or emotional connection with the deceased.

C) Accepting the reality of the loss:
Accepting the reality of the loss is another important task in Worden’s model. This involves coming to terms with the fact that the loved one is gone. However, the client's focus on learning practical tasks like paying bills indicates that they are already moving beyond the initial stages of grief, not just accepting the loss. The statement does not clearly indicate that the client is still in the phase of accepting the reality of the loss, but rather adjusting to the changes that the loss has brought.

D) Adjusting to an environment without the deceased:
The client's statement, "I am learning how to pay my own bills," suggests they are taking on new responsibilities and adjusting to the changes brought about by the death of their partner. This aligns with Worden’s task of adjusting to an environment without the deceased, which includes taking on new roles and responsibilities that the deceased partner previously managed, such as financial tasks, household duties, and other life changes.

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Naxlex Comprehensive Predictor Exams

A nurse is teaching a class about sleep disorders. The nurse should include that which of the following conditions can cause obstructive sleep apnea (OSA)

Correct Answer is D

Explanation

A nurse is caring for a client whose partner has recently died. The client ‘’I am learning how to pay my own bills.’’ The nurse should identify that the client is experiencing which of the following tasks in Worden’s Four Tasks of Grieving?

Correct Answer is D

Explanation

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