Which stage of Maslow's hierarchy of needs is most threatened when a patient faces a possible layoff from work and witnesses intimate partner violence at home?
Safety needs
Physiological needs
Love and belonging needs
Esteem needs
The Correct Answer is A
Choice A Reason:
Safety needs is correct. In this scenario, the individual's safety is compromised both at work (due to the potential layoff) and at home (due to intimate partner violence). Safety needs, which include physical and emotional security, are fundamental in Maslow's hierarchy and take precedence over other needs in this situation.
Choice B Reason:
Physiological needs is incorrect. While a possible layoff can impact financial stability, it may not directly threaten immediate access to basic physiological needs like food, water, and shelter. The immediate safety concern takes precedence.
Choice C Reason:
Love and belonging needs is incorrect. Although witnessing intimate partner violence can strain relationships and affect the sense of belonging, the primary concern in this scenario is the immediate threat to safety.
Choice D Reason:
Esteem needs is incorrect. The threat of a layoff and exposure to domestic violence can impact self-esteem, but the more critical issue at the moment is ensuring physical safety.
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Related Questions
Correct Answer is D
Explanation
Choice A Reason:
"I pray when I begin to breathe fast". This technique is inappropriate. Using prayer as a coping mechanism can provide emotional support and a sense of comfort for many individuals.
Choice B Reason:
"Exercise when my neck is tense". This technique is inappropriate. Physical activity, such as exercise, is a well-established and effective stress management technique, promoting the release of endorphins and reducing muscle tension.
Choice C Reason:
"Journal when I find it difficult to talk". This technique is inappropriate. Writing in a journal can be a therapeutic way to express thoughts and emotions, providing an outlet for self-reflection and stress reduction.
Choice D Reason:
"Fix myself a pot of coffee when I get anxious" This technique is appropriate. The least effective stress management technique among the options is fixing oneself a pot of coffee. While caffeine might provide a temporary boost in alertness and mood, excessive consumption of caffeinated beverages, especially during times of anxiety, can contribute to increased heart rate, restlessness, and may exacerbate feelings of anxiety. In the long run, relying on caffeine as a coping mechanism may not be the healthiest or most effective approach to managing stress.
Correct Answer is D
Explanation
Choice A Reason:
In the orientation phase is false. The orientation phase is focused on establishing rapport, building trust, and identifying the patient's needs and goals. It is too early to discuss termination during this phase.
Choice B Reason:
On the working phase is false. The working phase involves active problem-solving, goal attainment, and skill development. While progress is being made, it is not the appropriate time to introduce the topic of termination.
Choice C Reason:
When the patient brings up the topic is false. While it's important to be responsive to the patient's concerns, addressing the issue of termination solely based on the patient's initiation may not provide a comprehensive and planned discussion. The nurse should guide the conversation about termination at the appropriate time, considering the progress made in therapy.
Choice D Reason:
The termination phase is the final phase of the therapeutic relationship, and it involves discussing and planning for the conclusion of the therapeutic alliance. It provides an opportunity for the nurse and patient to reflect on the progress made, revisit goals, and discuss strategies for maintaining gains after the conclusion of the formal therapeutic relationship.
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