The novice nurse is learning about the various theories of psychological development and the relationship to Maslow's hierarchy of needs. The nurse realizes that which situation may create a barrier to the use of developmental theories
when working with a patient?
1. The patient unconsciously incorporates the others' ideas.
2. The patient has been kicked out of his apartment for failing to pay rent.
3. The patient is getting married in two weeks.
4. The patient is having difficulty establishing new friendships.
Answer: 2
Explanation: The patient who has been kicked out of his apartment for failing to pay rent is unable to meet basic needs, the lowest level of Maslow's hierarchy. The various theories of psychological development are dependent on the individual achieving basic needs. Patients whose basic needs for shelter and food are not met will likely be unable to work toward mastery in other areas, such as establishing new friendships. The patient who is getting married is achieving needs on the level of love and belonging, and may be able to work with the nurse in other areas. Unconsciously incorporating the ideas of others is not necessarily a barrier to working with the nurse.
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