A client is having difficulty with feelings of self-loathing and disgust after being attacked and raped. According to Maslow's human needs theory, which level is the client struggling with?
1. Physiological
2. Safety and security
3. Love and belonging
4. Self-esteem
Correct Answer: 4
Rationale 1: Physiological needs include air, food, water, rest, and sleep.
Rationale 2: Safety and security needs are those things, both psychological and physiological, that help the person feel safe.
Rationale 3: Love and belonging needs include giving and receiving affection, attaining a place in a group, and maintaining the feeling of belonging.
Rationale 4: Self-esteem and esteem from others includes feelings of independence, competence, self-respect, recognition, respect, and appreciation. Self-hatred and disgust is opposite of what one would expect in the self-esteem level of Maslow's model.
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A nurse teaches a client who has a history of heart failure. Which statement should the nurse include in this client's discharge teaching?
a. "Avoid drinking more than 3 quarts of liquids each day." b. "Eat six small meals daily instead of three larger meals." c. "When you feel short of breath, take an additional diuretic." d. "Weigh yourself daily while wearing the same amount of clothing."
You are caring for a client 6 hours postsurgery. You observe that the client voids urine frequently and in small amounts. You know that this most probably indicates what?
A) Requirement of intermittent catheterization B) Calculus formation C) Urine retention D) Urinary infection
The nurse is completing an admission history on a new home health patient. The patient has been experiencing seizures as the result of a recent brain injury
The nurse diagnoses risk for injury with a goal of keeping the patient safe in the event of a seizure. Which interventions should the nurse utilize for this patient? (Select all that apply.) a. Teach the family how to insert an oral airway during the seizure. b. Assess the home for items that could harm the patient during a seizure. c. Provide information on how to obtain a Medical Alert bracelet. d. Teach the patient to communicate to the caregiver plans for bathing. e. Discuss with family steps to take if the seizure does not discontinue. f. Demonstrate how to restrain the patient in the event of a seizure.
A toddler fell out of a second-story window. She had a brief loss of consciousness and vomited four times. Since admission, she has been alert and oriented
Her mother asks why a computed tomography (CT) scan is required when she "seems fine." Which explanation should the nurse give? a. Your child may have a brain injury and the CT can rule one out. b. The CT needs to be done because of your child's age. c. Your child may start to have seizures and a baseline CT should be done. d. Your child probably has a skull fracture and the CT can confirm this diagnosis.