A client is hospitalized with numerous acute health problems. According to Maslow's basic needs model, which nursing diagnosis would take the highest priority?

1. Risk for Injury related to unsteady gait
2. Altered Nutrition, Less than Body Requirements related to inability to absorb nutrients
3. Self-Care Deficit related to weakness and debilitation
4. Powerlessness related to chronic disease state


Correct Answer: 2
Rationale 1: Risk for Injury would be the lower priority need.
Rationale 2: In needs theories, human needs are ranked on an ascending scale according to how essential the needs are for survival. Physiologic needs are those such as air, food, water, shelter, rest, sleep, activity, and temperature maintenance, which are all crucial for survival. Nutritional deficits would fall into this level and take priority over the others listed.
Rationale 3: Self-Care Deficit would fall in the fourth level–self-esteem needs..
Rationale 4: Powerlessness is part of the need to develop one's maximum potential. It falls into the fifth and highest level of self-actualization.

Nursing

You might also like to view...

A patient hospitalized in a long-term rehabilitation facility is immobile and requires mechanical ventilation with a tracheostomy. She has a pressure area on her coccyx measuring 5 cm by 3 cm. The area is covered with 100% eschar

What would the nurse identify this as? a. Stage II pressure ulcer b. Stage III pressure ulcer c. Stage IV pressure ulcer d. Unstageable pressure ulcer

Nursing

The nurse administers the flu vaccine to a school age child. After administering the vaccine, the nurse will document: Standard Text: Select all that apply

1. The date of the last flu vaccine. 2. The site of the vaccination. 3. The lot and serial number of the vaccine. 4. The date and time of administration. 5. Who assisted in restraining the child.

Nursing

On a hot humid day, an emergency department nurse is caring for a client who is confused and has these vital signs: temperature 104.1 ° F (40.1 ° C), pulse 132 beats/min, respirations 26 breaths/min, blood pressure 106/66 mm Hg. Which action should the nurs

a. Encourage the client to drink cool water or sports drinks. b. Start an intravenous line and infuse 0.9% saline solution. c. Administer acetaminophen (Tylenol) 650 mg orally. d. Encourage rest and re-assess in 15 minutes.

Nursing

A client with nausea and vomiting has been prescribed an antihistamine and an anticholinergic. The nurse anticipates that which expected side effect of these medications will be observed in the client?

a. Drowsiness and dry mouth b. Bradycardia and fatigue c. Tachycardia and dyspnea d. Abdominal cramps and nausea

Nursing