Chapter 5, Basic Human Needs PDF

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1. Using Maslow's hierarchy of needs, which statement characterizes the simplest level of need? A) “Nurse, my pain is terrible and I need pain medication right away.” B) “I feel welcomed at the club and look forward to the weekly golf games.” C) “I'm very proud to have earned a place on the Dean's List for spring semester.” D) “This neighborhood has become so dangerous, I'm going to sell my house and move”

2. Using Maslow's hierarchy of needs, which statement demonstrates the nurse's understanding of the importance of personal growth needs of an individual? A) “I'll be back in 10 minutes to help you get ready to take a nap.” B) “Please, let me know if you were not satisfied with the lunch selections.” C) “It is wonderful that your leg prosthesis is making your feel 'more normal' again.” D) “Using your cane properly will allow walking outside each day much safer for you.”

3. When considering progression of Maslow's Hierarchy of Needs, which interventions are necessary to allow the client to strive for self-actualization? Select all that apply. A) Elevating the head of the bed to prevent chocking B) Helping the client put on shoes with non-skid rubber soles C) Providing the client with a bedtime snack of warm milk and a cookie D) Quietly sitting with a client who has just received a terminal diagnosis E) Congratulating the post-surgical client for regularly coughing and deep breathing

4. Considering Maslow's Hierarchy of Needs, which statement made by a nurse demonstrates a lack of understanding concerning physiologic needs? A) “A client could die if I don't attend to their primary needs.” B) “Physiological needs are associated with a client's vital functions.” C) “The client with an acute respiratory problem will be given priority.” D) “A client's quality of life is enhanced when physiologic needs are met.”

5. A client has made substantial progress with his physical recovery after a motorcycle accident. He continues focusing all attention on physical therapy rather than making plans to support being discharged. What is most likely the cause of this client behavior? A) There is a basic need that is still not met for this client. B) A need for a familiar and safe environment is a priority for this client. C) The client is experiencing regression associated with meeting his basic needs. D) Self-esteem issues are likely preventing the client from focusing on quality of life.

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6. Which nursing interventions are focused on addressing a client's physiologic needs? Select all that apply. A) Providing oxygen by nasal cannula B) Assisting the client in selecting food from the menu C) Assuring that the client's water pitcher is refilled frequently D) Sitting with an anxious client until the family arrives to visit E) Promptly assisting the post-surgical client to the bathroom when necessary F) Asking social services to help provide appropriate housing for a homeless client

7. A chronically ill client experiences severe nausea triggered by the smell of food and so is unable to meet nutritional needs. Which nursing intervention will best assure the client's basic needs are being met? A) Providing tube feeding, as ordered B) Weighing the client daily to monitor weight loss C) Keeping the client's surroundings free of unpleasant smells D) Working with the client to provide meal selections that they like

8. Which situation places the client at the highest risk of oxygen deficiencies? A) Coma B) Dehydration C) Quadriplegia D) Hypertension

9. Which client condition brings about the highest potential for requiring the nurse's assistance to meet basic fluid needs? A) Severe mental illness B) Nausea and vomiting C) A severely fractured arm D) Type 2 Diabetes Mellitus

10. A parent reports to the nurse concerned that the child often shivers after coming out of a swimming pool. What response should the nurse give to address the parent's concern? A) “That's normal and certainly nothing to worry about.” B) “Shivering is the body's method of regaining its desired temperature.” C) “Take the child's temperature while shivering to see how cold the child is.” D) “Children often have problems regulating their temperature but the child is not in any danger.”

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11. Which action should the nurse take to determine the priority needs of the clients being cared for? A) Apply the needs to Maslow's Hierarchy. B) Ask a more experienced nurse to help with prioritizing. C) Include the various clients' opinions about the priority of their needs. D) Recognize the respiratory needs are the most important need a client can have.

12. A client's ability to walk has been affected by a recent surgery. Which nursing intervention focuses best on the client's need to resume normal daily activity? A) Administering pain medication B) Providing a soothing backrub C) Encouraging walking with help D) Assisting with position changing

13. Which client should the nurse identify as having a high risk for concerns related to sexual gratification issues? A) A homeless person being treated for hypothermia B) A client who experienced physical abuse as a child C) A client being prepared for discharge after a mastectomy D) A young adult being treated for depression who has desired to be celibate

14. A client was involved in an accident that has impaired both hearing and vision. How can the nurse help this client regain self-esteem? Select all that apply. A) Encouraging temporary dependence on staff B) Acknowledging the client's progress toward autonomy C) Encouraging family to assume the client's self-care needs D) Observing the client for symptoms of repression and depression E) Assist the client in identifying examples of personal independence

15. A client who has undergone a double foot amputation as a result of side effects associated with type 2 diabetes, is spending sleepless nights worrying about how this surgery will impact the future. What nursing intervention should be the priority to assist the client in regaining self-esteem? A) Securing a prescription for a sedative/hypnotic medication to promote effective sleep B) Supporting the client in the independent completion of activities of daily living C) Arranging for a psychiatric consult to address issues of depression and anxiety D) Educating the client regarding the effective management of type 2 diabetes

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16. Which levels of nursing interventions have priority for a client made homeless by a recent hurricane? Select all that apply. A) Physiologic B) Self-esteem C) Self-actualization D) Security and safety E) Love, affection and belonging

17. Which statements about the threat abuse has on one's safety and security, are true? Select all that apply. A) Abuse impairs an individual's ability to purse higher-level needs B) Abuse can be physical, verbal, psychological, and sexual in its nature C) Abuse is usually more prevalent in lower-economic levels of society D) A nurse is legally required to report any suspected abuse immediately E) Psychological abuse generally has less impact than does physical abuse

18. How can the nurse plan to assist a client with the physiological need to eliminate body waste? A) Provide pre-care to a client with a bowel obstruction B) Frequently refresh the water in a client's bedside pitcher C) Assisting with the care of a client during weekly dialysis D) Catheterizing a client diagnosed with a spinal cord injury

19. What nursing interventions focus on the role nurses play in removing threats from a client's environment? Select all that apply. A) Maintaining sterile technique during a dressing change B) Ambulating a client who is experiencing dizziness when standing up C) Educating a parent to the need to lock up any firearms kept in the home D) Washing hands appropriately between contacts with various different clients E) Reinforcing medication instructions to a client prescribed an opioid analgesic

20. Which nursing intervention will assist a group of clients to meet their social needs while residing at the assisted living memory care facility? A) Assisting the client make telephone calls to family and friends B) Helping them get dressed for the weekly religious gathering C) Transporting them to the dining room for meals D) Reading to them from their favorite magazine

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21. What is an example of a public health measure that addresses the welfare of all the residents of a community? A) Free flu vaccinations B) Local fire department C) Regularly trash pickup D) 911 Emergency services

22. Which roles do injury play in meeting personal and physiological needs? Select all that apply. A) Interferes with the ability to meet individual needs B) Makes it impossible to independently meet ones needs C) Eliminates the need for meeting the higher-level needs D) Triggers regression to focus on only lower-level needs E) Generally affects only the meeting of physiological needs

23. The nurse is providing post-operative care for a client. What intervention will the nurse implement to address the concept of regression associated with meeting the client's needs? A) Medicating the client for pain before lunch is delivered B) Monitoring the client's dressing for signs of post-operative bleeding C) Providing assistance to the client while ambulating to encourage activity D) Medicating the client with prescribed PRN laxatives to promote effective elimination

24. Being homeless presents a serious barrier to meeting which needs for the individual and the family? Select all that apply A) Shelter B) Safety C) Nutrition D) Relationship E) Employment

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Answer Key 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24.

A C A, B, C, D D C A, B, C, E B A A B A C C B, D, E B A, D A, B, D B A, C, D, E A A A, D A A, B, D, E

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