NURSE-3101 Lecture Notes - Lecture 6: National Council Licensure Examination, Nursing Assessment

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15 Sep 2016
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Chapter 4 Slides on Maslow
Maslow’s Hierarchy of Basic Human Needs
Physiologic needs.
Safety and security needs.
Love and belonging needs.
Self-esteem needs.
Self-actualization needs.
Maslow’s Hierarchy of Needs
Certain needs are more basic than others.
More basic needs must be met first.
Nursing care is often directed toward meeting unmet or threatened needs.
Maslow’s hierarchy provides a framework for nursing assessment.
oNursing interventions which meet more basic needs have priority.
The NCLEX uses Maslow’s hierarchy to structure questions.
Maslow’s Hierarchy
PHYSIOLOGIC NEEDS.
oMost basic in the hierarchy of needs. Have the highest priority.
Oxygen = most essential of all needs.
Balance between intake and elimination of fluids.
Food and elimination.
Maintenance of normal body temperature.
Physical activity and rest.
oWhen NCLEX asks, “What should the nurse do first?” pick the airway, breathing,
circulation answer.
SAFETY AND SECURITY NEEDS.
oCome next in priority. Physical safety and security means being protected from
potential or actual harm.
Hygiene and infection prevention.
Safe medication administration.
Safe transfers and ambulation.
The NCLEX treats pain and pain relief as a safety and security need.
So pain is a lesser priority than airway/breathing/circulation.
LOVE AND BELONGING NEEDS.
oMet after physiologic and safety/security needs.
Basic need for love and belonging.
Involvement of family/friends in patient’s care.
SELF-ESTEEM NEEDS.
oFeeling good about oneself; positive self-esteem.
Affected by role changes or body image changes.
SELF-ACTUALIZATION NEEDS.
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