Question 1

A nurse is providing care for a variety of older adults on a transitional care unit.Using Maslow's Hierarchy of Human Needs as a basis for prioritizing care,rank the following actions,starting with the most important.

Accepted Answer

Using Maslow's Hierarchy of Human Needs,the first and most important action to complete is to administer 2 liters of oxygen via nasal cannula,which meets a basic physiological need.According to Maslow,airway,nutrition,and elimination are first-level needs.The second action to complete is placing a call bell in reach after transferring an older adult to bed.A call bell promotes feelings of safety and security,which is addressed in Maslow's second level.The third action would be encouraging a family member to take part in a teaching session.This action promotes maintaining support systems and is categorized as love and belonging,the third level of Maslow's Hierarchy of Human Needs.The last action would be to ask a client his or her preferences,which would promote self-control and support self-esteem needs,which is Maslow's fourth level.

Question 2

An older woman has left-sided paralysis from a thrombus formation in the cerebral vasculature.Rank the nursing goals of this woman's plan of care in order of importance,starting with the most important goal.

Accepted Answer

Using Maslow's Hierarchy of Human Needs,the most important goal for this older woman is to control her blood pressure; hypertension and other factors contributed to the development of the thrombus.Thus to prevent further intimal damage to cerebral and other vessels,the nurse maintains the blood pressure at or below the limit as determined by the health care provider.The second priority goal for the nurse is to maintain safety by instructing the older woman to call for help when moving,which will help prevent accidents and injuries.The next goal in importance is the prevention of contractures; joint flexibility is easier to maintain than it is to restore.In addition,joint flexibility is important for adapting to her physical limitations as she learns to perform activities of daily living.The last goal is using joint flexibility and muscle strength to learn self-feeding.The order of these goals is correct; each goal is dependent on the preceding goal for its success.

Quiz 1: Introduction to Healthy Aging

A nurse is providing care for a variety of older adults on a transitional care unit.Using Maslow's Hierarchy of Human Needs as a basis for prioritizing care,rank the following actions,starting with the most important.

An older woman has left-sided paralysis from a thrombus formation in the cerebral vasculature.Rank the nursing goals of this woman's plan of care in order of importance,starting with the most important goal.