NUR 352 - Exam 1 Review Questions and
Correct Answers
Maslow ranked human needs to include ✅physiological needs, safety and security,
sense of belonging and affection, esteem and self-respect, and self-actualization
Self actualization includes ✅self-fulfillment, desire to know and understand, and
aesthetic needs
Lower level needs in Maslow's hierarchy always remain however... ✅a person's ability
to pursue higher-level needs indicates movement toward psychological health and well-
being
Maslow's hierarchy can be applied for ✅assessments of a patient's strengths,
limitations, and need for nursing interventions
Maslow's Hierarchy of Needs ✅
Maslow's hierarchy of needs are ✅common to all people
Holistic nursing care ✅based on considering all human dimensions in Maslow's
hierarchy
Nurses plan care prioritizing the patient's ✅physiologic needs first
Maslow's Basic Human Needs - Nursing Process (Recognizing Cues/Assessment)
✅framework to understand patient needs
Maslow's Basic Human Needs - Nursing Process (Prioritize Hypotheses/Diagnosis)
✅problems are chosen based on priority
Maslow's Basic Human Needs - Nursing Process (Generate Solutions/Planning)
✅goals are created which meet priority needs
Maslow's Basic Human Needs - Nursing Process (Taking Action/Implementation)
✅these are completed to meet priority needs
Maslow's Basic Human Needs - Nursing Process (Evaluating Outcomes/Evaluation)
✅once physiologic and safety needs are met, plan can be amended to meet love and
belonging needs
Physiologic needs ✅first priority
,Physiologic needs include ✅oxygen, water, food, elimination, temperature, sexuality,
physical activity, rest
Physiologic needs - most essential ✅Oxygen (Airway, Breathing, Circulation)
Safety and security needs ✅second priority
Examples of interventions that meet safety needs ✅Implementing fall precautions to
prevent injury
Administering medications safely (6 rights, 3 checks)
Using proper hand hygiene to prevent infection
Examples of interventions that meet security needs ✅Encouraging spiritual practices
to provide hope
Explaining procedures to reduce feelings of apprehension
Love and belonging needs are ✅third priority
Abcs ✅frequently take priority in hierarchy
The nursing process indicates ✅assessment is a priority
Acute problems take ✅priority over chronic problems
Maslow's hierarchy - determine if ✅patient is stable or unstable
Maslow's hierarchy - time elapsed ✅priority nursing action will change based on the
time interval stated, the closer the patient is to the origination of the risk, the higher the
risk for complications (time stated in terms of hours or days)
Understand the importance of health promotion for people with disabilities. ✅do not
neglect health promotion issues, need for healthy diet, exercise, social interaction,
preventative health screening
Do not neglect health promotion issues (disabled pts) - Health care providers often
neglect health promotion concerns of people with disabilities ✅who may be unaware of
these concerns
Do not neglect health promotion issues (disabled pts) - People with lifelong disabilities
may not have received information about ✅general health issues as children, and
people with new onset as well as lifelong disabilities may not receive encouragement to
participate in health promotion activities
,Do not neglect health promotion issues (disabled pts) - Those with disabilities
(intellectual, developmental) are ✅living longer and aging - need for health promotion
is important
Do not neglect health promotion issues (disabled pts) - Nurses should take every
opportunity to emphasize importance of ✅participation in health promotion activities
and preventive screening
Do not neglect health promotion issues (disabled pts) - General health promotion
strategies and ✅health-screening recs for all men and women also apply to those with
disabilities
Do not neglect health promotion issues (disabled pts) - Although physical limitations,
cognitive impairments, and structural and attitudinal barriers existing in clinical facilities
may make it difficult for some men and women to obtain health care and preventive
health screening ✅the presence of a disability should not be used as a reason or
excuse to defer recommended screening
Do not neglect health promotion issues (disabled pts) - Presence of a disability may
increase the risk of ✅secondary health conditions or disorders that require screening
and follow-up
Do not neglect health promotion issues (disabled pts) - Nurses are often in a position to
influence decisions about how ✅equipment and procedures can be adapted to meet
the special needs of their patients, whether these needs are cognitive, motor, or
communicative
Do not neglect health promotion issues (disabled pts) - The effect of the disabling
condition on health risks should be considered ✅For example, the risk of osteoporosis
may be increased in women and men whose disabilities limit their ability to participate in
weight-bearing exercise or who use medications that contribute to bone loss
Need for a healthy diet (disabled pts) ✅Classes on nutrition and weight management
are extremely important to people who are wheelchair users and need assistance with
transfers.
Need for exercise (disabled pts) ✅Nursing consultation with physical therapist may be
needed to identify ways of enabling people with disabilities to exercise safely, exercise
facilities often inaccessible
Need for social interaction (disabled pts) - The need for health promotion in the areas of
establishing ✅elationships, sex, pregnancy, and childbearing is as great in people with
disabilities, including those with intellectual and cognitive disabilities, as in people
without disabilities
, Need for social interaction (disabled pts) - Societal attitudes and biases against
✅sexual relationships and childbearing in people with disabilities often result in health
care providers either excluding such individuals from discussions about these issues, or
failing to take their interest and questions seriously.
Need for social interaction (disabled pts) - Approaching these topics at the point of
interest and knowledge level of ✅a patient with a disability is important for sexual
health
Need for social interaction (disabled pts) - Addressing sexual issues is important to
✅prepare people with disabilities, who are at risk for sexual and other forms of abuse,
to distinguish between healthy and abusive or exploitative sexual interactions and
relationships
Need for social interaction (disabled pts) - The increased risk for abuse and violence
affects both men and women with disabilities; ✅such abuse and violence has potential
physical and psychological consequences that must be assessed and addressed
Need for preventative health screening (disabled pts) - he management of some
disabilities increases the risk of ✅illness, and in some people health screening may be
required earlier in life more frequently
Need for preventative health screening (disabled pts) - Nurses need to make referrals to
✅accessible sites for screening based on disability, many facilities unprepared to
make modifications
Secondary health conditions related to patients with disabilities ✅any physical, mental,
or social disorders resulting directly or indirectly from an initial disabling condition
Many people with disabilities are at risk for ✅secondary health conditions due to
narrow margin of health
E.g., pressure injuries, utis, low bone density, depression
Secondary health conditions (disabled pts) - ✅Many conditions are predictable and
with treatment are preventable with appropriate assessment for risk, prevention, and
treatment strategies
Secondary health conditions (disabled pts) - some conditions can be both primary and
secondary depending on circumstances ✅E.g., mobility disability could lead to social
isolation and absence of participation in activities, this could in turn lead to depression
as a secondary condition
Secondary health conditions (disabled pts) - assessment: does the patient have
✅secondary health conditions related to their disability or its treatment?
