Assess chronic health problems

Assess chronic health problems
A nurse is caring for an older adult male newly
admitted to the hospital. The nurse understands
the importance of organizing data and then priori-
tizing needs based on Maslow’s hierarchy of needs.
Place the following data collected by the nurse
in order following Maslow’s hierarchy of needs,
progressing from first-level needs up to fifth-
level needs.
1. Reported that he has difficulty taking a deep
breath
2. Requested help with the telephone so that he can
call his son
3. Informed the nurse that he feels dizzy when he
moves to a standing position
4. Asked about his condition so that he can make
realistic health-care decisions
5. Stated that he feels foolish when he can’t find the
right words to express himself
Answer:
11. A nurse identifies that a patient is experiencing a
middle-adulthood developmental crisis. Which
information supports the nurse’s conclusion?
1. Failure to develop friendships with peers
2. Demotion to a lesser position at work
3. Powerless to postpone gratification
4. Inability to discuss eventual death
12. Which nursing action supports a patient’s basic need
for safety and security? Select all that apply.
1. Positioning a commode next to a patient’s
bed at night
2. Teaching a patient how to transfer from
the bed to a chair
3. Placing a patient’s dentures in a labeled
denture cup in the bedside table
4. Assessing a patient’s abdomen for clini-
cal indicators of urinary retention
5. Ensuring that a patient with neutropenic
precautions is provided a mask when
being transported for an x-ray
13. An older adult is living in a nursing home because
of multiple chronic health problems. Which nursing
action is most appropriate to assist the older adult to
achieve the task associated with Erikson’s stage of
integrity versus despair?
1. Engage the patient in social activities.
2. Encourage the patient to reminiscence.
3. Provide the patient with opportunities to make
choices.
4. Teach the patient the importance of balancing
exercise, rest, and sleep.

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