According to Maslow's hierarchy of needs, which situation on an inpatient psychiatric unit would require priority intervention?

Correct Answer: B

Rationale: In the context of Maslow's hierarchy of needs, the correct answer is B) A client exhibits hostile and angry behaviors toward another client. This situation requires priority intervention because it pertains to safety and security needs, which are fundamental before higher-level needs can be addressed. When a client's safety is compromised due to hostile behaviors, immediate intervention is necessary to ensure a safe environment for all individuals involved. Option A is incorrect because the restriction on visiting hours addresses belongingness and love needs, which are of lower priority according to Maslow's hierarchy. Option C relates to esteem needs, while Option D pertains to self-actualization needs, both of which come after safety needs in the hierarchy. In an educational context, understanding Maslow's hierarchy of needs is crucial for healthcare professionals to prioritize interventions effectively based on clients' needs. It helps in providing holistic care by addressing fundamental needs first before moving on to higher-level needs, ultimately promoting the overall well-being of clients.

Correct Answer: C

Rationale: The correct response is option C: "Activity co-leadership puts us in a position to help patients develop social skills and support them as they take small risks." This response is appropriate because it highlights the importance of the nurse's role in facilitating patients' development and growth through activities. It promotes patient-centered care and emphasizes the therapeutic value of engaging in activities for patients' well-being. Option A is incorrect because it is dismissive and does not address the novice staff member's discomfort in a supportive or educational manner. Option B is incorrect as it deflects the issue by bringing up scarce resources and does not provide guidance or encouragement to the staff member. Option D is incorrect as it focuses on the logistical aspects of activities rather than the therapeutic benefits for patients. In an educational context, it is crucial for nurses to understand the significance of their role in promoting patients' health and well-being through various interventions, including activities. Encouraging staff members to see the value in their contributions to patient care and providing support and guidance are essential aspects of fostering a positive and effective healthcare team.

Correct Answer: C

Rationale: In this scenario, option C, "My short-term memory loss will be only temporary," is the correct statement that confirms the patient understands the side effects of ECT (Electroconvulsive Therapy). Rationale for Option C: This statement shows that the patient acknowledges one of the common side effects of ECT, which is short-term memory loss. Understanding that this memory loss is temporary indicates that the patient has grasped an essential aspect of the treatment's potential effects. Rationale for Incorrect Options: A) "I won't remember the pain." - This option does not address the broader concept of side effects associated with ECT, focusing solely on pain. B) "It will take several weeks before I feel good again." - This option does not specifically address the side effects of ECT but rather the timeline for feeling better. D) "I will be at increased risk for developing epilepsy later." - This option introduces a new and unrelated potential risk, not directly related to the known side effects of ECT. Educational Context: In the context of healthcare education, ensuring that patients have a thorough understanding of the potential side effects of treatments is crucial for informed decision-making and compliance. ECT can have significant side effects, including memory loss, and patients must comprehend these risks to make informed choices about their treatment. Educators and healthcare providers must effectively communicate these potential side effects to patients to facilitate their understanding and participation in their care.

Correct Answer: B

Rationale: In the context of Maslow's hierarchy of needs, the correct answer to the question is B) Physiological needs. This level of the hierarchy is essential for survival as it includes basic requirements for human life such as air, water, food, shelter, sleep, and clothing. Without satisfying these physiological needs, an individual's survival is at risk. Physiological needs take precedence over all other needs in the hierarchy because they are fundamental for maintaining homeostasis and sustaining life. When physiological needs are not met, individuals are unable to focus on higher-level needs such as safety, belongingness, esteem, and self-actualization. Option A) Love and belonging, Option D) Safety and security, and Option C) Self-actualization are important needs in Maslow's hierarchy, but they are secondary to physiological needs. Love and belonging relate to interpersonal relationships and social connections, safety and security involve physical and emotional well-being, and self-actualization pertains to personal growth and fulfillment. While these needs are crucial for overall well-being, they cannot be fully realized if physiological needs are not met first. Educationally, understanding Maslow's hierarchy of needs is valuable for individuals in various fields such as psychology, healthcare, education, and human resources. By grasping the importance of fulfilling basic physiological needs before addressing higher-order needs, individuals can better support themselves and others in achieving holistic well-being and optimal functioning. This knowledge can inform interventions, policies, and practices aimed at promoting health protective behaviors and improving overall quality of life.

Correct Answer: A

Rationale: The correct answer is A) Erik Erikson. Erikson proposed the psychosocial theory of development which includes eight stages, each with its own developmental task or crisis to resolve. These stages encompass the entire lifespan and focus on the interplay between individual needs and societal demands, emphasizing the importance of social relationships in shaping development. Sigmund Freud, known for his psychosexual theory, did not propose the concept of eight stages with contradictory developmental tasks. Freud's theory focuses on five psychosexual stages of development. Lawrence Kohlberg, a psychologist known for his theory of moral development, outlined stages of moral reasoning rather than stages with contradictory developmental tasks. Karen Horney, a notable psychologist, focused on issues such as neurosis and the impact of culture on personality development, but did not propose a theory with eight stages of contradictory tasks. In an educational context, understanding Erikson's stages of development is crucial for educators as it provides insights into the emotional and social challenges individuals face at different points in their lives. By recognizing these stages, educators can better support students in navigating their developmental tasks and fostering healthy behaviors.