NR.120.502
Foundations of Nursing Practice Quiz 1/Exam 2
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Johns Hopkins University
School of Nursing
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Foundations of Nursing Practice Quiz 1/Exam 2 Study Guide
Define priority setting.
The organization of client care such that the most critical intervention or action is
completed first. Can be focused on an individual or group of patients.
Describe Maslow's Hierarchy of Needs.
This identifies 5 categories of human necessities that, when unmet, motivate clients
to take action to meet them. The 5 categories include physiological, safety/security,
love/belonging, esteem, and self-actualization. This is used to prioritize nursing
tasks.
According to Maslow's Hierarchy of Needs, what must be accomplished before
an individual attempts to fulfill their higher needs in the pyramid?
The needs in the lower pyramid must be met first and foremost.
Is it true that, throughout someone's lifespan, an individual may move back
and forth between various levels of Maslow's Hierarchy of Needs?
Yes. For example, some may find themselves in different financial, social, and
medical situations once they are older compared to their younger years.
What are the first 4 levels of Maslow's Hierarchy of Needs considered to be?
Considered deficiency needs because if these are not fulfilled then the client
experiences this deprivation as discomfort which motivates them to meet those
unmet needs.
What is the top level of Maslow's Hierarchy of Needs considered to be?
Growth need
What consists of Maslow's physiological needs?
Essential physical requirements for survival such as food, water, air, shelter, sleep,
sex, clothing, and homeostasis.
What consists of Maslow's safety/security needs?
Environmental, personal, employment, health, and property security.
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What consists of Maslow's love and belonging needs?
Behavior is motivated by need for social relationships such as friendships, families,
intimacy, trust, love, affection, and a sense of connection.
What consists of Maslow's self esteem needs?
The desire to feel good about oneself and have the respect of others. This is
achieved by having confidence and gaining recognition, appreciation, and respect
from others. An individual who lacks this can suffer from feeling of uselessness and
inferiority.
What consists of Maslow's self-actualization needs?
The desire for self-fulfillment by reaching one's greatest potential. Individuals may
experience restlessness and unhappiness until they achieve that goal. Varies
significantly from one person to the next. Very few people are able to reach this.
What is the nursing process?
Assessment (Data Collection), Analysis (Nursing Diagnosis), Planning (SMART),
Implementation (Direct and Indirect Care), Evaluation (May require revisions)
What is the safety and risk reduction framework for priority setting?
Priority is given to whatever finding poses the greatest or immediate risk to the
client's physical or psychological well-being. Proactive risk reduction prevents harm
before reaching the patient. Ex. Surgical complications, medication errors, falls, PIs,
and environmental hazards, device malfunctions, healthcare infections
Describe the least restrictive/invasive vs. most restrictive framework.
Select interventions that maintain client safety yet pose the least restriction and are
the least invasive. It occurs after the risk for harm or injury has been ruled out. Ex.
Cover a patient's IV with a bandage before giving an anti-anxiety medication if the
patient keeps pulling the IV line out or try a toileting schedule before a catheter if the
patient is incontinent
When does the nurse use the survival potential framework?
When assessing each client's likelihood of survival. Only used in mass casualty
situations such as natural disasters or when there are minimal health resources.
Who is first priority according to the survival potential framework?
The clients with a reasonable chance for survival with prompt intervention.
Who is the last priority according to the survival potential framework?
Clients with a limited likelihood of survival, even with intense intervention.
What is the acute vs. chronic framework of priority setting?