TEST BANK FOR
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UNDERSTANDING
MEDICAL-SURGICAL
NURSING
5TH EDITION BY
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HOPPER ,WILLIAMS brt
,Chapter 1. Critical Thinking and the Nursing Process
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MULTIPLE CHOICE brt
1. The nurse is caring for a group of patients on a medical-surgical unit. Which patient should
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the licensed practical nurse/licensed vocational nurse (LPN/LVN) assess first?
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1. Apatient with a blood glucose of 42 mg/dL
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2. Apatient who reports a pain level of 2
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3. Apatient who has just received a diagnosis of cancer
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4. Apatient who has a respiratory rate of 22
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ANS: 1 b r t b r t
Chapter: Chapter 1 Critical Thinking and the Nursing Process brt brt brt brt brt brt brt brt
Objective: 7. Prioritize patient care activities based on the Maslow hierarchy of human brt brt brt brt brt brt brt brt brt brt brt brt
needs.
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Pages: 6–7 brt
Heading: Prioritize Care brt brt
Integrated Process: Clinical Problem-Solving Process (Nursing Process) Client brt brt brt brt brt brt brt
Need: SECE—Coordinated Care
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CognitiveLevel:Application[Applying] brt brt brt
Concept: Patient-Centered Care
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Difficulty: Difficult
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Feedback
1 This patient has a dangerously low blood glucose level and requires immediate
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intervention.
2 This patient will need to be assessed, but is not as high a priority.
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3 According to Maslow, psychosocial needs are not as high of a priority as brt brt brt brt brt brt brt brt brt brt brt brt
physiological needs. brt
4 Arespiratory rate of 22 is within normal range.
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PTS: 1 CON: b r t Patient-Centered Care brt
2. The LPN/LVN enters the room of a patient who is angry and yells, “I asked 5 minutes ago
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for my pain medication. I’m going to call the CEO of the hospital if you don’t get it for me
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now.” Which statement by the nurse demonstrates intellectual empathy?
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1. “We are short-staffed today, so it will take me longer to meet your needs.”
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2. “I am sorry you had to wait, I know you must be in a lot of pain.”
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3. “I had another patient who had severe pain, and I had to get to them first.”
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4. “I will get you the number for the CEO, but he is aware of how busy we are.”
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ANS: 2 b r t b r t
Chapter: Chapter 1 Critical Thinking and the Nursing Process brt brt brt brt brt brt brt brt
Objective: 2. Describe attitudes and skills that promote good critical thinking brt brt brt brt brt brt brt brt brt brt
Page: 2
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Heading: Intellectual Empathy brt brt
Integrated Process: Communication and Documentation brt brt brt brt
Client Need: Psychosocial Integrity
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, CognitiveLevel:Application[Applying] brt brt brt
Concept: Communication
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Difficulty: Moderate brt
Feedback
1 This statement does not consider an individual’s situation.
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2 This statement demonstrates intellectual empathy by considering this patient’s
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situation and will likely alleviate the patient’s anger.
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3 This statement does not consider a patient’s situation and does not demonstrate
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intellectual empathy. brt
4 This statement addresses the patient’s statement of wanting to call the CEO, but
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does not demonstrate intellectual empathy by considering the patient’s
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situation.
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PTS: 1 CON: b r t Communication
3. The nurse is collecting data on a patient. Which data are described as subjective?
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1. Respiratory rate of 26 per minute brt brt brt brt brt
2. Patient report of shortness of breath brt brt brt brt brt
3. Coarse lung sounds bilaterally brt brt brt
4. Cough producing green sputum brt brt brt
ANS: 2 b r t b r t
Chapter: Chapter 1 Critical Thinking and the Nursing Process
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Objective: 5. Differentiate between objective and subjective data.
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Page: 4
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Heading: Subjective Data brt brt
Integrated Process: Communication and Documentation brt brt brt brt
Client Need: Communication and Documentation
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Cognitive Level: Application (Applying)
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Concept:Communication brt
Difficulty: Moderate
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Feedback
1 Respiratory rate of 26 per minute is an example of objective data. brt brt brt brt brt brt brt brt brt brt brt
2 Apatient reporting symptoms to the nurse is an example of subjective data.
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3 Coarse lung sounds is an example of objective data. brt brt brt brt brt brt brt brt
4 Aproductive cough is an example of objective data.
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PTS: 1 CON: b r t Communication
4. Apatient with a newly fractured femur reports a pain level of 8/10 and analgesic medication is
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not due for another 50 minutes. Which action should the nurse take first?
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1. Reposition the patient. brt brt
2. Give the medication in 30 minutes. brt brt brt brt brt
3. Notify the registered nurse (RN) or physician. brt brt brt brt brt brt
4. Tell the patient it is too early for pain medication.
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brt ANS: b r t 3
, Chapter: Chapter 1 Critical Thinking and the Nursing Process
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Objective: 4. Identify the role of a licensed practical nurse/licensed vocational nurse in using
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the nursing process.
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Page: 3 brt
Heading: Clinical Judgement brt brt
Integrated Process: Clinical Problem-solving Process (Nursing Process) Client
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Need: SECE—Coordinated Care
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CognitiveLevel:Application[Applying] brt brt brt
Concept: Patient-Centered Care
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Difficulty: Moderate
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Feedback
1 The patient who has a fractured femur is having acute pain. Repositioning a
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patient with a new fracture is not likely to relieve pain. brt brt brt brt brt brt brt brt brt brt
2 Giving the medication before the prescribed time is beyond the nurse’s scope of
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practice.
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3 The patient should not have to wait for pain relief, so the LPN should inform
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the RN or physician so new pain relief orders can be obtained.
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4 The nurse needs to do more than expect the patient to wait for pain relief.
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PTS: 1 CON: b r t Patient-Centered Care brt
5. The nurse is prioritizing care based on Maslow hierarchy of needs. Which need does the
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nurse identify as having the highest priority?
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1. Job-related stress brt
2. Feeling of loneliness brt brt
3. Pain level of 9 on 0-to-10 scalebrt brt brt brt brt brt
4. Lack of confidence brt brt
ANS: 3 b r t b r t
Chapter: Chapter 1 Critical Thinking and the Nursing Process
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Objective: 7. Prioritize patient care activities based on the Maslow hierarchy of human
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needs
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Page: 7 brt
Heading: Prioritize Care brt brt
IntegratedProcess:Caring
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Client Need: SECE – Coordinated Care
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CognitiveLevel: Application[Applying]
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Concept: Patient-Centered Care
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Difficulty: Moderate
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Feedback
1 Job-related stress falls under safety according to Maslow and is addressed after brt brt brt brt brt brt brt brt brt brt brt
physiological needs. brt
2 According to Maslow, loneliness is addressed under social needs following brt brt brt brt brt brt brt brt brt
physiological and safety.
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3 Pain is a physiological need and is the highest priority.
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4 Lack of confidence falls under esteem according to Maslow and is addressed
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following physiological, safety, and social needs.
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brt brt brt
UNDERSTANDING
MEDICAL-SURGICAL
NURSING
5TH EDITION BY
brt brt
HOPPER ,WILLIAMS brt
,Chapter 1. Critical Thinking and the Nursing Process
brt brt brt brt brt brt brt
MULTIPLE CHOICE brt
1. The nurse is caring for a group of patients on a medical-surgical unit. Which patient should
brt brt brt brt brt brt brt brt brt brt brt brt brt brt brt
the licensed practical nurse/licensed vocational nurse (LPN/LVN) assess first?
brt brt brt brt brt brt brt brt brt
1. Apatient with a blood glucose of 42 mg/dL
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2. Apatient who reports a pain level of 2
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3. Apatient who has just received a diagnosis of cancer
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4. Apatient who has a respiratory rate of 22
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ANS: 1 b r t b r t
Chapter: Chapter 1 Critical Thinking and the Nursing Process brt brt brt brt brt brt brt brt
Objective: 7. Prioritize patient care activities based on the Maslow hierarchy of human brt brt brt brt brt brt brt brt brt brt brt brt
needs.
brt
Pages: 6–7 brt
Heading: Prioritize Care brt brt
Integrated Process: Clinical Problem-Solving Process (Nursing Process) Client brt brt brt brt brt brt brt
Need: SECE—Coordinated Care
brt brt brt
CognitiveLevel:Application[Applying] brt brt brt
Concept: Patient-Centered Care
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Difficulty: Difficult
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Feedback
1 This patient has a dangerously low blood glucose level and requires immediate
brt brt brt brt brt brt brt brt brt brt brt
intervention.
2 This patient will need to be assessed, but is not as high a priority.
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3 According to Maslow, psychosocial needs are not as high of a priority as brt brt brt brt brt brt brt brt brt brt brt brt
physiological needs. brt
4 Arespiratory rate of 22 is within normal range.
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PTS: 1 CON: b r t Patient-Centered Care brt
2. The LPN/LVN enters the room of a patient who is angry and yells, “I asked 5 minutes ago
brt brt brt brt brt brt brt brt brt brt brt brt brt brt brt brt brt
for my pain medication. I’m going to call the CEO of the hospital if you don’t get it for me
brt brt brt brt brt brt brt brt brt brt brt brt brt brt brt brt brt brt brt brt
now.” Which statement by the nurse demonstrates intellectual empathy?
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1. “We are short-staffed today, so it will take me longer to meet your needs.”
brt brt brt brt brt brt brt brt brt brt brt brt brt
2. “I am sorry you had to wait, I know you must be in a lot of pain.”
brt brt brt brt brt brt brt brt brt brt brt brt brt brt brt brt
3. “I had another patient who had severe pain, and I had to get to them first.”
brt brt brt brt brt brt brt brt brt brt brt brt brt brt brt
4. “I will get you the number for the CEO, but he is aware of how busy we are.”
brt brt brt brt brt brt brt brt brt brt brt brt brt brt brt brt brt
ANS: 2 b r t b r t
Chapter: Chapter 1 Critical Thinking and the Nursing Process brt brt brt brt brt brt brt brt
Objective: 2. Describe attitudes and skills that promote good critical thinking brt brt brt brt brt brt brt brt brt brt
Page: 2
brt brt
Heading: Intellectual Empathy brt brt
Integrated Process: Communication and Documentation brt brt brt brt
Client Need: Psychosocial Integrity
brt brt brt brt
, CognitiveLevel:Application[Applying] brt brt brt
Concept: Communication
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Difficulty: Moderate brt
Feedback
1 This statement does not consider an individual’s situation.
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2 This statement demonstrates intellectual empathy by considering this patient’s
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situation and will likely alleviate the patient’s anger.
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3 This statement does not consider a patient’s situation and does not demonstrate
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intellectual empathy. brt
4 This statement addresses the patient’s statement of wanting to call the CEO, but
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does not demonstrate intellectual empathy by considering the patient’s
brt brt brt brt brt brt brt brt brt
situation.
brt
PTS: 1 CON: b r t Communication
3. The nurse is collecting data on a patient. Which data are described as subjective?
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1. Respiratory rate of 26 per minute brt brt brt brt brt
2. Patient report of shortness of breath brt brt brt brt brt
3. Coarse lung sounds bilaterally brt brt brt
4. Cough producing green sputum brt brt brt
ANS: 2 b r t b r t
Chapter: Chapter 1 Critical Thinking and the Nursing Process
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Objective: 5. Differentiate between objective and subjective data.
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Page: 4
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Heading: Subjective Data brt brt
Integrated Process: Communication and Documentation brt brt brt brt
Client Need: Communication and Documentation
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Cognitive Level: Application (Applying)
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Concept:Communication brt
Difficulty: Moderate
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Feedback
1 Respiratory rate of 26 per minute is an example of objective data. brt brt brt brt brt brt brt brt brt brt brt
2 Apatient reporting symptoms to the nurse is an example of subjective data.
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3 Coarse lung sounds is an example of objective data. brt brt brt brt brt brt brt brt
4 Aproductive cough is an example of objective data.
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PTS: 1 CON: b r t Communication
4. Apatient with a newly fractured femur reports a pain level of 8/10 and analgesic medication is
brt brt brt brt brt brt brt brt brt brt brt brt brt brt brt brt
not due for another 50 minutes. Which action should the nurse take first?
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1. Reposition the patient. brt brt
2. Give the medication in 30 minutes. brt brt brt brt brt
3. Notify the registered nurse (RN) or physician. brt brt brt brt brt brt
4. Tell the patient it is too early for pain medication.
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brt ANS: b r t 3
, Chapter: Chapter 1 Critical Thinking and the Nursing Process
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Objective: 4. Identify the role of a licensed practical nurse/licensed vocational nurse in using
brt brt brt brt brt brt brt brt brt brt brt brt brt
the nursing process.
brt brt brt
Page: 3 brt
Heading: Clinical Judgement brt brt
Integrated Process: Clinical Problem-solving Process (Nursing Process) Client
brt brt brt brt brt brt brt
Need: SECE—Coordinated Care
brt brt brt
CognitiveLevel:Application[Applying] brt brt brt
Concept: Patient-Centered Care
brt brt brt
Difficulty: Moderate
brt brt
Feedback
1 The patient who has a fractured femur is having acute pain. Repositioning a
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patient with a new fracture is not likely to relieve pain. brt brt brt brt brt brt brt brt brt brt
2 Giving the medication before the prescribed time is beyond the nurse’s scope of
brt brt brt brt brt brt brt brt brt brt brt brt
practice.
brt
3 The patient should not have to wait for pain relief, so the LPN should inform
brt brt brt brt brt brt brt brt brt brt brt brt brt brt
the RN or physician so new pain relief orders can be obtained.
brt brt brt brt brt brt brt brt brt brt brt
4 The nurse needs to do more than expect the patient to wait for pain relief.
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PTS: 1 CON: b r t Patient-Centered Care brt
5. The nurse is prioritizing care based on Maslow hierarchy of needs. Which need does the
brt brt brt brt brt brt brt brt brt brt brt brt brt brt
nurse identify as having the highest priority?
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1. Job-related stress brt
2. Feeling of loneliness brt brt
3. Pain level of 9 on 0-to-10 scalebrt brt brt brt brt brt
4. Lack of confidence brt brt
ANS: 3 b r t b r t
Chapter: Chapter 1 Critical Thinking and the Nursing Process
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Objective: 7. Prioritize patient care activities based on the Maslow hierarchy of human
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needs
brt
Page: 7 brt
Heading: Prioritize Care brt brt
IntegratedProcess:Caring
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Client Need: SECE – Coordinated Care
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CognitiveLevel: Application[Applying]
brt brt brt brt
Concept: Patient-Centered Care
brt brt brt
Difficulty: Moderate
brt brt
Feedback
1 Job-related stress falls under safety according to Maslow and is addressed after brt brt brt brt brt brt brt brt brt brt brt
physiological needs. brt
2 According to Maslow, loneliness is addressed under social needs following brt brt brt brt brt brt brt brt brt
physiological and safety.
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3 Pain is a physiological need and is the highest priority.
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4 Lack of confidence falls under esteem according to Maslow and is addressed
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following physiological, safety, and social needs.
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