TEST BANKFOR
r9 r9 r9
UNDERSTANDING
MEDICAL-SURGICAL
NURSING
5THEDITIONBY
r9 r9
HOPPER,WILLIAMS r9
,Chapter1. CriticalThinking and the Nursing Process
r9 r9 r9 r9 r9 r9 r9
MULTIPLECHOICE r9
1. The nurse iscaring for agroup of patients on amedical-surgical unit.Which patient should the
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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 r 9 r 9
Chapter:Chapter 1 CriticalThinking and the Nursing Process r9 r9 r9 r9 r9 r9 r9 r9
Objective: 7. Prioritize patientcare activitiesbased on the Maslow hierarchy of human needs. r9 r9 r9 r9 r9 r9 r9 r9 r9 r9 r9 r9 r9
Pages: 6–7 r9
Heading:Prioritize Care r9 r9
IntegratedProcess:ClinicalProblem-SolvingProcess(NursingProcess) Client r9 r9 r9 r9 r9 r9 r9
Need: SECE—Coordinated Care
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CognitiveLevel:Application[Applying] r9 r9 r9
Concept: Patient-Centered Care
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Difficulty: Difficult
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Feedback
1 Thispatient has a dangerously low blood glucose leveland 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 Accordingto Maslow, psychosocialneedsare not as high ofa priority as r9 r9 r9 r9 r9 r9 r9 r9 r9 r9 r9 r9
physiologicalneeds. r9
4 Arespiratory rate of 22 is within normal range.
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PTS: 1 CON: Patient-Centered Care r 9 r9
2. The LPN/LVN enters the room of a patient who is angry and yells, “I asked 5 minutes ago for my
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pain medication. I’m going to call the CEO of the hospital if you don’t get it for me now.” Which
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statement by the nurse demonstrates intellectual empathy?
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1. “Weareshort-staffed today, so it will takeme longer tomeetyour 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 r 9 r 9
Chapter:Chapter 1 CriticalThinking and the Nursing Process r9 r9 r9 r9 r9 r9 r9 r9
Objective:2. Describeattitudes andskills thatpromotegood criticalthinking r9 r9 r9 r9 r9 r9 r9 r9 r9 r9
Page: 2
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Heading:Intellectual Empathy r9 r9
IntegratedProcess:CommunicationandDocumentation r9 r9 r9 r9
Client Need: Psychosocial Integrity
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, CognitiveLevel:Application[Applying] r9 r9 r9
Concept: Communication
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Difficulty:Moderate r9
Feedback
1 Thisstatement doesnotconsider anindividual’s situation.
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2 Thisstatementdemonstratesintellectualempathybyconsideringthispatient’s
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situation and will likely alleviate the patient’s anger.
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3 Thisstatement doesnotconsider apatient’s situation and doesnot demonstrate
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intellectualempathy. r9
4 Thisstatement addresses thepatient’s statementof wanting tocall theCEO, but does
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not demonstrate intellectual empathy by considering the patient’s situation.
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PTS: 1 CON: Communication r 9
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 r9 r9 r9 r9 r9
2. Patientreport of shortness of breath r9 r9 r9 r9 r9
3. Coarse lung sounds bilaterally r9 r9 r9
4. Cough producing green sputum r9 r9 r9
ANS: 2 r 9 r 9
Chapter: Chapter 1 Critical Thinking and the Nursing Process
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Objective:5.Differentiatebetweenobjectiveandsubjectivedata.
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Page: 4
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Heading:Subjective Data r9 r9
IntegratedProcess:CommunicationandDocumentation r9 r9 r9 r9
Client Need: Communication and Documentation
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Cognitive Level: Application (Applying)
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Concept:Communication r9
Difficulty: Moderate
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Feedback
1 Respiratory rate of 26 per minute is an example of objective data. r9 r9 r9 r9 r9 r9 r9 r9 r9 r9 r9
2 Apatientreporting symptoms to the nurse is an example of subjective data.
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3 Coarse lung sounds is an example of objective data. r9 r9 r9 r9 r9 r9 r9 r9
4 Aproductive cough is an example of objective data.
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PTS: 1 CON: Communication r 9
4. Apatient with anewly fractured femur reports a pain level of 8/10 and analgesic medication is not
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due for another 50 minutes. Which action should the nurse take first?
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1. Reposition thepatient. r9 r9
2. Give the medication in 30 minutes. r9 r9 r9 r9 r9
3. Notify the registered nurse (RN) or physician. r9 r9 r9 r9 r9 r9
4. Tellthepatientitistooearlyforpainmedication.
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r9 ANS: r 9 3
, Chapter:Chapter 1 CriticalThinking and the Nursing Process
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Objective: 4. Identify the roleof alicensed practical nurse/licensed vocational nurse in using the
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nursing process.
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Page: 3 r9
Heading: Clinical Judgement r9 r9
IntegratedProcess:ClinicalProblem-solvingProcess(NursingProcess) Client r9 r9 r9 r9 r9 r9 r9
Need: SECE—Coordinated Care
r9 r9 r9
CognitiveLevel:Application[Applying] r9 r9 r9
Concept: Patient-Centered Care
r9 r9 r9
Difficulty: Moderate
r9 r9
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. r9 r9 r9 r9 r9 r9 r9 r9 r9 r9
2 Givingthemedication beforethe prescribedtimeisbeyondthe nurse’s scope of r9 r9 r9 r9 r9 r9 r9 r9 r9 r9 r9 r9
practice.
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3 The patient should not have to wait for pain relief, so the LPN should inform
r9 r9 r9 r9 r9 r9 r9 r9 r9 r9 r9 r9 r9 r9
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: Patient-Centered Care r 9 r9
5. The nurse isprioritizing care based on Maslow hierarchy of needs.Which need does the nurse
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identify as having the highest priority?
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1. Job-relatedstress r9
2. Feeling of loneliness r9 r9
3. Pain level of 9 on 0-to-10 scale r9 r9 r9 r9 r9 r9
4. Lack of confidence r9 r9
ANS: 3 r 9 r 9
Chapter:Chapter 1 CriticalThinking and the Nursing Process
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Objective: 7. Prioritize patientcare activitiesbased on the Maslow hierarchy of human needs
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Page: 7 r9
Heading: Prioritize Care r9 r9
IntegratedProcess:Caring
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Client Need: SECE – Coordinated Care
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CognitiveLevel:Application[Applying]
r9 r9 r9 r9
Concept: Patient-Centered Care
r9 r9 r9
Difficulty: Moderate
r9 r9
Feedback
1 Job-relatedstress falls under safety according to Maslow and isaddressed after r9 r9 r9 r9 r9 r9 r9 r9 r9 r9 r9
physiologicalneeds. r9
2 AccordingtoMaslow,lonelinessisaddressedundersocialneedsfollowing r9 r9 r9 r9 r9 r9 r9 r9 r9
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 fallsunder esteem according toMaslow andisaddressed
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following physiological, safety, and social needs.
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r9 r9 r9
UNDERSTANDING
MEDICAL-SURGICAL
NURSING
5THEDITIONBY
r9 r9
HOPPER,WILLIAMS r9
,Chapter1. CriticalThinking and the Nursing Process
r9 r9 r9 r9 r9 r9 r9
MULTIPLECHOICE r9
1. The nurse iscaring for agroup of patients on amedical-surgical unit.Which patient should the
r9 r9 r9 r9 r9 r9 r9 r9 r9 r9 r9 r9 r9 r9 r9 r9
licensed practical nurse/licensed vocational nurse (LPN/LVN) assess first?
r9 r9 r9 r9 r9 r9 r9 r9
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 r 9 r 9
Chapter:Chapter 1 CriticalThinking and the Nursing Process r9 r9 r9 r9 r9 r9 r9 r9
Objective: 7. Prioritize patientcare activitiesbased on the Maslow hierarchy of human needs. r9 r9 r9 r9 r9 r9 r9 r9 r9 r9 r9 r9 r9
Pages: 6–7 r9
Heading:Prioritize Care r9 r9
IntegratedProcess:ClinicalProblem-SolvingProcess(NursingProcess) Client r9 r9 r9 r9 r9 r9 r9
Need: SECE—Coordinated Care
r9 r9 r9
CognitiveLevel:Application[Applying] r9 r9 r9
Concept: Patient-Centered Care
r9 r9 r9
Difficulty: Difficult
r9 r9
Feedback
1 Thispatient has a dangerously low blood glucose leveland requires immediate
r9 r9 r9 r9 r9 r9 r9 r9 r9 r9 r9
intervention.
2 This patient will need to be assessed, but is not as high a priority.
r9 r9 r9 r9 r9 r9 r9 r9 r9 r9 r9 r9 r9
3 Accordingto Maslow, psychosocialneedsare not as high ofa priority as r9 r9 r9 r9 r9 r9 r9 r9 r9 r9 r9 r9
physiologicalneeds. r9
4 Arespiratory rate of 22 is within normal range.
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PTS: 1 CON: Patient-Centered Care r 9 r9
2. The LPN/LVN enters the room of a patient who is angry and yells, “I asked 5 minutes ago for my
r9 r9 r9 r9 r9 r9 r9 r9 r9 r9 r9 r9 r9 r9 r9 r9 r9 r9 r9
pain medication. I’m going to call the CEO of the hospital if you don’t get it for me now.” Which
r9 r9 r9 r9 r9 r9 r9 r9 r9 r9 r9 r9 r9 r9 r9 r9 r9 r9 r9 r9
statement by the nurse demonstrates intellectual empathy?
r9 r9 r9 r9 r9 r9 r9
1. “Weareshort-staffed today, so it will takeme longer tomeetyour needs.”
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2. “I am sorry you had to wait, I know you must be in a lot of pain.”
r9 r9 r9 r9 r9 r9 r9 r9 r9 r9 r9 r9 r9 r9 r9 r9
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 r 9 r 9
Chapter:Chapter 1 CriticalThinking and the Nursing Process r9 r9 r9 r9 r9 r9 r9 r9
Objective:2. Describeattitudes andskills thatpromotegood criticalthinking r9 r9 r9 r9 r9 r9 r9 r9 r9 r9
Page: 2
r9 r9
Heading:Intellectual Empathy r9 r9
IntegratedProcess:CommunicationandDocumentation r9 r9 r9 r9
Client Need: Psychosocial Integrity
r9 r9 r9 r9
, CognitiveLevel:Application[Applying] r9 r9 r9
Concept: Communication
r9 r9
Difficulty:Moderate r9
Feedback
1 Thisstatement doesnotconsider anindividual’s situation.
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2 Thisstatementdemonstratesintellectualempathybyconsideringthispatient’s
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situation and will likely alleviate the patient’s anger.
r9 r9 r9 r9 r9 r9 r9 r9
3 Thisstatement doesnotconsider apatient’s situation and doesnot demonstrate
r9 r9 r9 r9 r9 r9 r9 r9 r9 r9 r9
intellectualempathy. r9
4 Thisstatement addresses thepatient’s statementof wanting tocall theCEO, but does
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not demonstrate intellectual empathy by considering the patient’s situation.
r9 r9 r9 r9 r9 r9 r9 r9 r9
PTS: 1 CON: Communication r 9
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 r9 r9 r9 r9 r9
2. Patientreport of shortness of breath r9 r9 r9 r9 r9
3. Coarse lung sounds bilaterally r9 r9 r9
4. Cough producing green sputum r9 r9 r9
ANS: 2 r 9 r 9
Chapter: Chapter 1 Critical Thinking and the Nursing Process
r9 r9 r9 r9 r9 r9 r9 r9
Objective:5.Differentiatebetweenobjectiveandsubjectivedata.
r9 r9 r9 r9 r9 r9 r9 r9
Page: 4
r9 r9
Heading:Subjective Data r9 r9
IntegratedProcess:CommunicationandDocumentation r9 r9 r9 r9
Client Need: Communication and Documentation
r9 r9 r9 r9 r9
Cognitive Level: Application (Applying)
r9 r9 r9 r9
Concept:Communication r9
Difficulty: Moderate
r9 r9
Feedback
1 Respiratory rate of 26 per minute is an example of objective data. r9 r9 r9 r9 r9 r9 r9 r9 r9 r9 r9
2 Apatientreporting symptoms to the nurse is an example of subjective data.
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3 Coarse lung sounds is an example of objective data. r9 r9 r9 r9 r9 r9 r9 r9
4 Aproductive cough is an example of objective data.
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PTS: 1 CON: Communication r 9
4. Apatient with anewly fractured femur reports a pain level of 8/10 and analgesic medication is not
r9 r9 r9 r9 r9 r9 r9 r9 r9 r9 r9 r9 r9 r9 r9 r9 r9
due for another 50 minutes. Which action should the nurse take first?
r9 r9 r9 r9 r9 r9 r9 r9 r9 r9 r9 r9
1. Reposition thepatient. r9 r9
2. Give the medication in 30 minutes. r9 r9 r9 r9 r9
3. Notify the registered nurse (RN) or physician. r9 r9 r9 r9 r9 r9
4. Tellthepatientitistooearlyforpainmedication.
r9 r9 r9 r9 r9 r9 r9 r9 r9
r9 ANS: r 9 3
, Chapter:Chapter 1 CriticalThinking and the Nursing Process
r9 r9 r9 r9 r9 r9 r9 r9
Objective: 4. Identify the roleof alicensed practical nurse/licensed vocational nurse in using the
r9 r9 r9 r9 r9 r9 r9 r9 r9 r9 r9 r9 r9 r9
nursing process.
r9 r9
Page: 3 r9
Heading: Clinical Judgement r9 r9
IntegratedProcess:ClinicalProblem-solvingProcess(NursingProcess) Client r9 r9 r9 r9 r9 r9 r9
Need: SECE—Coordinated Care
r9 r9 r9
CognitiveLevel:Application[Applying] r9 r9 r9
Concept: Patient-Centered Care
r9 r9 r9
Difficulty: Moderate
r9 r9
Feedback
1 The patient who has a fractured femur is having acute pain. Repositioning a
r9 r9 r9 r9 r9 r9 r9 r9 r9 r9 r9 r9
patient with a new fracture is not likely to relieve pain. r9 r9 r9 r9 r9 r9 r9 r9 r9 r9
2 Givingthemedication beforethe prescribedtimeisbeyondthe nurse’s scope of r9 r9 r9 r9 r9 r9 r9 r9 r9 r9 r9 r9
practice.
r9
3 The patient should not have to wait for pain relief, so the LPN should inform
r9 r9 r9 r9 r9 r9 r9 r9 r9 r9 r9 r9 r9 r9
the RN or physician so new pain relief orders can be obtained.
r9 r9 r9 r9 r9 r9 r9 r9 r9 r9 r9
4 The nurse needs to do more than expect the patient to wait for pain relief.
r9 r9 r9 r9 r9 r9 r9 r9 r9 r9 r9 r9 r9 r9
PTS: 1 CON: Patient-Centered Care r 9 r9
5. The nurse isprioritizing care based on Maslow hierarchy of needs.Which need does the nurse
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identify as having the highest priority?
r9 r9 r9 r9 r9 r9
1. Job-relatedstress r9
2. Feeling of loneliness r9 r9
3. Pain level of 9 on 0-to-10 scale r9 r9 r9 r9 r9 r9
4. Lack of confidence r9 r9
ANS: 3 r 9 r 9
Chapter:Chapter 1 CriticalThinking and the Nursing Process
r9 r9 r9 r9 r9 r9 r9 r9
Objective: 7. Prioritize patientcare activitiesbased on the Maslow hierarchy of human needs
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Page: 7 r9
Heading: Prioritize Care r9 r9
IntegratedProcess:Caring
r9 r9 r9
Client Need: SECE – Coordinated Care
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CognitiveLevel:Application[Applying]
r9 r9 r9 r9
Concept: Patient-Centered Care
r9 r9 r9
Difficulty: Moderate
r9 r9
Feedback
1 Job-relatedstress falls under safety according to Maslow and isaddressed after r9 r9 r9 r9 r9 r9 r9 r9 r9 r9 r9
physiologicalneeds. r9
2 AccordingtoMaslow,lonelinessisaddressedundersocialneedsfollowing r9 r9 r9 r9 r9 r9 r9 r9 r9
physiological and safety.
r9 r9 r9
3 Pain is a physiological need and is the highest priority.
r9 r9 r9 r9 r9 r9 r9 r9 r9
4 Lack of confidence fallsunder esteem according toMaslow andisaddressed
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following physiological, safety, and social needs.
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