When the nurse uses Maslow's hierarchy of needs to plan care for ...

[EY67]

When the nurse uses Maslow's hierarchy of needs to plan care for a client who is psychotic, which
  client problem below will receive priority?
 
  a. Refusal to eat
  b. Feelings of alienation from family
  c. Reluctance to participate in unit social activities
  d. Need to be taught about medication action and side effects

Question 2

The client lives with her roommate in a condominium. She tells the nurse that her roommate has
  urged her to seek a therapist's advice about episodes of strange behavior observed by the roommate
  but that the client cannot remember.
 
  The roommate has observed her leaving the condo wearing
  seductive clothing, quite different from her usual wardrobe, and returning 12 to 24 hours later, after
  which she sleeps for 8 to 12 hours. Episodes have also occurred in which the client and her
  roommate have argued about household matters and the client has gone to sit on the floor in the
  corner of the kitchen. While seated there she has spoken like a young child. The client's problem can
  be assessed as being consistent with DSM-IV-TR criteria for
  a. antisocial personality.
  b. borderline personality.
  c. dissociative identity disorder.
  d. body dysmorphic disorder.

[juwms]

Answer to Question 1

ANS: A
The need for food is a physiological need; therefore it takes priority over psychological or
meta-needs in care planning.

Answer to Question 2

ANS: C
Dissociative identity disorder involves the existence of two or more distinct subpersonalities, each
with its own patterns of relating, perceiving, and thinking. At least two of the subpersonalities take
control of the person's behavior but leave the individual unable to remember the periods of time in
which the subpersonality was in control. Option A: Antisocial personality disorder features include
impulsive, irresponsible behaviors, little concern for the rights of others, inability to empathize, and
failure to learn from experience. Option B: Borderline personality disorder features include intense,
stormy relationships, idealization/devaluation, impulsivity, self-mutilation, and fear of abandonment.
Option D: Body dysmorphic disorder involves excessive concern with an imagined defect in a part
of the body.