Using Maslow's hierarchy of needs, which patient should the nurse ...

[karateprodigy]

Using Maslow's hierarchy of needs, which patient should the nurse assess first?
 
  a. Complains of pain of 6 on a scale of 1 to 10
  b. Crying after receiving a terminal diagnosis
  c. Disoriented and agitated
  d. Waiting for discharge teaching

Question 2

A nurse assesses a patient for frequently occurring barriers to implementing behavior changes according to the health belief model. Which question by the nurse will yield the most useful information?
 
  a. Do you think you know enough to change your diet?
  b. How much time do you have each week to exercise?
  c. What other information can I give you about this topic?
  d. Why haven't you started these healthy behaviors yet?

[chreslie]

Answer to Question 1

C
According to Maslow, basic needs such as food, water, shelter, and safety are the priority before other needs can be met. The nurse should see the disoriented agitated patient first, because this patient has immediate safety concerns. The patient in pain should be seen next because this is a physiological need. The patient crying and the patient waiting for discharge instructions certainly need the nurse's attention, but safety comes first.

Answer to Question 2

B
In using the health belief model, the nurse assesses for perceived barriers to action. Lack of time might well be a barrier for this patient.
The question Do you think you know enough to change your diet? is concerned with lack of knowledge, which is not one of the most frequent barriers to behavior change.
Lack of knowledge is not one of the most frequently occurring barriers to behavioral change.
Why questions are probing and tend to make patients defensive. Furthermore, the patient may not be able to answer this question because he or she may not be aware of the reasons behind the behavior.