Maslow Hierarchy of needs
In the correct order, from most important to least important
draw, label, and describe each category
Physiological needs: basic food, water, shelter, cloths, sleep
Safety and Security: health, employment, property, family, social ability
Love and Belonging: friends, family, intimacy, sense of connection
Self esteem: confidence, achievement, respect of others, the need to be a unique individual
Self-Actualization: morality, creativity, acceptance, experience purpose, meaning and inner potential
What are the four stages of a patient nurse relationship?
Pre-interaction
Introduction/Orientation
Working
Termination
What are the four stages of Paget’s theory of life? And describe them including when they happen.
Sensorimotor: between 0-2 they use their sensory and motor stills to explore their environment
Preoperational: 2-7 develop language skills and the ability to use symbolic thought, engage in pretend play and imitate others
Concrete operational: Ages 7–11 years Children develop logical and organizational thought
Formal operational: Ages 12 and up Children develop abstract thought
Patient states she would like to try some alternative interventions before using pharmacological interventions. What are some alternative interventions you could offer her for various issues?
Cupping (increases blood flow helping heal injuries and decrease pain, anxiety/stress
Acupuncture (various reasons)
Different types of Herbs (for nausea, pain, anxiety, sleep, ect)
Massage ( muscle tightness instead of taking muscle relaxers or pain meds)
Meditation (anxiety, improves focus, better sleep)
Susan is unable to decide which university she wants to go to or if she even wants to go at all. Which psychosocial stage is Susan in?
Identity vs Role confusion
Age: 12-18
You have a 65 year old homeless patient who had abdominal sutures placed last week. He is back in the hospital with an infection along the suture site. You notice the site has not been cleaned since the sutures were placed. Which level of Maslows is this patient struggling with making him unable to keep his suture clean.
safety and security
In what stage would you teach the patient coping strategies?
working phase
During what stage do kids develop object permanence? What is it?
Sensorimotor stage 0-2
the understanding that objects or people still exist even when they are not visible, audible, or tangible
“Out of sight out of mind”
What skills are developed during the formal operation stage in Piaget’s cognitive development theory?
First think hypothetically in this stage
children reach before they are able to thing and reason more or less as adults
Age: 12+
Kennedy is now able to wear pull ups instead of diapers because she is doing better with making it to the potty on time.
Autonomy vs shame and doubt
Age: 1-3
You have a 12 yr old patient on suicide watch. During your conversation she tells you why she tried to comment suicide was because, “no one loves me or even cares about me, my family says their lives would be better if I wasn’t around”. Which level of Maslows need is the girl potentially lacking in.
Love and belonging
A nurse works with a patient using therapeutic communication during all phases of the therapeutic relationship. Place the nurse's statements in order according to these phases.
1. the nurse states, "lets work on learning injection techniques"
2. the nurse is mindful of biases and knowledge in working with the patient with B12 deficiency
3. the nurse summarizes progress made during the nursing relationship
4. after providing introductions, the nurse defines the scope and purpose of the nurse patient relationship
2, 4,3,1
Johnny continues to search for his ball after it has rolled out of sight; however he is sure that all four-footed animals are dogs, regardless of whether they bark or meow. According to Piaget, Johnny has probably reached the ___ stage of cognitive development.
Preoperational
Mattie’s grandmother is all alone in a retirement home. No one visits her and she has become bitter. Which Erikson’s stage is Mattie’s grandmother in?
Integrity vs Despair
Age: 65+
Todd is excited to start couching T-ball. Which stage of development is Todd in?
Generativity vs Stagnation
Age: 30-65
A patient has been laid off from his construction job and has many unpaid bills. He is going through a divorce from his marriage of 15 years and has been praying daily to help him through this difficult time. He does not have a primary health care provider because he has never really been sick, and his parents never took home to a physician when he was a child. Which external variables influence the patients health practices?
Difficulty paying his bills (safety and security)
Family practice of not routinely seeing a health care provider (external variable, family role and practices)
A client is admitted to an inpatient unit with an acute exacerbation of multiple sclerosis. The nurse observes the client crying frequently when visitors leave and the client states, "I just feel so hopeless." The nurse should implement which intervention?
encourage therapeutic communication
Cynthia knows that she has the same amount of play dough weather she makes it into a ball or a snake. Cynthia has only recently achieved this concept and is entering the ______ Piaget stage of cognitive development.
Concrete Operations
Amelia and her husband are expecting a baby and are excited to expand their family what stage of Erkisons would they most likely be in? And what age could they be?
Intimacy vs Isolation
Age: 19-29
Oakley made her first goal in soccer. Her team later throws her a party and tells her how good she is doing and that she has grown so much this season. This makes Oakley feel proud and excited to keep getting better. What stage is Oakley likely in? What age could she be?
Industry vs Inferiority
7-11
A nurse is conducting a home visit with a new mom and her three children. While in the home the nurse weighs each family member and reviews their 3-day food diary. She checks the mom’s blood pressure and encourages the mom to take the children for a 30-minute walk everyday. The nurse is addressing which level of need, according to Maslow’s Hierarchy of Needs?
Physiological
A nurse has the responsibility of managing a patient's postmortem care. What is the proper order for completing postmortem care when there is no autopsy ordered?
1. bathe the body of the deceased
2. collect any needed specimen
3. remove all tubes and indwelling lines
4. position the body for family viewing
5. speak to the family members about their possible participation
6. ensure that the request for organ/tissue donation and/or autopsy was completed
7. notify support person (e.g., spiritual care provider, bereavement specialist) for the family
8. accurately tag the body, including the identity of the deceased and safety issues regarding infection control
9. elevate the head of the bed
6,9,2,5,7,3,1,4,,8
Peter can debate the relative merits or nuclear and non-nuclear energy for generating electricity. According the Piaget, Peter is probably in the _____ stage.
Formal operations
Initiative vs guilt
Age: 3-6
Name the 8 stages in Ericksons Psychosocial development in order from youngest to oldest. And describe what each stage is.
Trust vs Mistrust: they trust their caregivers to meet their needs
Autonomy vs shame and doubt: Children learn to be independent and make their own decisions
Initiative vs. guilt: Children learn to plan and achieve goals involving others
Industrious vs Inferiority: child learns to be productive
Identity vs role confusion: “who am I” “what do I want to do” self identity
Intimacy vs isolation: establish strong committed relationships
Generativity vs Stagnation: interacting with younger generations
Integrity vs despair: those on their death bed wonder why they were here and what’s next evaluate their past relationships