In this section of the NCLEX-RN examination, you will be expected to demonstrate your knowledge and skills of establishing priorities in order to: Show
Actual needs and problems take priority over wellness, possible risk and health promotion problems and short term acute patient care needs and problems typically take priority over longer term chronic needs. Applying a Knowledge of Pathophysiology When Establishing Priorities for Interventions with Multiple ClientsAs previously mentioned with the “Integrated Process related to the Nursing Process“, priorities are established using a number of methods and frameworks including the ABCs, Maslow's Hierarchy of Needs and the ABCs/MAAUAR method. Knowledge of these frameworks and an in-depth knowledge about pathophysiology facilitate the proper establishment of priorities relating to the interventions that are then provided to individual clients and groups of clients with diverse needs of varying acuity and differing priorities. The ABCs identifies the airway, breathing and cardiovascular status of the patient as the highest of all priorities in that sequential order. Maslow's Hierarchy of Needs identifies the physiological or biological needs, including the ABCs, the safety/psychological/emotional needs, the need for love and belonging, the needs for self-esteem and the esteem by others and the self-actualization needs in that order of priority. Some examples of each of these needs according to Abraham Maslow's Hierarchy of Needs are: Physical and Biological Needs
Safety and Psychological Needs
Love and Belonging
Self Esteem and Esteem by Others
Self Actualization
The ABCs / MAAUAR method, which was previously detailed, places the ABCs as the highest and greatest priorities which are then followed with the 2nd and 3rd priority level needs. The 2nd priority needs include MAAUAR which is mental status, acute pain, acute impaired urinary elimination, unresolved and unaddressed needs, abnormal diagnostic test results, and risks. The 3rd level priorities include all concerns and problems addressed with the 2nd level priority needs. Prioritizing the Delivery of Client CareThe delivery of client care is prioritized as just discussed above. In addition to prioritizing and reprioritizing, the nurse should also have a plan of action to effectively manage their time; they should avoid unnecessary interruptions, time wasters and helping others when this helping others could potentially jeopardize their own priorities of care. Evaluating the Plans of Care for Multiple Clients and Revising the Plan of Care as NeededIn addition to providing guidance and direction in terms of nursing care delivery, plans of care, including nursing care plans and other systems like a critical pathway, provide the mechanism with which the outcomes of the care can be measured and evaluated. Appropriate and effective client care is dependent on the accuracy and appropriateness of the client's plan of care. For this reason, reasessments and updating and revising a plan of care as based on the client's current status is necessary. RELATED NCLEX-RN MANAGEMENT OF CARE CONTENT:
SEE – Management of Care Practice Test Questions
Alene Burke, RN, MSN Alene Burke RN, MSN is a nationally recognized nursing educator. She began her work career as an elementary school teacher in New York City and later attended Queensborough Community College for her associate degree in nursing. She worked as a registered nurse in the critical care area of a local community hospital and, at this time, she was committed to become a nursing educator. She got her bachelor’s of science in nursing with Excelsior College, a part of the New York State University and immediately upon graduation she began graduate school at Adelphi University on Long Island, New York. She graduated Summa Cum Laude from Adelphi with a double masters degree in both Nursing Education and Nursing Administration and immediately began the PhD in nursing coursework at the same university. She has authored hundreds of courses for healthcare professionals including nurses, she serves as a nurse consultant for healthcare facilities and private corporations, she is also an approved provider of continuing education for nurses and other disciplines and has also served as a member of the American Nurses Association’s task force on competency and education for the nursing team members. Latest posts by Alene Burke, RN, MSN (see all) Which patient problem would be a high priority?Rationale: High priority is related to life-threatening needs of the patients. If life-threatening needs are untreated, the patients may die. Nonurgent needs are intermediate priorities, not high. Focusing on the patient's long-term health care needs is a low priority, not a high priority.
Which patient problem should be given the highest priority quizlet?According to Maslow's, humans basic physiological needs have the highest priority, and these patients health problems should be addressed first. Life-threatening needs are ranked first; health-threatening needs are second; and health-promoting needs are last.
What makes a diagnosis a high priority?Any nursing diagnoses that directly relate to survival or a threat to the patient's mortality should be prioritized first. This may be related to the patient's access to air, water, or food, defined as the necessities of survival.
Which nursing diagnosis would be ranked as the highest priority?Based only on Maslow's hierarchy of needs, which nursing diagnosis should have the highest priority? Highest priority is given to problems that are life threatening or that could be destructive to the client. Safety is most basic in Maslow's hierarchy.
|