Prioritization frameworks (ABC, Maslow) and which tasks can be delegated to unlicensed assistive personnel.
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- What does the ABC framework stand for in prioritization?
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Airway, Breathing, Circulation
- In the ABC framework, why is Airway addressed first?
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Without a patent airway, the patient cannot receive oxygen regardless of breathing or heart function
- In the ABC framework, which comes second and why?
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Breathing, because oxygen must be delivered to the lungs to oxygenate blood
- In the ABC framework, which comes third and why?
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Circulation, because the heart must pump oxygenated blood to vital organs
- When should you use the ABC framework?
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When prioritizing acute or life-threatening situations requiring immediate intervention
- What is Maslow's first level of need?
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Physiological needs: oxygen, food, water, sleep, elimination, temperature regulation
- What is Maslow's second level of need?
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Safety needs: security, stability, freedom from fear and harm
- What is Maslow's third level of need?
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Love and belonging needs: relationships, acceptance, companionship
- What is Maslow's fourth level of need?
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Esteem needs: self-respect, recognition, achievement, confidence
- What is Maslow's fifth level of need?
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Self-actualization: personal growth, fulfillment, reaching potential
- In NCLEX questions with multiple patient needs, which level takes priority?
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Physiological needs always come first, moving up Maslow's hierarchy only after lower levels are met
- What tasks CAN be safely delegated to unlicensed assistive personnel (UAP)?
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Non-invasive, stable, routine tasks like vitals, hygiene, ambulation, toileting, and feeding on stable patients
- What tasks CANNOT be delegated to UAP?
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Assessment, interpretation of findings, medication administration, sterile procedures, patient education, and complex clinical judgment decisions
- Can UAP take vital signs?
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Yes, on stable patients; however, the nurse must assess and interpret the findings
- Can UAP assist a patient with ambulation?
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Yes, on stable patients; patients with recent surgery, unstable conditions, or first ambulation need nurse assessment first