I’m sorry…… what?
I don’t get this one… Pt just came in and they were raped, you want to assess them to make sure they haven’t been seriously injured. Their emotional well being is important, of course, but how does that take priority over assessment? Not to mention, how the hell does that take priority on the Maslow scale? Just…. what??
Think of the client that’s being brought in. Many times they are emotionally distraught, devastated, traumatized, etc. The reason why your priority is going to be providing emotional support is because that’s what that patient will need the most at that moment.
You can’t do an assessment if you have a patient that is screaming, crying, uncooperative, etc. You need to calm them down and make them feel safe before you can move forward. I’m not an emergency room nurse, but when I was in nursing school we had to do clinicals in the emergency room. There was a patient brought into the emergency room once that was attacked while she was walking home from school. She was dragged into a backyard where her clothes were torn and she was raped.
When this girl was brought in, she was pretty much curled up in a ball with her face buried into her hands and hysterical. She wouldn’t let the staff touch her.
What can you assess that way?
If this client who was just raped is distraught and you’re trying to listen to her breath sounds, it’s not really going to get you very far. If she was just raped and you’re trying to peek at her vagina for signs of trauma, she probably isn’t going to let you do your thing because she’s probably mentally traumatized from what just happened and probably isn’t going to be willing to have someone looking at her vagina or touching her because she’s trying to process what just happened.
I know Maslow has the needs listed where the physiological needs have more importance than the psychological needs, but it needs to be looked at on a case-by-case basis.
Using another example- You have a schizophrenic patient that is in an acutely paranoid state, they are fearing that someone is coming after them. Possibly you. This patient also has COPD and they’re short of breath.
Maslow would tell us to work on the shortness of breath first.
Try doing that when this patient thinks you’re a danger to them. They need their psychiatric needs met so you can proceed to the physiological needs.
I hope this helps.
I totally wasn’t thinking of hysteria reading the question :( My gut just went with the assessment but looking back at the question and your points it definitely makes sense!! Thank you!! Hopefully I won’t make any stupid mistakes like this on the NCLEX!