NCLEX-RN Secrets Study Guide contains easy-to-read essential summaries that highlight the key areas of the NCLEX-RN test
This domain is defined by the NCSBN as “providing and directing nursing care that enhances the care delivery setting to protect clients and health care personnel.” In simpler terms, management of care is the section of the NCLEX exam that will deal with the legal, ethical, and research/quality improvement aspects of nursing care.
Maslow’s Hierarchy of Needs Maslow’s Hierarchy of Needs was created by Abraham Maslow as a way to discuss the prioritization of human needs. It is generally represented as a pyramid, with the most basic human needs at the bottom. The principle is that the needs must be met in order, working from bottom to top. Maslow is also used extensively in nursing as a way to prioritize patient needs. It is also a tenant that is basic to the NCLEX exam.
- Physiological Needs: Basic needs such as air, water, food, sleep, and sex. When these are not satisfied, we may feel sickness, irritation, pain, discomfort, or lack of motivation.
- Safety/Security Needs: Need for stability and consistency in a chaotic world. These needs are mostly psychological in nature.
- Love/Belonging: Desire to belong to groups/be accepted: clubs, work groups, religious groups, family, gangs, etc.
- Esteem Needs: Self-esteem from competence or mastery of a task, as well as recognition from others. Produces satisfaction.
- Self-Actualization: Defined as “the desire to become more and more what one is, to become everything that one is capable of becoming” – maximize potential.
Bioethics is a type of philosophy used to guide ethical decisions in health care and nursing. There are several different theories followed by different practices that are used to establish their ethics. The more popular theories of bioethics include:
- Utilitarianism: Utilitarianism believes that ethical conflicts can be resolved by considering the individuals affected by the decision being made. Utilitarianism works under the premise of doing the most good for the greatest number of people. The theory of utilitarianism believes that maximization of good consequences automatically minimizes bad consequences.
- Deontology: Deontology functions on the premise of duty or obligation. The deontological theory states that nurses are bound to always do what is right for their patients.
- Virtue: Virtue is a theory that involves making ethical decisions or taking ethical stands related to health care. The intent is the driving force behind virtue. With virtue, functioning under good intentions makes actions ethical.
- Egoist: The egoist theory cites objectivism as the main focus. Egoist thought is centered on self-interest of the individual.