I'm going through the Kaplan PN book, and it says that the NCLEX sees pain as a psychosocial need. Following Maslow, you would take care of physical needs before psychosocial needs like pain.
Here's the question: you are taking care of a patient with cancer who has been weakened by chemo. What is your first priority?
1) assess for pain
2) determine if the patient is hungry or thirsty
3) explore feelings about dying
4) observe client's self-care abilities
Then, Kaplan's rationale is that #1 is correct. Untreated pain affects all biological/physiological needs. So, treating pain comes first.
This last rationale makes sense to me. And of course in the real world I think I would be more concerned about treating pain than finding them a meal, but I'm not in the real world yet.
So the rationale and the Maslow decision tree seem to be in conflict to me. Can you help me understand?