Wisconsin Certified Nursing Assistant (CNA) Practice Exam

According to Maslow's Hierarchy of Needs, which need might a resident have difficulty meeting due to dependent assistance for ADLs?

1. Need for Safety

2. Need for Self-Actualization

3. Need for Self-Esteem

4. Need for Love and Belonging

The correct answer is: Need for Self-Esteem

The need for self-esteem is associated with an individual's sense of personal worth and value, as well as the recognition they receive from others. According to Maslow's Hierarchy of Needs, self-esteem needs can be significantly impacted when a person requires dependent assistance with activities of daily living (ADLs). When residents are unable to perform ADLs independently, such as bathing, dressing, or eating, they may feel a loss of autonomy and self-worth. This can lead to feelings of inadequacy or a diminished sense of accomplishment, which negatively affects their self-esteem. Additionally, the support and assistance they receive from caregivers may not fully replace the internal satisfaction that comes from being able to care for oneself, further impacting their self-esteem needs. In contrast, while the need for safety could be influenced by an environment that provides security, or the need for love and belonging pertains to relationships and social connections, these aspects are less directly tied to the ability to perform ADLs than self-esteem. Self-actualization, focused on personal growth and fulfilling potential, is also less immediately affected by dependence in daily living tasks. Thus, requiring dependent assistance for ADLs most directly challenges the need for self-esteem.