NCLEX-RN Client Needs: Categories, Nursing Actions & Strategies

1. Safe and Effective Care Environment
This category tests a nurse’s competence in developing a safe and hygienic environment for patients and healthcare providers. It contains:

Management of Care: They cover issues like case management, informed consent, patient rights, and ethical practice. Nurses are required to provide evidence of competence in work coordination and delegation.

Safety and Infection Control NCLEX: It focuses on infection transmission prevention, environmental safety, management of hazardous substances, and compliance with standard precautions.

2. Health Promotion and Maintenance
It evaluates the competence of a nurse in promoting health and preventing illness. Issues they cover include:

Growth and Development: Knowledge of changes at the physiological and psychological level throughout different life stages.
Health Screening and Disease Prevention: Such as immunizations, preventive screening, and patient teaching for health.
Maternity and Newborn Care: Prenatal, perinatal, and postpartum care as needed.

3. Psychosocial Integrity NCLEX
A patient’s emotional and psychological well-being is as important as their physical health. An experience of this kind tests the ability of a nurse to assist patients with mental illness, stress, or emotional distress. It includes:

Therapeutic Communication: Patient communication in a way that fosters trust and openness.
Crisis Intervention: Managing crisis psychological scenarios, including suicidal thoughts or cases of abuse.
Cultural Awareness and Sensitivity: Recognizing and respecting patient backgrounds and providing equal care.

4. Physiological Integrity
This domain evaluates the nurse’s role in maintaining optimum physiological well-being through interventions and medical treatment. It includes:

Basic Care and Comfort: Providing patients with mobility, hygiene, and relief from pain.
Pharmacological and Parenteral Therapies: Ensuring safe drug use and monitoring the patient’s reaction.
Reduction of Risk Potential: Identifying complications and adopting preventive measures.
Physiological Adaptation: Care at the end of life, emergency care, and management of chronic disease.