In Maslow's hierarchy, which need should be addressed first by the nurse when conflicts arise in a busy unit?

• A. Esteem needs
• B. Physiological needs
• C. Self-actualization
• D. Love/Belonging needs

Answer: (B)

In Maslow’s framework, the needs at the bottom of the pyramid—physiological needs like breathing, circulation, food, water, sleep, and basic medical care—must be satisfied before higher-level needs such as safety, belonging, esteem, or self-actualization. In a busy unit, the nurse’s first priority is to ensure these life-sustaining basics for each patient. If a patient isn’t adequately oxygenating, has unstable vitals, or is dehydrated, no amount of attention to comfort, relationships, or personal growth will matter. By stabilizing physiological needs first—ensuring airway and breathing, supporting circulation, managing pain, and meeting fluid and nutritional requirements—the patient is kept alive and can then progress to addressing safety needs and, later, the more psychosocial or developmental goals. That’s why physiological needs are addressed first.