The nurse in a rehabilitation facility cares for a young patient who was recently diagnosed paraplegic after a motor vehicle collision. During therapy, the patient states, “I don’t want to go on like this. No one will ever want to be with me.” The nurse responds by saying, “You have put forth so much effort and have come a long way. I think you have done a great job. You are very determined.” Which level of Maslow’s hierarchy is the nurse fulfilling for the patient?