Which need reflects the desire to feel worthwhile and to achieve significant accomplishments?

The correct choice is esteem needs, which are fundamentally about an individual's desire to achieve recognition and respect from others, as well as to have a sense of self-worth. Esteem needs encompass both the appreciation one seeks from others (such as status, recognition, and attention) and the self-esteem aspects, which are tied to personal achievements and mastery over tasks. This category is essential for motivating individuals to pursue significant accomplishments and to feel competent and valued in their endeavors.

Belongingness needs refer to the human desire for interpersonal relationships and social connections, which focus more on forming bonds with others rather than on personal achievements or recognition. Self-actualization needs involve the pursuit of personal growth and realizing one's full potential, emphasizing creativity and self-improvement rather than external validation. Physiological needs are the basic requirements for human survival, such as food, water, and shelter, and do not directly relate to feelings of worth or accomplishment. Thus, esteem needs specifically address the desire to feel worthwhile and the recognition of one's accomplishments, making them the correct answer.