Consider the two electrons in a $1s$ orbital, and we'll take the simplest example of a helium atom.
The existence of atomic orbitals is based on the assumption that the individual electron-electron repulsions average out on the timescale of our meaurements, so each of the two electrons in the $1s$ orbital sees the other as an averaged out distribution of negative charge centred on the nucleus.
So the electrons move in an averaged out potential consisting of a point positive charge at the nucleus and a smeared out negative charge centred on the nucleus. At distances very close to the nucleus the potential is dominated by the nucleus and we have $Z_{eff}\approx2$. At distances far from the nucleus the positive and negative charges both contribute and we end up with $Z_{eff}\approx 1$. At intermediate distances we end up some intermediate value of $Z$.
So we expect that the effective charge experienced by each electron in a helium atom is somewhere between $Z=1$ and $2$. I can't find a detailed calculation, but some Googling suggests $Z_{eff}\approx 1.7$. The effective charge is reduced (a bit) for the electrons in the lowest atomic orbital because even for electrons in the lowest orbital they are affected by the averaged out negative charge of the other electrons.
In a large atom, like the example of sodium ($Z=11$) that you cite, the 1s electrons move in a potential that is the sum of the nuclear charge and the averaged out charge of the other $10$ electrons. So as for helium, even the lowest energy $1s$ electrons will see a $Z_{eff} \lt 11$.