The plan of care for a client with obsessive-compulsive disorder relative to self-esteem enhancement
should include (more than one answer may be correct)
A. encouraging the client to identify and reinforce strengths.
B. encouraging the client to examine negative self-perceptions.
C. encouraging the use of as-needed anxiolytic medication.
D. assisting the client to identify positive responses from others.
E. refraining from giving praise to the client for accomplishments.
F. discouraging experiences that increase client autonomy.
ANS:
A, B, D
Rationale: Self-identification of strengths that can subsequently be reinforced by the nurse builds
esteem and promotes self-acceptance. Examining negative self-perceptions permits reframing in
positive ways. Identifying positive responses from others helps the client see self in a more positive
light. Option C: This intervention is not directly related to self-esteem enhancement. Option E:
Clients should receive realistic praise. Option F: Realistic levels of client autonomy should be
encouraged because autonomy can be esteem enhancing.
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