A patient with schizophrenia tells the nurse, "Everyone must listen to me. I am the redeemer. I will bring peace to the world.". From this the nurse can determine that an appropriate nursing diagnosis is:
a. Disturbed sensory perception: auditory.
b. Risk for other-directed violence.
c. Chronic low self-esteem.
d. Nonadherence: medication.
C
The patient's grandiose delusion is based on reaction formation to actual feelings of low self-esteem; in other words, the grandiose delusion compensates for the patient's poor self-esteem. The scenario does not provide sufficient data to support the other diagnoses.
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