The nurse can assist a client best in meeting his or her needs for self-esteem and/or self-actualization by:
a. Setting rules and regulations
b. Allowing the client to set rules and regulations for the inpatient unit
c. Informing the client of what the treatment team has decided regarding the plan of care
d. Allowing the client to make choices involving his or her care when appropriate
D
Self-esteem needs must be met before self-actualization can occur, but this is also a part of self-actualization. This intervention allows the client to practice decision-making skills and assists in improving his or her self-esteem. Rules and regulations are necessary for limit setting, but the nurse can include the client and improve his or her self-esteem by informing the client of the rules and regulations, so the client is able to follow them. Allowing the client to set rules is difficult in that the ability for limit setting often is lacking in clients with mental health disorders. Sharing with the client should reflect a combined effort between the client and the treatment team.
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