A 70-year-old male has the nursing diagnosis situational low self-esteem related to forced retire-ment. Using Maslow's hierarchy of human needs, the nurse knows that an expected outcome would be that the client will express feelings of:
1. Security
2. Self-fulfillment
3. Acceptance
4. Worth
ANS: 4
Feelings of worth, self-confidence, and adequacy are desired outcomes for a client with low self-esteem. 1. Security is associated with Maslow's need for safety and security and would be an appropriate outcome for a client experiencing fear. 2. Self-fulfillment is related to self-actualization needs and might be associated with a wellness diagnosis. 3. Acceptance is re-lated to love and belonging needs and could be associated with a social isolation diagnosis.
You might also like to view...
Information given to a depressed patient and family when the patient begins selective serotonin reuptake inhibitor (SSRI) antidepressant therapy should include the directive to:
a. avoid exposure to bright sunlight. b. report increased suicidal thoughts. c. restrict sodium intake to 1 gm daily. d. maintain a tyramine-free diet.
A nurse is assessing the appropriateness of her patient's medications
The nurse understands that it would be most dangerous for the patient taking an angiotensin-converting enzyme (ACE) inhi-bitor if the patient had which of the following co-morbidities? a. Coronary artery disease b. Heart failure c. Renal artery stenosis d. Diabetes mellitus
A patient who has been receiving a heparin infusion and warfarin (Coumadin) for a deep vein thrombosis (DVT) is diagnosed with heparin-induced thrombocytopenia (HIT) when her platelet level drops to 110,000/µL
Which action will the nurse include in the plan of care? a. Use low-molecular-weight heparin (LMWH) only. b. Administer the warfarin (Coumadin) at the scheduled time. c. Teach the patient about the purpose of platelet transfusions. d. Discontinue heparin and flush intermittent IV lines using normal saline.
A nurse caring for a nearly mute depressed client wishes to show acceptance of the client. An intervention that would meet this objective would be to say
A. "I will be spending time with you each day to try to improve your mood." B. "I would like to sit with you for 15 minutes now and again this afternoon." C. "Each day we will spend time together to talk about things that are bothering you." D. "It is important for you to share your thoughts with someone who can help you evaluate whether your thinking is realistic."