A teenager with a chronic medical condition requiring frequent hospitalizations has the nursing diagnosis of impaired self-esteem. Which action by the adolescent best indicates that outcomes for this diagnosis have been met?
A.
Complies politely with hospital rules and routines
B.
Makes choices as to when to bathe or eat meals
C.
States understanding of the need for hospitalization
D.
Uses social media sites to maintain contact with peers
ANS: D
A teenager's self-esteem is closely linked to acceptance by his or her peer group. Maintaining relationships is vital for healthy adolescent development. The teen using social media when unable to spend time in person with friends shows adaptation to circumstances and a positive action to maintain normalcy. Complying with hospital rules and/or stating an understanding of the need for hospitalization do not mean that the teen's self-esteem has improved. Giving a teen choices when possible helps the teen maintain some autonomy, but making those choices is not the best indicator that outcomes for this diagnosis have been met.
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