A patient became severely depressed when the last of her six children moved out of the home 4 months ago. Since then she has neglected to care for herself, sleeps poorly, lost weight, and repeatedly states, "No one cares about me anymore
I'm not worth anything.". Upon admission to the unit, the nursing diagnosis Situational low self-esteem related to feelings of abandonment was established. Which would be an appropriate intermediate outcome for this diagnosis? Patient will: a. make one positive comment about self daily by (date).
b. agree to antidepressant medication regularly by (date).
c. interact with another person for 10 minutes daily by (date).
d. identify factors which increased her depression by (date).
A
The primary goal of treatment of depression is improved mood, which in turn leads to improvement in other areas of concern such as intake, socialization activity level, and impaired self-esteem. In this case, stating a positive comment about herself would indicate improvement in low self-esteem, and replacing negative cognitions with more realistic appraisals of self is an appropriate intermediate outcome. Agreeing to take medication, while perhaps necessary for her treatment and improvement, would not necessarily indicate improvement in self-esteem and would better serve as a short-term indicator, since it would need to precede other expected outcomes. Interacting with others would be an appropriate intermediate goal for impaired socialization, and identifying factors contributing to her depression would be an appropriate short-term indicator.
You might also like to view...
The nurse is caring for a pregnant patient. What hormone must be secreted to cause uterine contractions?
A) Oxytocin B) ADHD C) Estrogen D) Enkephalins
The nurse is preparing a plan of care for a client being treated with an antiviral drug. Which outcome would the nurse most likely identify? Select all that apply
A) Client remains free of other medical conditions. B) Client demonstrates an optimal response to therapy. C) Client exhibits continual changes in vital signs. D) Client demonstrates ability to manage adverse reactions. E) Client verbalizes understanding of the therapeutic regimen.
Some ways that nurses set priorities are listed below. Which is not necessarily correct?
a. Apply the nursing process. b. Constantly reassess patient care needs. c. Delegate all duties to others. d. Constantly re-prioritize patient care needs.
The nurse is contributing to a staff education program about Erikson's developmental stages. Which of these would the nurse present as the developmental stage for an older adult?
a. Generativity versus self-absorption b. Identity versus role confusion c. Intimacy versus isolation d. Integrity versus despair