A client has continual problematic relationships and rejects others before possibly being rejected. The client states, "I am afraid of failing in my job responsibilities." Which correctly written nursing diagnosis should be prioritized for this client?
A. Poor self-esteem R/T negative self-image AEB fear of failure
B. Altered thought processes R/T anxiety AEB delusions
C. Role confusion R/T rejection and poor job productivity
D. High risk for violence: self-directed R/T rejection of others
ANS: A
Individuals with low self-esteem perceive themselves to be incompetent, unlovable, insecure, and unworthy. A correctly written actual nursing diagnosis must have a related to (R/T) and an evidenced by (AEB) statement. A "risk for" nursing diagnosis does not contain an AEB statement because the problem has not yet occurred.
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