Question

A client with dysthymia has a nursing diagnosis of self-esteem disturbance related to feelings of worthlessness. Which goal reflects an increase in the client's selfesteem? A. The client identifies two personal behaviors that alienate others. B. The client attends and participates in morning goal-setting activities. C. The client eats in the cafeteria with other clients from the unit. D. The client identifies one or two positive self-attributes.

Short answer

Answer: The goal that reflects an increase in the client's self-esteem is the client identifying one or two positive self-attributes.

Step-by-step solution

Evaluate Option A

The client identifies two personal behaviors that alienate others. This option may contribute to self-awareness, but it does not directly reflect an increase in the client's self-esteem or decrease their feelings of worthlessness.

Evaluate Option B

The client attends and participates in morning goal-setting activities. This option suggests that the client is engaging in positive and constructive activities. However, it does not explicitly relate to their self-esteem or feelings of worthlessness.

Evaluate Option C

The client eats in the cafeteria with other clients from the unit. This option implies that the client is making an effort to socialize with others, which can contribute to improving their self-esteem. However, it's not directly linked to their feelings of worthlessness.

Evaluate Option D

The client identifies one or two positive self-attributes. This option directly addresses the client's self-esteem and feelings of worthlessness by encouraging the recognition of positive qualities in themselves. Identifying and acknowledging personal strengths is an important step towards increasing self-esteem.

Choose the best option

Based on the analysis of each option, it can be concluded that the goal that reflects an increase in the client's self-esteem is option D. The client identifies one or two positive self-attributes, as it directly addresses their feelings of worthlessness and helps in improving their self-esteem.