A patient became depressed after the last of six children moved out of the home 4 months ago. The patient has been self-neglectful, slept poorly, lost weight, and repeatedly says, "No one cares about me anymore. I'm not worth anything." Select an appropriate initial outcome. The patient will:

A) verbalize realistic positive characteristics about self by (date) .
B) consent to take antidepressant medication regularly by (date) .
C) initiate social interaction with another person daily by (date) .
D) identify two personal behaviors that alienate others by (date) .

Question

Liang Dongyue · Accepted Answer

Final Answer : A, Explanation :  Low self-esteem is reflected by making consistently negative statements about self and self-worth. Replacing negative cognitions with more realistic appraisals of self is an appropriate intermediate outcome. The incorrect options are not as clearly related to the nursing diagnosis. Outcomes are best when framed positively; identifying two personal behaviors that might alienate others is a negative concept.

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