An 11-year-old says, "My parents don't like me. They call me stupid and say they wish I were never born. It doesn't matter what they think because I already know I'm dumb." Which nursing diagnosis applies to this child?

A) Chronic low self-esteem related to negative feedback from parents
B) Deficient knowledge related to interpersonal skills with parents
C) Disturbed personal identity related to negative self-evaluation
D) Complicated grieving related to poor academic performance

The child has indicated a belief in being too dumb to learn. The child receives negative and demeaning feedback from the parents. The child has internalized these messages, resulting in a low self-esteem. Deficient knowledge refers to knowledge of health care measures. Disturbed personal identity refers to an alteration in the ability to distinguish between self and nonself. Grieving may apply, but a specific loss is not evident in the scenario. Low self-esteem is more relevant to the child's statements.