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:

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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.

A Patient Became Severely Depressed When the Last of Her