Situational Low Self-esteem Nursing Care Plan

Situational low self-esteem nursing care plan is required when an individual cannot integrate and maintain full perception of him/herself. It refers to the judgment, which is based on the clinical knowledge application. It also determines actual and potential responses to any health issues and processes in person's life. The Nanda list is usually applied to people, communities and families. The Nanda nursing diagnosis is commonly used interventions that can be applied by a caregiver. Standard language of nurses is a list of terms used in the working environment, which is commonly understood by medical staff. Usage of commonly understood terms increases safety of patients by giving an opportunity to nurses effectively comprehend and address all the aspects of patients' needs. Standard terms help nursing staff avoid long discussions in order to identify certain patients' needs and the required action plan.

The Characteristics ofSituational Low Self-esteem Nursing Care Plan

  • Personal traits that contradict each other
  • Disturbed image of a body
  • Confusing feelings about oneself
  • Ineffective duty performance
  • Confusion of a gender
  • Ineffective cooperation
  • Inability to distinguish things
  • Feeling uncertain about ideological outer andinner stimuli
  • Delusional image of oneself
  • Confusion about objectives
  • Emptiness feeling
  • Confused relationships
  • Strange feeling about oneself


  1. Brain syndrome of organic nature
  2. Disorder of dissociative identity
  3. Situational crisis
  4. Processes of dysfunctional family
  5. Various psychiatric disorders
  6. Cultural interruption
  7. Decreased self-esteem
  8. Manic conditions
  9. Cult indoctrination
  10. Prejudice or discrimination
  11. Change of social role
  12. Use of drugs
  13. Growth stage
  14. Toxic chemicals ingestion
  15. Development states
  16. Toxic chemicals inhalation

Assessment Focus

  • Safety level
  • Sexual practice
  • Mental condition
  • Cultural and religious beliefs
  • Care for oneself
  • Relations

Expected Outcomes

  • Safety contract
  • Identification of external and internal stimuli.
  • Maintenance of normal nutritional intake.
  • Identification of individual objectives and taking proper steps to the objectives.
  • Making a resources list.
  • Avoidance of substance abuse.
  • Creation of a safe living place.

Offered Outcomes

  1. Distorted Thought;
  2. Coping;
  3. Impulse self-Control;
  4. Self-Esteem;
  5. Self-Control;

Rationale and Intervention

Determination: an individual should be evaluated for homicidal/suicidal ideation, self cuts or burns. Evaluate for intentionally-induced food restriction and vomiting. Detailed examination of mental status. Personal struggle with the determined problems are at high risks of safety. The mental status should be monitored on a daily basis in order to intervene in time. Weight should be monitored weekly in order to identify any alterations that require serious intervention. Performance: safety contract should be signed with the patient. Regular meetings with the patient should be scheduled in order to monitor his/her feelings. Patient will have a feeling of safety in case a nurse will show compassion and care. Information: ask a patient to write down his/her feelings provide a list of strategies to cope with the feelings. Writing down the feelings helps the patient to keep control.

Attendance: patient should be accepted in his/her struggle. Inspire the patient to take sound risk a express his/her feeling in a proper manner. Proper feelings expression increases patient's self-esteem. Management: Patient should be referred to services of mental health for management of medications. Continuance mental health care may be required if patient experiences disturbed personal identity. An effective situational low self esteem nursing care plan should include the above mentioned interventions. They assist patients to adequately accept the circumstances and increase self-esteem. A well-developed care plan for situational low self esteem enables nurses to help patients recover by improving their self-esteem.

  • Patient should be encouraged to express all his/her negative emotions and feelings.

It helps to cope with realities of one's life. Clear chronic low self esteem definition should be given to a patient.

  • Situational information should be reinforced

A patient should be given an opportunity to ask for advice on how to cope with body alterations or any functioning issues.

  • Daily living activities should be encouraged

It helps to increase the feeling of independence and improve self-esteem and self-worth. Patient will accept him/herself faster in case he/she hears positive comments.

  • People who find themselves in a similar situation should mett with each other

An individual who has had a similar life experience will inspire a patient who suffers from low self-esteem. In addition, he/she will give a strong hope for better future and fast recovery.

  • Any concerns should be discussed in a healthy environment

Friendly and healthy environment for any discussions should be created by a care giver. A patient will adjust to the situation faster and easier.

  • All help resources should be discussed

Optimal recovery can be prevented when a patient suffers from low self-esteem and cannot accept the situation. It is vital to develop effective situational low self esteem nursing care plan. Patient should be informed about correct situational low self esteem definition. An occupational therapist should meet with the patient.