Introduction of Nursing Diagnosis: Low Situational Self -Esteem
Low Situational Self-Esteem (LSS) is a nursing diagnosis according to the North American Nursing Diagnosis Association (NANDA International). This diagnostic label describes the patient's lack of confidence and self-worth in response to a difficult or changing environmental situation. It is important for nurses to recognize and assess patients with low situational self-esteem in order to provide appropriate interventions
Nursing Diagnosis Definition
Low Situational Self-Esteem is defined as “a state in which the individual perceives his or her worth and worthiness relative to a specific situation as relatively lower than that of others.”
Defining Characteristics
Subjective
- Reported responses of hopelessness or helplessness in one or more activities
- Feelings of inadequacy or worthlessness regardless of success or failure
- Expressed feelings of insecurity about ability to master new tasks
- Verbal statements of negative self-image
- Expressions of feeling powerless, helpless, or incapable
- Apathetic attitude toward participating in activities
Objective
- Avoids challenges that involve potential risk of failure or lack of mastery
- Decreased involvement in situations that may be frightening or uncertain
- Lack of assertiveness in problem-solving decisions
- Inability to express feelings in positive ways even in casual conversations
- No willingness to attempt previously successful tasks due to fear of failure
- Posture includes head bowed, arms folded across chest, and legs crossed away from other people to appear less visible
The underlying components of Low Situational Self-Esteem may include both physiologic and psychosocial factors that adversely affect an individual's self-esteem. These include physical or mental illness, socio-cultural influences, environmental stressors, inadequate role models, and cognitive distortions.
Risk Populations
Any individual experiencing a transition, stressful situation, or marked decrease in perceived self-worth may be at risk for Low Situational Self-Esteem. Adolescents are especially vulnerable to this condition during the process of identity formation.
Associated Problems
Untreated Low Situational Self-Esteem may lead to depression, anxiety, feelings of powerlessness, social isolation, and a tendency to rely on unhealthy coping mechanisms such as alcohol and substance abuse.
Suggestions of Use
Nurses can use Low Situational Self-Esteem as a diagnostic label when assessing the patient's individual strengths and potential areas of need. This diagnosis can also be useful in developing therapeutic plans of care.
Suggested Alternative Nursing Diagnosis
Possible alternative NANDA diagnoses include Anxiety, Impaired Social Interaction, and Risk for Deficient Fluid Volume.
Usage Tips
When choosing this diagnosis, be sure to evaluate the patient's responses to stresses in their environment. Also take into consideration any cultural or social expectations that may be influencing their self-esteem.
NOC Results
Interventions for Low Situational Self-Esteem should focus on increasing the patient's confidence and self-worth. Potential NOC outcomes include Decreased Depressive Symptoms, Relieved Anxiety, Improved Interpersonal Relationships, and Increased Self-Esteem.
NIC Interventions
NIC interventions related to enhancing self-esteem include Health Education and Promotion, Cognitive Restructuring, Assertiveness Training, Relaxation Techniques, and Crisis Intervention.
Conclusion
Low situational self-esteem is a common diagnostic label used to assess and address a range of psychological problems. It can be linked to both environmental and physiological factors, and nurses should consider these factors when providing care. With the right interventions, individuals can increase their self-confidence and improve their overall quality of life.
FAQs
- What is Low Situational Self-Esteem? Low Situational Self-Esteem is a nursing diagnosis used to describe the patient's lack of confidence and self-worth in response to a difficult or changing environmental situation.
- What are the defining characteristics of Low Situational Self-Esteem? The defining characteristics of Low Situational Self-Esteem include reported responses of hopelessness or helplessness, feelings of inadequacy or worthlessness, aversion to risks, decreased involvement in certain activities, expressions of powerlessness, and no willingness to attempt previously successful tasks due to fear of failure.
- What risk populations are at risk for Low Situational Self-Esteem?Any individual experiencing a transition, stressful situation, or marked decrease in perceived self-worth may be at risk for Low Situational Self-Esteem. Adolescents are especially vulnerable to this condition during the process of identity formation.
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