00120 Low Situational Self -Esteem

Domain 6: self -perception
Class 2: self -esteem
Diagnostic Code: 00120
Nanda label: low situational self -esteem
Diagnostic focus: self -esteem
Approved 1988 • Revised 1996, 2000, 2017, 2020 • Evidence level 3.2

NANDA Nursing Diagnosis Definition

Nanda nursing diagnosis « low situational self -esteem is defined as: change of positive perception to a negative perception of value, acceptance, respect, competition and attitude towards one same.

Definite characteristics

  • Depressive symptoms
  • Express loneliness
  • defenselessness
  • Indecisive behavior
  • Insomnia
  • loneliness
  • Non -Assertive Behavior
  • Lack of purpose
  • Cavilation
  • Verbalizations of self -denial
  • Substimation of your ability to manage the situation

Related factors

  • incongruous behavior with values ??
  • Decrease in environment control
  • Decrease in conscious acceptance
  • Difficulty to accept the alteration in the social role
  • Difficulty in managing finance
  • Body image disorder
  • Fatigue
  • Fear of rejection
  • Deterioration of religiosity
  • Inadequate linking behavior
  • Inadequate family cohesion
  • Inappropriate respect by others
  • Inadequate social support
  • Low self -efficacy
  • Badly adapted perfectionism
  • Negative resignation
  • Impotence
  • Stigmatization
  • Stressors
  • Non -realistic own expectations
  • incongruous values ??with cultural norms

Risk population

  • People who experience a change in the environment in which they live
  • People who experience alteration in body image
  • People who experience alteration in economic status
  • People who experience alteration in the role of role
  • People who experience death of significant people
  • People who experience divorce
  • People who experience new additions to the family
  • People who experience repeated failures
  • People who experience unplanned pregnancy
  • People with difficult development transitions
  • People with a history of having been abandoned
  • People with a history of abuse
  • People with a history of abandonment
  • People with a history of losses
  • People with rejection history

Associated problems

  • Depression
  • functional deterioration
  • Mental disorders
  • Physical condition

Suggestions of use

Low situational self -esteem and low chronic self -esteem differ in the fact that the symptoms are episodic. The symptoms occur in a person who previously had adequate self -esteem and responds to a real or perceived event or situation. Therefore, nursing objectives and activities can focus on solving the situation, in addition to increasing patient’s self -esteem.

Suggested alternative diagnostics

Other examples

  • Recognize your personal strengths
  • Exhibits behaviors that generate self -confidence
  • Verbally express episodic changes/losses

NIC Interventions

  • Facilitation of duel expression: Help with the resolution of an important loss
  • Facilitation of duel expression: perinatal death: Help with the resolution of a perinatal loss
  • Resilience promotion: Help people, families and communities, to develop, use and strengthen protective factors that must be used to face environmental and social stressful factors
  • Anticipatory Guide: Preparation of a patient who anticipates a situational or development crisis
  • Improvement of self -esteem: helps a patient to increase his personal judgment on his own worth
  • Improvement of body image: improvement of perceptions and attitudes, conscious and unconscious, of a patient towards his body
  • Improvement of coping: patient assistance to adapt to stressful factors, changes or perceived threats that interfere with the satisfaction of the demands and the roles of life

Nursing Activities

Also see nursing activities for the diagnosis of .

Patient and family education

  • Teach positive behavioral skills through the role of roles, modeling, analysis, etc.

Collaboration activities

  • Channel to the patient to adequate community resources
  • Resort to hospital resources (social workers, professionals in nursing, religious services), as required


  • Explore with the patient recent changes that could have influenced low self -esteem
  • (NIC) Improvement of self -esteem:
    • Transmit confidence in the patient’s ability to handle the situation
    • Motivate greater responsibility for yourself, according to the possibilities
    • Analyze the reasons for self -criticism or the feeling of guilt
    • Encourage the patient to accept new challenges

At home

  • Previous activities are also suitable for home care. See also nursing activities for the diagnosis of low chronic self -esteem.