Nursing Care Plan for Depression
NURSING DIAGNOSIS
SELF- ESTEEM DISTURBANCE
Possible Etiologies: (Related
to)
Failure in school
achievements
Dysfunctional family system
(absentee father)
Defining characteristics:
(Evidenced by)
Subjective Data:
“I am such a failure. My
parents never loved me...”
verbatim of client.
Objective Data:
*Lack of eye contact
*Guarding behavior (closed
posture)
*Rejects negative feedback
when praised for good
grooming
*Stooped gait, slightly
unkempt hair and nails
*Some agitations observed
because of frequent wringing
of hands
OBJECTIVES
Short term goal:
After 2 weeks of nursing
interaction, client will be
able to view self positively
through realization of
strengths and limits as a
person.
Long term goal:
At the end of nursing
interaction, the client will be
able to demonstrate
behaviors that show
optimism to self, the world
and living his life through
acceptance of limits,
interacting with other
people and the ability to
express self and solve
concerns properly.
NURSING INTERVENTIONS
1. Introduce self and intention
during the first phase of
interaction.
2. Interact with the client in a
slow pace, using a low firm
tone.
3. Do not hurry client into an
interaction, instead maintain a
therapeutic and reassuring
atmosphere that you are
available if he is already ready
to talk or share his thoughts
with you.
4. Assess the factors
contributing to low self-
esteem like previous
educational failures, family
relationships and interaction,
availability of support system,
and the ability to express own
self.
RATIONALE EVALUATION
1. This will help client After 2 weeks of nursing
build his trust with the interaction, the client can
nurse; ensuring that it is verbalize positive concept of
a professional type of self, know his strengths and
interaction and that will limits as a person.
ensure the
confidentiality of At the end of nursing
interaction. interaction, the client is
2. -This will promote a participative in daily
positive and trusting activities, shows eagerness
environment with the to socialize with other
client considering that people, copes well with
depressed clients problems through omission
sometimes of negative thinking,
communicate with acceptance of honest
some gaps or may be appraisal, and express
unresponsive for some emotions productively.
reasons.
3. -Sometimes clients who
are depressed may have
some emotional
outbursts, crying spells
or hesitancy in sharing
their thoughts. Be wary
of these nonverbal cues
and provide some
comforting gestures or
allow client cry as it
would lessen his
exaggerated emotions.
4. -These will help in
knowing which aspects
5. Assess and observe how
client views himself and how
he copes with his previous and
present problems.
6. Conceptualize goals for
recovery together with the
client and involve client in
simple decision making.
7. Involve client in activities
that meets his abilities and
praise him honestly for
achievements done.
8. Interact with the client
using broad statements and
note for statements that
indicate negative thinking or
cognitive distortions like
overgeneralization, all- or
nothing thinking, jumping to
conclusions, etc.
9. Encourage client care about
self through grooming and
eating properly.
10. Let him express self
through non stimulating
activities like dancing,
you should reinforce
with during the plan of
care. It may also help
client understand of his
limits as person.
5. -Knowing these will help
you pinpoint with the
client if how he cope
with his problems
effectively or not; these
will guide him to avoid
negative coping
measures
6. -This will help client
know his strengths as a
person and would help
him resume his
autonomy and integrity.
7. -This will not only
promote client’s
positive concept of self
but would also enhance
his ability to resume
functioning like his daily
self- care.
8. -These negative thinking
statements are often
utilized by depressed
individuals and
correcting this will help
client cope
appropriately.
drawing, or assuming role
playing.
9. Maintaining a positive
11. Encourage re- image of self helps a
person feel good about
establishment of relationships
self.
with significant ones and
emphasize that proper control
of anger and guilt could assist
10. -This will promote
him interact appropriately. client’s ability to
express self
appropriately.

11. -This will enhance

client’s ability to
socialize and view that
life is still worth living.