Mental Health Technician Certification (AMCA) Practice Test

What is the most appropriate nursing diagnosis for an elderly man facing vision problems and loss of independence?

1. Risk for isolation

2. Risk for situational low self-esteem

3. Impaired mobility

4. Potential for injury

The correct answer is: Risk for situational low self-esteem

In the context of an elderly man experiencing vision problems and a subsequent loss of independence, the most appropriate nursing diagnosis is situational low self-esteem. This choice reflects the emotional and psychological impact that such challenges can have on an individual. Loss of independence often correlates with feelings of inadequacy and diminished self-worth. The elderly man may feel that he is no longer able to take care of himself or meet his own needs, leading to a decline in his self-esteem. Vision problems can significantly alter a person's ability to perform daily activities, which is closely tied to their sense of autonomy and identity. When individuals feel they cannot fulfill their usual roles or responsibilities, it can evoke feelings of frustration, helplessness, or even despair. Therefore, diagnosing potential situational low self-esteem allows healthcare providers to address the emotional and mental well-being of the individual, promoting a holistic approach to care. Other options, while they may pertain to the elderly man's situation, do not capture the fundamental psychological challenge he faces in the same way. For instance, identifying risk for isolation separates the issue from its emotional roots. Impaired mobility might relate to physical symptoms rather than addressing the deeper emotional impact of vision loss. Lastly, potential for injury emphasizes safety concerns without addressing the broader context