What question should the nurse ask a patient with low self-esteem to assess the nature of the problem?

In assessing a patient with low self-esteem, one effective approach is to ask about their appearance. This question is significant because it directly encourages the patient to reflect on their self-perception and body image—a core component of self-esteem. By asking what they like about their appearance, the nurse invites the patient to identify positive attributes, which can help initiate a constructive dialogue about their self-concept. This can lead to further exploration of how self-image influences their feelings of self-worth and overall self-esteem.

The other options have their merits in exploring self-esteem, but they may focus on different aspects. Asking about a time when the patient felt good about themselves could be beneficial, but it may not directly engage with current feelings or help assess the specific negative thoughts they are experiencing. Inquiry about the impact of self-esteem on relationships might reveal important social dynamics but could sidestep the personal roots of their self-esteem issues. Similarly, asking when they began to think differently about themselves could help uncover the timeline of their self-esteem decline, but it may not facilitate immediate engagement in addressing their current feelings.

Overall, the question about appearance stands out as a direct method to help the patient articulate and recognize their feelings, creating a pathway for improving self-esteem through positive reinforcement.