Foundations: Fundamentals of Nursing, Chapter 33 Self-Concept

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Chapter 33 Self-Concept
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Self-Concept

A subjective sense of self and a complex mixture of unconscious and conscious thoughts, attitudes, and perceptions

A positive self-concept gives a sense of meaning, wholeness, and consistency to a person.

A healthy self-concept has a high degree of stability and generates positive feelings toward the self.

Self-esteem is closely related.

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Scientific Knowledge Base

Parents and primary caregivers have tremendous influence on the development of a child’s self-concept.

Individuals learn and internalize cultural influences on self-concept and self-esteem in childhood and adolescence.

In adulthood, job satisfaction and job performance are linked to self-esteem.

The sense of self is often negatively affected in older adulthood.

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Family Effect on Self-Concept Development

Family plays a key role.

Family plays a key role.

Strong parental support and parental monitoring create positive effects.

Family and cultural influences can be positive or negative.

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Family and cultural influences can be positive or negative.

Any real or perceived change that threatens identity, body image, or role performance can affect self-concept.

Changes that occur in physical, spiritual, emotional, sexual, familial, and sociocultural health affect self-concept.
-Change in health
-Other crises

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Stressors Affecting Self-Concept:
Identity stressors

Especially during adoles-cence

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Stressors Affecting Self-Concept:
Role performance stressors

Role ambiguity
Role overload
Role conflict
Role strain

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Stressors Affecting Self-Concept:
Body image stressors

Affect appearance, structure or function of a body part

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Stressors Affecting Self-Concept:
Self-esteem stressors

Vary by develop-mental stage

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The Nurse’s Effect on the Patient’s Self-Concept

Nurses need to remain aware of their own feelings, ideas, values, expectations, and judgments:
Use a positive and matter of fact approach.
Build a trusting relationship.
Be aware of facial and body expressions.

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Self-Concept and the Nursing Process: Nursing Diagnosis and Planning-
Goals and outcomes

Be realistic.

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Self-Concept and the Nursing Process: Nursing Diagnosis and Planning-
Setting priorities

Focus on adaptations to stressors.

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Self-Concept and the Nursing Process: Nursing Diagnosis and Planning-
Collaborative care

Consider additional resources.

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Self-Concept and the Nursing Process: Evaluation

Frequent evaluation of patient progress is necessary.
Apply knowledge of behaviors and characteristics of a healthy self-concept when reviewing the actual behaviors patients display.
Expected outcomes for a patient with a self-concept disturbance:
Nonverbal behaviors showing positive self-concept
Statements of self-acceptance
Acceptance of change