copyright © 2011 delmar, cengage learning. all rights reserved. chapter 22 self-concept
TRANSCRIPT
Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED.
Chapter 22
Self-Concept
Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED.
Components of Self-Concept
• Identity
• Body image
• Self-esteem
• Role performance– Stressors affecting role
Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED.
Identity
• Sets each person apart as unique, including:– Name
– Gender
– Ethnicity
– Family status
– Occupation
– Roles
Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED.
Body Image
• Attitudes about– Physical attributes and characteristics
– Appearance
– Performance
• Dynamic concept
Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED.
Self-Esteem
• Generalized sense of worth
• Evaluation of self
• Calculated on basis of achieving factors one values most
Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED.
Role Performance
• Set of expected behaviors determined by familial, cultural, and social norms
• Simultaneous roles– Each with set of expected behaviors
(continued)
Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED.
Role Performance
• Stressors affecting role:– Inability to fulfill responsibilities
– Role conflict• Inter-role conflict
• Interpersonal conflict
• Role overload
• Person-role conflict
Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED.
Development of Self-Concept
• Ongoing process– Interpersonal and cultural experiences
– Self-perceived competence
– Self-actualization
• Childhood
• Adolescence
• Adulthood
Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED.
Factors Affecting Self-Concept
• Altered health status
• Developmental transitions
• Experience
Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED.
Self-Concept and the Nursing Process
• Assessment– Consider developmental level and chronological
age
– Determine strengths and weaknesses
– Ask client to describe appearance, abilities, and accomplishments
(continued)
Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED.
Self-Concept and the Nursing Process
• Diagnosis– Self-concept disturbances
• Feelings of anxiety, hostility, guilt, and shame
• Affect every aspect of person’s life
– Disturbed body image
– Parental role conflict
– Disturbed personal identity
(continued)
Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED.
Self-Concept and the Nursing Process
• Diagnosis– Ineffective role performance
– Chronic low self-esteem
– Situational low self-esteem
– Anxiety
– Social isolation
– Hopelessness
– Powerlessness
(continued)
Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED.
Self-Concept and the Nursing Process
• Outcome identification and planning– Promote sense of well-being
– Facilitate growth
(continued)
Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED.
Self-Concept and the Nursing Process
• Implementation– Initiate therapeutic interaction
– Support healthy defense mechanisms
– Ensure satisfaction of needs• Physical
• Psychosocial
(continued)
Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED.
Self-Concept and the Nursing Process
• Implementation– Promote positive self-esteem across life span
• Childhood
• Adolescence
• Adulthood
(continued)
Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED.
Self-Concept and the Nursing Process
• Evaluation– Client’s behaviors and attitudes
– Congruence of targeted self-concept and plan of care
– Change requires time, patience, and support