Rnsg 1413ch 26 Power Point Fall 2006[1]
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Chapter 26 Self-Concept
Mosby items and derived items © 2005 by Mosby, Inc.
Self-Concept • How one thinks and feels about oneself • Development of selfconcept is a complex, lifelong process
Mosby items and derived items © 2005 by Mosby, Inc.
Components of Self Concept • Identity- internal sense of individuality, wholeness, and consistency of a person over time and in various circumstances • Body image- physical and/or perceived change in body appearance or body parts. • Role performance- a physical or mental disability that prevents role assumption
Mosby items and derived items © 2005 by Mosby, Inc.
Role Performance Behaviors • Reinforcement-extinction: avoiding unacceptable behavior because it is punished. • Inhibition: refraining from behaviors even when tempted to engage
Mosby items and derived items © 2005 by Mosby, Inc.
Role Performance Behaviors (con’t) • Substitution: an individual replaces one behavior with another that provides the same personal gratification. • Identification: an individual internalizes the beliefs, behavior and values or role models into a personal , unique expression of self. Mosby items and derived items © 2005 by Mosby, Inc.
Self-Concept Stressors • Identity stressors • Body image stressors • Role performance stressors
Mosby items and derived items © 2005 by Mosby, Inc.
Role Dilemma's • Role Conflict- results when a person is required to assume simultaneously to or more roles that are inconsistent, contradictory, or mutually exclusive. • Role ambiguity involves unclear role expectations
Mosby items and derived items © 2005 by Mosby, Inc.
Role Dilemma's (con’t) • Role strain is a feeling of frustration when a person feels inadequate or feels unsuited to a role. • Gender-role stereotype describes an expectation that something is specifically for one gender or another.
Mosby items and derived items © 2005 by Mosby, Inc.
Self-Concept Developmental Needs • 12-20: accepting body changes, examining attitudes and beliefs, establishing goals for the future, and interacting with those whom he or she finds sexually attractive or intellectually stimulating. • Early 20’s to mid-40’s: establishment of intimate relationships with family and significant other, having stable, positive feeling about self, and experiencing successful role transitions and increase responsibilities. Mosby items and derived items © 2005 by Mosby, Inc.
Self-Concept Developmental Needs (con’t) • Mid 40’s to mid 60’s- include accepting changes in appearance and endurance, reassessing life goals, and showing contentment with aging • Late 60’s- include feeling positive about one’s life and its meaning, and being interested in providing a legacy for the next generation. Mosby items and derived items © 2005 by Mosby, Inc.
Assessment • Coping behaviors – Erickson’s stages and how loss or injury would affect the successful transition or regression of these stages. (a parent may become excessively dependent, altering their integrity phase)
• Significant others statements • Client expectations realistic or not Mosby items and derived items © 2005 by Mosby, Inc.
Assessment Statements • Perception of Identity- “How would you describe yourself?” • Perception of Body Image- “What changes would you make in your appearance?” • Perception of self-esteem- “What activities do you enjoy doing?” • Perception of Role Performance- “What is your usual day like?” Mosby items and derived items © 2005 by Mosby, Inc.
Behaviors indicative of a negative Self-Concept • • • •
Passive attitude Avoidance of eye contact Being excessively dependent Having a lack of interest in what is going on in your environment.
Mosby items and derived items © 2005 by Mosby, Inc.
Nursing Diagnoses • Examples – Impaired adjustment – Ineffective coping
Mosby items and derived items © 2005 by Mosby, Inc.
Mosby items and derived items © 2005 by Mosby, Inc.
Planning • Goals and outcomes – Goals and strategies should include the patients ideal and perceived selfconcept – Goals should focus on abilities and not inabilities
• Priorities • Continuity of care Mosby items and derived items © 2005 by Mosby, Inc.
Implementation/Actions • Acute care • Restorative care
• Therapeutic communication techniques • When assisting patients in resolving problems the nurse may also need to look to additional resources such as support groups and consult with other disciplines. • Do not push or judge patients or minimize a patients perception of a situation. Mosby items and derived items © 2005 by Mosby, Inc.
Evaluation • Client care • Client expectations
Mosby items and derived items © 2005 by Mosby, Inc.
Mosby items and derived items © 2005 by Mosby, Inc.
Self-Concept • How one thinks and feels about oneself • Development of selfconcept is a complex, lifelong process
Mosby items and derived items © 2005 by Mosby, Inc.
Components of Self Concept • Identity- internal sense of individuality, wholeness, and consistency of a person over time and in various circumstances • Body image- physical and/or perceived change in body appearance or body parts. • Role performance- a physical or mental disability that prevents role assumption
Mosby items and derived items © 2005 by Mosby, Inc.
Role Performance Behaviors • Reinforcement-extinction: avoiding unacceptable behavior because it is punished. • Inhibition: refraining from behaviors even when tempted to engage
Mosby items and derived items © 2005 by Mosby, Inc.
Role Performance Behaviors (con’t) • Substitution: an individual replaces one behavior with another that provides the same personal gratification. • Identification: an individual internalizes the beliefs, behavior and values or role models into a personal , unique expression of self. Mosby items and derived items © 2005 by Mosby, Inc.
Self-Concept Stressors • Identity stressors • Body image stressors • Role performance stressors
Mosby items and derived items © 2005 by Mosby, Inc.
Role Dilemma's • Role Conflict- results when a person is required to assume simultaneously to or more roles that are inconsistent, contradictory, or mutually exclusive. • Role ambiguity involves unclear role expectations
Mosby items and derived items © 2005 by Mosby, Inc.
Role Dilemma's (con’t) • Role strain is a feeling of frustration when a person feels inadequate or feels unsuited to a role. • Gender-role stereotype describes an expectation that something is specifically for one gender or another.
Mosby items and derived items © 2005 by Mosby, Inc.
Self-Concept Developmental Needs • 12-20: accepting body changes, examining attitudes and beliefs, establishing goals for the future, and interacting with those whom he or she finds sexually attractive or intellectually stimulating. • Early 20’s to mid-40’s: establishment of intimate relationships with family and significant other, having stable, positive feeling about self, and experiencing successful role transitions and increase responsibilities. Mosby items and derived items © 2005 by Mosby, Inc.
Self-Concept Developmental Needs (con’t) • Mid 40’s to mid 60’s- include accepting changes in appearance and endurance, reassessing life goals, and showing contentment with aging • Late 60’s- include feeling positive about one’s life and its meaning, and being interested in providing a legacy for the next generation. Mosby items and derived items © 2005 by Mosby, Inc.
Assessment • Coping behaviors – Erickson’s stages and how loss or injury would affect the successful transition or regression of these stages. (a parent may become excessively dependent, altering their integrity phase)
• Significant others statements • Client expectations realistic or not Mosby items and derived items © 2005 by Mosby, Inc.
Assessment Statements • Perception of Identity- “How would you describe yourself?” • Perception of Body Image- “What changes would you make in your appearance?” • Perception of self-esteem- “What activities do you enjoy doing?” • Perception of Role Performance- “What is your usual day like?” Mosby items and derived items © 2005 by Mosby, Inc.
Behaviors indicative of a negative Self-Concept • • • •
Passive attitude Avoidance of eye contact Being excessively dependent Having a lack of interest in what is going on in your environment.
Mosby items and derived items © 2005 by Mosby, Inc.
Nursing Diagnoses • Examples – Impaired adjustment – Ineffective coping
Mosby items and derived items © 2005 by Mosby, Inc.
Mosby items and derived items © 2005 by Mosby, Inc.
Planning • Goals and outcomes – Goals and strategies should include the patients ideal and perceived selfconcept – Goals should focus on abilities and not inabilities
• Priorities • Continuity of care Mosby items and derived items © 2005 by Mosby, Inc.
Implementation/Actions • Acute care • Restorative care
• Therapeutic communication techniques • When assisting patients in resolving problems the nurse may also need to look to additional resources such as support groups and consult with other disciplines. • Do not push or judge patients or minimize a patients perception of a situation. Mosby items and derived items © 2005 by Mosby, Inc.
Evaluation • Client care • Client expectations
Mosby items and derived items © 2005 by Mosby, Inc.
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