Concept of Self

Question 1

What is effective responses?

Answer 1

(adaptive) responses through realistic perception of self. - The nurse identifies and promotes adaptation of effective responses.

Question 2

What ineffective responses?

Answer 2

(maladaptive) responses through unrealistic perception of self
- The nurse identifies and helps the individual get thought negative thoughts

Question 3

Self concept / perception

Answer 3

how a person identifies themselves, it is conscious and unconscious - Includes thoughts and attitude

Question 4

Self Esteem

Answer 4

How a person feels about themselves
- Thoughts come first, people react on feelings, always and underlying thought

Question 5

Self identity

Answer 5

recognizing self-quality and self-potential, who you really are always all the time

Question 6

Self awareness

Answer 6

individual patters of values, behaviors, needs, beliefs,
- FIRST thing you need to give effective good patient care
- Ongoing throughout lifetime

Question 7

Body image

Answer 7

attitudes in relation to the body
- Very socially and culturally defined

Question 8

Values

Answer 8

Abstract standards that represent an ideal for us
- Deep held beliefs
- A lined with attitudes

Question 9

What are some factors that influence development of self concept?

Answer 9

o Family/ childhood caregivers negatively, positively
o Cultural identity (=provides roots deeper then ourselves
o Mastery of developmental tasks (=how well one does
o Sense of competence
o Body image
o Relationships
o Achievements

Question 10

What are some self concept stressors?

Answer 10

o Altered identity loss of identity, loss of self from divorce, growing up,
o Altered body image
o Altered role performance changes thoughout life, some are expected some are not
o Altered self-esteem

Question 11

What are some indivudual risk factors related to alterd self esteem?

Answer 11

 Cognitive, physical, or emotional deficits.
 Age:
 Sociocultural impact that is also altered- more than one problem illness w/ financial problems…
 Coping mechanisms in place

Question 12

what are some physiologic and psychological consequences of altered self esteem?

Answer 12

o Anxiety, personality, and mood disorders (depression, mania)
o Ineffective intra and inter personal communication
o Lowered stress threshold and ineffective coping

Question 13

What are some things a nurse should be aware of regarding there assessment of themselves?

Answer 13

• Public image: drugs, alc, abusive in public, will not be trusted in a work environment
   Work environment: – will you be a constructiveness or deconstructivism
   Education: will you embrace life long learning… always growing
   Professional, social, cultural values
• Determine impact of family, education, abilities, society, culture on yourself
• Attitudes (prejudices, stereotyping
• Communication self-analysis
• Values assessment, examination, & clarification – Why? Because it closes the gap in what you do vs. what you say.
   Assist you in gaining self-awareness
   3 steps in the valuing process
  o 1. Choose value freely after considering alternatives
  o 2. Prize that value, let others know that
  o 3. Act on value

Question 14

When assessing a patient what are some things you should look for?

Answer 14

 Nurse’s effect on a patient’s self-concept
 Determine impact of family, education, abilities, society, culture on their self always be aware what you could be doing to the patient’s self-concept
 Trust: develops first, but trust is intrinsic,
 Caring: focus is on patient
 Active listening:
 Empathy: knowing and understanding how someone else feels
 Presence: be there physically and sycologically
 Building rapport: help and listen develop trust, concentrate
 Accepting, positive approach: watch reaction
 Boundaries:
 Transference – projects thoughts and feelings from the past to the present
 Countertrasference – the nurse does this
o Boundaries – nurses who focus time on one patient, visit patient on off hours, do things for patient that they can do themselves, discount other actions of care to certain patients, resent other care of nurses to other patients, consistently think about patient when off duty
 Communication (verbal & nonverbal):
 Attitudes (prejudices, stereotyping): patients may also have this to patient, may reflect previous experiences,

Question 15

What are some nursing interventions?

Answer 15

o Health Promotion (Primary prevention) living a healthy lifestyle
o Restorative and continuing care
o Strengthen or maintain patient’s coping skills identify coping skills
o Referral to community services
o Minimize stressors
 Community education (parents, schools, youth groups, senior citizens’ groups):
 Stress management and reduction techniques
 Health education/promotion: very common nurse intervention
 Family enhancement help family help themselves
 Social support enhancement and network building
 Collaborative interventions
 Counseling: may suggest or refer