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Mental status > ch 33 potter self-concept > Flashcards

ch 33 potter self-concept Flashcards

1
Q

is an individual’s view of self

-complex mixture of unconscious and conscious thoughts, attitudes, and perceptions.

A

Self-concept

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2
Q

how one feels about oneself

A

self-esteem

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3
Q

loss of bodily function, decline in activity tolerance, and difficulty in managing a chronic illness are examples of

A

situations that change a patient’s self-concept.

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4
Q

tend to rate themselves higher than they rate other children, suggesting that their view of themselves is positively inflated

A

young children (school-age childs self concept)

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5
Q

is a particularly critical developmental period when many variables, including school, family, and friends, affect self-concept and self-esteem

A

Adolescence

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6
Q

Boys often have better overall self-concepts than girls, particularly in physical and social domains

A

Boys have better self-esteem than girls (adolsencde)

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7
Q

Job satisfaction and overall performance in adulthood are also linked to self-esteem

A

adulthood

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8
Q

across the life span can impact health behaviors.

A

Cultural variations in self-concept and self-esteem

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9
Q

is one of the major elements of self-concept and a key aspect of self-esteem

A

cultural identity of older adults

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10
Q

is a risk factor that leaves one vulnerable to health problems,

A

Lower self-esteem

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11
Q

and strong social relationships support good health

A

higher self-esteem

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12
Q

Statements such as “I can get through anything” or “I’ve never been sick a day in my life” indicate that a person’s thoughts about personal health are positive

A

positive perceptions

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13
Q

regarding health status are reflected in such statements as “It’s not worth it anymore” or “I’m a burden to my family.”

A

Negative perceptions

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14
Q

such as “I’ll never get any better” or “I can’t stand to look at myself anymore.”

A

Chronic illness affects identity and body image as reflected by verbalizations

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15
Q
  • Develops trust following consistency in caregiving and nurturing interactions
  • Distinguishes self from environment
A

Trust versus Mistrust (Birth to 18 Months)

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16
Q
  • Begins to communicate likes and dislikes
  • Increasingly independent in thoughts and actions
  • Appreciates body appearance and function (e.g., dressing, feeding, talking, and walking)
A

Autonomy versus Shame and Doubt (18-24 Months to 3 Years)

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17
Q
  • Identifies with a gender
  • Enhances self-awareness
  • Increases language skills, including identification of feelings
A

Initiative versus Guilt (3 to 5 Years)

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18
Q
  • Incorporates feedback from peers and teachers
  • Increases self-esteem with new skill mastery (e.g., reading, mathematics, sports, music)
  • Aware of strengths and limitations
A

Industry versus Inferiority (6 to 11 Years)

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19
Q
  • Accepts body changes/maturation
  • Examines attitudes, values, and beliefs; establishes goals for the future
  • Feels positive about expanded sense of self
A

Identity versus Role Confusion (12 to 18 Years)

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20
Q
  • Has stable, positive feelings about self

* Experiences successful role transitions and increased responsibilities

A

Intimacy versus Isolation (Late Teens to Mid-40s)

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21
Q
  • Able to accept changes in appearance and physical endurance
  • Reassesses life goals
  • Shows contentment with aging
A

Generativity versus Self-Absorption (Mid-40s to Mid-60s)

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22
Q
  • Feels positive about life and its meaning

* Interested in providing a legacy for the next generation

A

Ego Integrity versus Despair (Mid-Late 60s to Death)

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23
Q

is a time of marked maturational changes and shifting levels of self-esteem that set the stage for rises in self-concept from adolescence to young adulthood

A

Adolescence

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24
Q

emphasis on the generativity stage explains the rise in self-esteem and self-concept in adulthood

A

Erikson’s (1963)

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25
Q

involves the internal sense of individuality, wholeness, and consistency of a person over time and in different situations

A

Identity (component of self-esteem)

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26
Q

are identity, body image, and role performance.

A

components of self-concept

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27
Q

Being “oneself” or living an authentic life is the

A

basis of true identity

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28
Q

learn culturally accepted values, behaviors, and roles through identification and modeling
-often gain an identity from self-observations and from what individuals tell them

A

Children (identity)

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29
Q

must be able to bring together learned behaviors and expectations into a coherent, consistent, and unique whole

A

To form an identity, a child

30
Q

is a part of identity, and its focus differs across the life span

A

Sexuality (identity)

31
Q

, the focus shifts from procreation to companionship, physical and emotional intimacy, and pleasure seeking

A

adult ages (sexuality changes)

32
Q

is a person’s private view of maleness or femaleness;

A

Gender identity

33
Q

is the masculine or feminine behavior exhibited. This image and its meaning depend on culturally determined values

A

gender role

34
Q

develops from identification and socialization within an established group and through the experience of integrating the response of individuals outside the group into one’s self-concept

A

Cultural identity

35
Q

involves attitudes related to the body, including physical appearance, structure, or function

A

Body image (component of self-concept)

36
Q

Feelings about body image include those related to sexuality, femininity and masculinity, youthfulness, health, and strength.

A

Body image (component of self-concept)

37
Q
  • eating disorder anorexia nervosa.
  • Other alterations occur as a result of situational events, such as the loss or change in a body part.
  • way others view a person’s body and the feedback offered are also influential
  • Cognitive growth and physical development also affect body image
A

influencing Body image (component of self-concept)

38
Q

Normal developmental changes such as puberty and aging have a more apparent effect on body image than on other aspects of self-concept.

A

puberty & age bigger impact on Body image

39
Q

Hormonal changes during .

A

adolescence influence body image

40
Q

development of secondary sex characteristics and the changes in body fat distribution have a tremendous impact on an
-including disordered eating and exercise

A

adolescent’s self-concept.

41
Q

Changes associated with aging (e.g., menopause; wrinkles; graying hair; and decrease in visual acuity, hearing, and mobility) also

A

affect body image in an older adult

42
Q

and influence one’s attitudes

A

Culture and society dictate the accepted norms of body image

43
Q

is the way in which individuals perceive their ability to carry out significant roles (e.g., parent, supervisor, partner, or close friend).

A

Role performance (component of self-concept)

44
Q

involves having more roles or responsibilities within a role than are manageable

A

Role overload

45
Q

results when people do not maintain a clear, consistent, and continuous consciousness of personal identity

A

Identity confusion

46
Q

are nonverbal behaviors.

A

Key indicators of a patient’s self-concept

47
Q

is a psychological/emotional issue, not a physical issue for vital signs

A

Self-concept

48
Q

results when a person has to simultaneously assume two or more roles that are inconsistent, contradictory, or mutually
exclusive

A

Role conflict

49
Q

identity, body image, coping behaviors, and significant others’ support

A

Assessment of self-concept includes

50
Q

Because how one thinks about oneself

A

self-concept

51
Q

is an individual’s overall feeling of self-worth or the emotional appraisal of self-concept.
- It is the most fundamental self-evaluation because it represents the overall judgment of personal worth or value

A

Self-esteem

52
Q

is any real or perceived change that threatens identity, body image, or role performance

A

self-concept stressor

53
Q

including the number of stressors, duration of the stressor, and health status

A

reestablish balance following a stressor is related to numerous factors,

54
Q

effectiveness of coping strategies, and social support in all patients

A

Assess self-esteem

55
Q

supportive and educational resources are valuable in helping a person learn new ways of coping with and responding to the stressful event or situation to maintain or enhance self-concept

A

self-concept crises

56
Q

Cultural and social stressors rather than personal stressors have

A

more impact on an adult’s identity.

57
Q

Compared with an adolescent, an adult generally has a more stable identity and thus a more firmly developed self-concept

A

adult generally has a more stable identity

58
Q

Inability to adapt to identity stressors can result in identity confusion regardless of stage of life.
-ex: 35-year-old recently divorced mother of twins

A

identity confusion

59
Q

amputation, facial disfigurement, or scars from burns are obvious stressors affecting body image

  • Chronic illnesses such as heart and renal disease
  • pregnancy, significant weight gain or loss, pharmacological management of illness, or radiation therapy changes body image.
A

body image stressor

60
Q

Situational transitions occur when parents, spouses, children, or close friends die or people move, marry, divorce, or change jobs.

A

Role changes (role performance stressors)

61
Q

shift along the continuum from illness to wellness is as stressful as a shift from wellness to illness.

A

Any of these transitions may lead to role conflict, role ambiguity, role strain, or role overload.

62
Q

involves the expectations of others and society regarding how an individual behaves when sick.

A

sick role (role performance stressors)

63
Q

when general societal expectations (take care of yourself, and you will get better) and the expectations of co-workers (need to get the job done regardless of illness) collide.

A

Role conflict occurs

64
Q

involves unclear role expectations, which makes people unsure about what to do or how to do it, creating stress and confusion.

A

Role ambiguity (common in adolscence years)

65
Q

employees often become unsure about job expectations.

A

complex, rapidly changing, or highly specialized organizations

66
Q

combines role conflict and role ambiguity

A

Role strain

67
Q

involves having more roles or responsibilities within a role than are manageable.

A

Role overload

68
Q

vary with developmental stages

A

Self-esteem stressors

69
Q

include failure in work and unsuccessful relationships

A

Stressors affecting the self-esteem of an adult

70
Q

include health problems, declining socioeconomic status, spousal loss or bereavement, loss of social support, and decline in achievement experiences following retirement

A

Self-esteem stressors in older adults

71
Q

first assess the family’s style of relating

A

To reverse a patient’s negative self-concept

Mental status (69 decks)

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