Psychosocial Health & Sexual Health Flashcards

1
Q

What is Self-Concept?

One’s overall view of oneself

Forms from:

Physical appearance / sexual performance

Intellectual abilities / workplace success

Friendships / approval from others

Problem-solving & coping abilities / unique skills & talents

A

What affects our self-concept?

Gender (mostly influenced by role expectations rather than difference in ability; societal contexts)

Developmental level

Family relationships

Peer relationships; +/- effects

Illness & hospitalization (can have a depersonalizing effect)

Locus of control (internal vs external; “inner voice” ⇔ feeling as if lack the ability to change/take control)

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2
Q

Components of Self-Concept

* Body image

* Role performance

* Personal identity

* Self-esteem

A
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3
Q

Components of Self-Concept: Body Image

* Body image is your mental image of your physical self

* Ideal vs. Perceived vs. Actual

* Negative body image has been associated w/

  • Depression
  • Initiation of smoking amongst adolescents
  • Increased risk for unintended pregnancy and sexually transmitted infections (STI)
  • Increased incidence of bullying
A

Ideal (the way you want to look) vs.

Perceived (what someone sees of me) vs.

Actual (what others actually see)

Nursing dx - Disturbed Body Image

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4
Q

Components of Self-Concept: Role Performance

* Actions one takes and the behaviors demonstrated in fulfilling a role

* Can lead to

  • Role strain (mismatch between role expectation & role performance)
  • Interpersonal role conflict (when your view of the role/how to do it is different from someone else’s view of how to do things)
  • Interrole conflict (2 [or more] competing demands; i.e. school/work)
A

Nursing dx - Caregiver role strain

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5
Q

Components of Self-Concept: ?

* Your view of yourself as a unique human being - different and separate from all others

  • Stays constant/consistent
  • Includes gender/identity
  • Can be challenged by serious or chronic illnesses

Nursing dx - Disturbed ___

A

Personal identity

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6
Q

Components of Self-Concept: Self-Esteem

How well a person likes themselves

  • Ideal vs. Perceived vs. Actual comes into play
    i. e. Chronic low self-esteem; Self-care Deficit
A
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7
Q

?

How well we like ourselves

?

How we view ourselves; difference between ideal, perceived, actual

A

Self-esteem

Self-image (or body image)

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8
Q

?

Overall view we have of ourselves

  1. Body ___
  2. ___ performance
  3. Personal ___
  4. Self-___
A

Self-concept

image

Role

identity

esteem

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9
Q

?

A common emotional response to stress

Ranges from normal to abnormal (consider intensity, duration)

Defense mechanisms (e.g. denial, displacement)

Forms - mild, moderate, severe, panic

A

Anxiety

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10
Q

Depression

* Unlike sadness, is marked by a sense of “emptiness”

  • Lacking energy & motivation
  • Withdrawal from society
  • Flat affect

* Occurs most of the day, nearly everyday, for at least 2 weeks

* Occurs in all age groups, including young children and older adults

A

Causative factors ⇒ biochemical reactions; loss; abandonment; emotional detachment; negative thinking; poor family relationships; difficulty w/interpersonal relationships; socioeconomic/political factors

For high-risk clients ⇒ complete suicide risk assessment

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11
Q

?

Is a central aspect of being human throughout life and it encompasses sex, gender identity and roles, sexual orientation, eroticism, pleasure, intimacy, and reproduction

A

Sexuality

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12
Q

Concepts related to Sexuality: Gender

* Gender

* Gender roles

* Gender identity

A
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13
Q

?

Is the biological sex status, male or female, that is determined at the moment of conception; XX or XY chromosomes

A

Gender

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14
Q

?

Is the image we have of ourselves as being a man or a woman

* An internal process

e.g. nonbinary, transgender, transsexual, in-transition, intersex, crossdressing

A

Gender identity

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15
Q

?

Are the societal roles for gender-appropriate behavior

Can vary in cultures

Perceptions of males/females

A

Gender roles

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16
Q

?

Is the tendency of a person to feel attracted to people of a certain gender

e.g. heterosexual, homosexual, bisexual (least understood and accepted)

A

Sexual orientation

17
Q

?

“A state of physical, emotional, mental, and social wellbeing related to sexuality”

Maintenance requires:

* Positive and respectful approach to sexuality and sexual relationships

* Openness and opportunity to have pleasurable and safe sexual experiences, free of of coercion, discrimination, or violence

* The respected, protected, and fulfilled sexual rights of all persons

A

Sexual Health

18
Q

Sexual Health and the Older Adult

* Most older adults are sexually active and regard sexuality as an important part of life

* Sexual problems are more likely to result from failing physical health and medication side effects

* Postmenopausal women report less sexual stimulation and a reduced desire

A

* Older women may experience pain during intercourse due to vaginal dryness

* Older men may experience erectile difficulty

* It is important that we, as healthcare providers, assess sexual health in all clients

19
Q

Sexuality and sexual health are underassessed in healthcare practice

Sexuality is rarely addressed by healthcare professionals

A