Self Concept Flashcards

1
Q

What is the psychosocial theory?

A

Patient responses to illness are influenced by the relationship among physical pathology, psychosocial health, and overall wellness.

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2
Q

What are some examples of psychosocial influences?

A
  • coping mechanisms (crisis management, emotional well-being)
  • support (family, friends, pets)
  • socioeconomic status (education, career, social network)
  • Environment (accommodations)
  • Physical well-being (diet, goals)
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3
Q

How does a person with healthy self-concept see themselves?

A

The person would have a positive perception of his/her physical appearance, sexual performance, intellect, success, friendships, problem-solving abilities, and unique talents.

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4
Q

What factors affect self concept? And how?

A

Gender- women place high importance on appearance, men on individual success

Developmental Level- as we age it is more guided by self than by others opinions

Socioeconomic status- low status in this area correlates with depression

Family and Peers- gender, values, and place in family affect self concept

Locus of control- Internal- inner voice helps with accountability of choices and are usually more hardy. External- feel a lack of ability to change what happens to them (religion)

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5
Q

What are the four components of self-concept?

A

Body image- cognitive understanding and sensory input affect mental image of self

***Role Performance- actions a person takes in fulfilling a role

Personal Identity- learned through socialization, doesnt change very much, UNIQUE

Self-esteem- how well you like yourself. Difference between ideal self and actual

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6
Q

What should we include in a psychosocial assessment?

A
  • biological, psychological, and social details
  • functional abilities
  • self-efficacy
  • relationships
  • interpersonal communication
  • social resources/networks
  • understanding current illness
  • usual coping mechanisms
  • health priorities
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7
Q

What is the nursing diagnosis of interrupted family processes used for?

A

change in family relationships or functioning

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8
Q

What is the nursing diagnosis of family coping used for?

A

usual support from a partner is compromised or disabled

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9
Q

What is the nursing diagnosis of parental role conflict used for?

A

the parent shows role confusion and or conflict in response to crisis

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10
Q

What is the nursing diagnosis of ineffective individual coping used for?

A

the patient fails to comprehend stressors when they perceive incorrect or dangerous life choices as normal

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11
Q

What is the nursing diagnosis of post-trauma syndrome used for?

A

maladaptive learned response to a traumatic event

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12
Q

What is the nursing diagnosis of risk for loneliness used for?

A

patient is separated from people, culture, home, and other attachments

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13
Q

What is the nursing diagnosis of social isolation used for?

A

patient experiences significant aloneness that is a threat to health

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14
Q

What is the nursing diagnosis of risk for violence (directed at others) used for?

A

a patient threatens or uses aggression or violence to harm others

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15
Q

What is the nursing diagnosis of chronic low self-esteem used for?

A

experiencing ongoing negative self-appraisal

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16
Q

What is the nursing diagnosis of situational low self-esteem used for?

A

patient experiences negative self-evaluations specific to a loss or change

17
Q

What is the nursing diagnosis of disturbed personal identity used for?

A

negative and incorrect assessment of self-identity

18
Q

What is the nursing diagnosis of ineffective role performance used for?

A

patient experiences or perceives difficulty in fulfilling a usual role

19
Q

What is the nursing diagnosis of disturbed body image used for?

A

patient has confused image of his physical self

20
Q

Why can nurses not make a depression diagnosis?

A

its a psychiatric diagnosis! But be alert for associated symptoms and diagnose them according to scope of practice

21
Q

What tools can we use to assess for depression?

A
  • geriatric depression scale

- depression assessment continuum (mood, behavior, thoughts, physical manifestations)

22
Q

***What is self concept?

A

overall view of self

23
Q

***What is role performance?

A

a person’s ability to execute societal as well as one’s own expectations regarding role-specific behaviors (easily compromised by illness or injury)

24
Q

***How can a nurse help a patient overcome powerlessess?

A

by encouraging clients to identify their strengths

25
Q

***What is included in a self esteem assessment?

A
  • perform self esteem inventory

- questions related to body image, role performance, personal identity, and self esteem