NRSG 232 Fundamentals of Nursing - Self-Concept

Flashcards on Self-Concept and Nursing Fundamentals

Self-Concept

The most important single factor affecting behavior; key to effective nurse-client relationships.

Components of Self-Concept

Body Image, Role Performance, Personal Identity, Self-Esteem, Personal Strengths

Self-Esteem

Considered outward (interpersonal) expression of the inner self (intrapersonal). Encompasses: temperament, feelings, character traits, independence, self-esteem, self-concept, behavior, ability to interact with others, and ability to adapt to life changes.

Factors Pertinent to Development of Self-Esteem

Significant Others, Social Role Expectations, Crises of Psychosocial Development, Communication/Coping Style

Criteria People Judge Themselves

Socialization & Communication, Significance, Competence, Virtue, Power

High Self-Esteem Characteristics

Expect people to value them; can accept compliments easily.

Low Self-Esteem Characteristics

Expect people to be critical of them; have difficulty accepting compliments.

Identity Stressors

Impaired ability to achieve goals, Relationship concerns, Unrealistic ideal self

Body-Image Stressors

Effects of Loss of body parts or loss of body functions

Self-Esteem Stressors

Effects of Repeated failures, Lack of positive feedback from significant others, Abusive relations

Role Stressors

Conflicting role expectation, Effects of Change or loss of job, Loss of parent, spouse, Divorce

Strategies to Reinforce Strengths

Stress positive thinking, Notice & verbally reinforce client strengths, Encourage the setting of attainable goals, Acknowledge goals that have been attained, Provide honest, positive feedback

Characteristics of Healthy Self-Concept

High Self-Esteem, Distinct Sense of Identity, Congruence between Real & Ideal Self, Realistic Life Goals, Satisfaction with Role Performance, Spiritual Well-Being, Emotional Stability, Satisfaction with Body Image

Assertiveness

Expressing oneself confidently & comfortably while respecting the rights of others; prerequisite to building self-esteem.

Erikson’s Eight Stages of Development

Trust versus Mistrust (Birth to 18 months), Autonomy versus Shame & Doubt (18 mo-3 yr), Initiative versus Guilt (3 – 5 years), Industry versus Inferiority (6 – 12 years), Identity versus Role Confusion(12 – 20 years), Intimacy versus Isolation (18 -25 years), Generativity versus Stagnation (25 -65 years), Integrity versus Despair (65 years to death)