copyright © 2011 delmar, cengage learning. all rights reserved. chapter 22 self-concept

Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED.

Chapter 22

Self-Concept


Components of Self-Concept

• Identity

• Body image

• Self-esteem

• Role performance– Stressors affecting role


Identity

• Sets each person apart as unique, including:– Name

– Gender

– Ethnicity

– Family status

– Occupation

– Roles


Body Image

• Attitudes about– Physical attributes and characteristics

– Appearance

– Performance

• Dynamic concept


Self-Esteem

• Generalized sense of worth

• Evaluation of self

• Calculated on basis of achieving factors one values most


Role Performance

• Set of expected behaviors determined by familial, cultural, and social norms

• Simultaneous roles– Each with set of expected behaviors

(continued)


Role Performance

• Stressors affecting role:– Inability to fulfill responsibilities

– Role conflict• Inter-role conflict

• Interpersonal conflict

• Role overload

• Person-role conflict


Development of Self-Concept

• Ongoing process– Interpersonal and cultural experiences

– Self-perceived competence

– Self-actualization

• Childhood

• Adolescence

• Adulthood


Factors Affecting Self-Concept

• Altered health status

• Developmental transitions

• Experience


Self-Concept and the Nursing Process

• Assessment– Consider developmental level and chronological

age

– Determine strengths and weaknesses

– Ask client to describe appearance, abilities, and accomplishments

(continued)



• Diagnosis– Self-concept disturbances

• Feelings of anxiety, hostility, guilt, and shame

• Affect every aspect of person’s life

– Disturbed body image

– Parental role conflict

– Disturbed personal identity

(continued)



• Diagnosis– Ineffective role performance

– Chronic low self-esteem

– Situational low self-esteem

– Anxiety

– Social isolation

– Hopelessness

– Powerlessness

(continued)



• Outcome identification and planning– Promote sense of well-being

– Facilitate growth

(continued)



• Implementation– Initiate therapeutic interaction

– Support healthy defense mechanisms

– Ensure satisfaction of needs• Physical

• Psychosocial

(continued)



• Implementation– Promote positive self-esteem across life span

• Childhood

• Adolescence

• Adulthood

(continued)



• Evaluation– Client’s behaviors and attitudes

– Congruence of targeted self-concept and plan of care

– Change requires time, patience, and support

copyright © 2011 delmar, cengage learning. all rights reserved. chapter 22 self-concept

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