HE EXAM 3 SELF CONCEPT

self-evaluation is essentially?

"how well do I like myself?"

self knowledge is essentially?

"who am I?"

self-expectation is essentially?

"who or what do I want to be?"

in later adult years, 1. declining __ and possibly __ abilities 2. multiple __ 3. increasing __ 4. impending __ 5. diminished __/__

1. physical, mental 2. losses 3. dependency 4. death 5. choices/options

self-recognition develops when?

18 months

self-definition develops when?

3 years

self-concept develops when?

6 to 7 years

do babies have self concept at birth?

NO

Maslow's Subsets of Esteem Needs Is the need for people to reach their full potential through development of their unique capabilities. •Respect needs: Status, dominance, recognition, attention, importance, appreciation

Self-actualization

self concept affects what two things?

ability to function and influences health status

patient exhibits signs of grief and mourning (shock, disbelief, denial, anger, guilt, acceptance)

adaptive responses to deformity or limitation

during middle childhood, a sense of what is developed?

being trusted and loved, competent

you children fear?

bodily mutilation

•"Describe your body to me." •"What do you like most/least about your body?" •"Is there anything about your body that you would like to change?"

body image

high risk factors for body image include loss of __ __ or function, disfigurement, __ changes

body part, developmental

in adulthood, society places an emphasis on __ of body, fitness, __, sexuality, __, productivity, __ and beauty it is important to meet __ expectations as well

body, energy, style, sophistication role

The state in which a person experiences, or is at risk for experiencing negative self-evaluation about self or capabilities.

chronic (or risk for chronic) low self-esteem or situational (or risk for situational) low self-esteem

depends on whether a person compares themselves well with others

competence

•"What major roles describe you - son, daughter, spouse, parent, employer or employee, student, etc?" •"How important is it to you to be good in each of these roles?" •"Tell me how successful you think you are in each of these roles." •"What roles or expectations would you change if you could?" •"What new skills or behaviors might be necessary to help you resume or modify current roles?" •"What is it for you to lose a role that's been important to you?" •"How can I help you identify other role options or direction?"

compromised role performance

in adolescence the sense of self is __

consolidated

high risk factors of personal identity include __ changes, trauma, biological __ dissonance, and __ dissonance

developmental, sex, cultural

The state in which a person experiences, or is at risk for experiencing, an inability to distinguish between self and non-self.

disturbed (or risk for disturbed) personal identity

The state in which a person experiences confusion in the mental picture of his or her physical self.

disturbed body image

infant learns physical self different from what?

environment

self-evaluation: "how well do I like myself?" self esteem is __ and an __ component of self concepts

evaluative , affective

•"What are the things you need to do to feel important?" •"Is anything interfering with your ability to execute these tasks? How does this make you feel?" •"How important to you is it to feel that others value your work?"

feelings of competence

•"Are there people in your life with whom you share a close relationship?" •"To what extent do you feel loved and approved of by the key people in your life?" •"Does it bother you when you feel unloved or when others fail to appreciate you?" •"In what way do you let family members and friends know that you like them or are proud of their accomplishments?"

feelings of significance

based on behaviors incongruent with the ideal sef

guilt

self esteem is how you feel about those things you know, like whether you enjoy the fact that you are talkative at parties

high self esteem

a concept of who they think they would like to be

ideal self

insufficient or excessive quantity or ineffective quality of social exchange

impaired social interaction

another possible nursing diagnosis is?

ineffective coping

The state in which a person experiences, or is at risk for experience, a disruption in the way that a person perceives his or her role performance.

ineffective role performance

self awareness develops when?

infancy

what is important to young children?

intact body

•"Who do you feel is important to you?" •"Is there anyone you feel you can depend on for help if you need it?" •"How do you feel about your relationships?" •"Tell me about changes you've noticed in your ways of meeting and interacting with others?" •"Many people have 'people' problems. Are your relationships causing you any problems right now?"

interpersonal relationships

self concept encompasses what people __ and __ about themselves

know, believe

self concept evolves throughout __ and depends to an extent on an individual's __ level

life, developmental

self esteem is how you think that you are annoying and need to learn to shut up sometimes

low self esteem

Patient continues to deny and to avoid dealing with the deformity or limitation, engages in self-destructive behavior, talks about feelings of worthlessness or insecurity, equates deformity or limitation with whole person, shows a change in ability to estimate relationship of body to environment

maladaptive responses to deformity or limitation

"how would you describe yourself to other?"

personal identity

positive and negative self-assessments in the __, __, __, and __ dimensions change OVER time

physical, emotional, intellectual, functional

if basic needs are met, then the child has what kind of feelings about the self?

positive

having some control over being who you are

power

based on positive self-evaluation

pride

parental influences on self-concept are often __; peers become more __; movement toward development of own __

rejected, important, identity

•Patient assumes responsibility for care (makes decisions), develops new self-care behaviors, uses available resources, interacts in a mutually supportive way with family.

response to independence-dependence patterns

in adolescence there is a development of?

secondary sex characteristics, rapid body changes

an individual's perception of self and is what helps make each individual unique

self concept

Maslow's Subsets of Esteem Needs Is the need that people have to feel good about themselves and to believe that others hold them in high regard. •Strength, achievement, mastery and competence, confidence in the face of the world, independence, freedom

self esteem

refers to how people feel about themselves

self esteem

•"Tell me what you like about yourself." •"What would you change about yourself if you could?"

self esteem

self concept includes all notions, beliefs, and convictions that constitute an individual's __ __ and that influence that individuals __ with others

self knowledge, relationships

at birth, babies are just beginning to differentiate between the __ and __

self, nonself

differences between __ and __ are strong in childhood

self, others

•"You've told me something about who you are and how you view yourself now. Tell me who you would like to be in the future." •"What life goals are important to you?" •"Are these expectations realistic?" •"Are your expectations stemming from who you would like to be or from who you think you should be?" •"Who or what has influenced your self-expectations?"

self-expectations

•Sex, age, race, occupation, cultural background, sexual orientation •Person's position within social groups •Qualities or traits that describe typical behaviors, feelings, moods, and other characteristics

self-knowledge

what are the three dimensions of self-concept?

self-knowledge, self-expectation, self evaluation

•"How important is it to you to 'be in control' of your life (health)?" •"To what extent did you feel 'in control' of your life (health) before this illness (trauma, crisis)?" •"To what extent do you feel 'in control' of your life (health) currently?" •"How might you change this? How can nurses help you to develop and gain more control?"

sense of power

•"Tell me something about the moral-ethical principles that govern your life?" •"How must you live to describe yourself as a 'good' person?" •"Describe any difficulties you experience in living up to your moral principles that you would like to discuss?" •"In what ways can the nurses help you to live better according to your moral standards?"

sense of virtue

in adolescence, emphasis is put on what?

sexual identity

associated with low global self-worth

shame

a feeling of being loved and cared about by the people important to you.

significance

what are Coopersmith's four bases of self-esteem?

significance, competence, virtue, power

child or adult internalizes __ of __

standards, society

Individuals have a concept of self based on who they think they are

the actual self

child internalizes other people's attitude towards what?

the self

I am a good person

virtue

NURSING STRATEGIES TO IDENTIFY PERSONAL STRENGTHS

•Helping patients identify and use personal strengths •Helping at-risk patients maintain a sense of self •Enhancing or modifying the self-concept •Developing a positive body image •Working with parents and educators to develop self-esteem in children, adolescents, and older adults

SIX VARIABLES THAT INFLUENCE SELF ESTEEM

•Socialization •Communication •Significance •Competence •Virtue •Power