what is one of the most important influences on a child's development - parents
a child's positive self esteem and school achievements are fostered by parents who - respond in a firm,
consistent and warm manner
a child's negative self esteem is fostered by parents who - respond in a harsh, inconsistent, and low-self
esteem parents
self concept - how an individual THINKS of themself; subjective involving a mix of thoughts, attitudes,
and perceptions
-directly affects self-esteem
self esteem - how an individual FEELS about themselves; overall feeling of self worth; represents overall
judgement of personal worth
development of self concept is - a life long process
self concept is based on - -sense of competency
-perceived reactions of others to one's body
-ongoing perceptions and interpretations of the thoughts and feelings of others
-personal/professional relationships
-academic/ employment related identity
-personality characteristics that affect self-expectations
-perceptions of events that have impact on self
-mastery of prior/new experiences
-cultural identity
,factors influencing self concept - -real/perceived change that threatens ID, body image, or role
performance
-changes that occur in physical, spiritual, emotional, sexual, familial, and sociocultural health
-other crises
Erikson's Psychosocial Theory - each stage builds on tasks of the previous stage, successful mastery leads
to sense of self
Infancy (Erikson stage) - trust vs mistrust
early childhood (Erikson stage) - autonomy vs shame and doubt
preschool (Erikson stage) - Initiative vs. guilt; Show independence...line leader!
school age (Erikson stage) - industry vs inferiority
adolescence (Erikson stage) - identity vs role confusion
young adulthood (Erikson stage) - intimacy vs isolation
middle adulthood (Erikson stage) - generativity vs stagnation
maturity (Erikson stage) - ego integrity vs despair
Nurse's Effect on Patient's Self-Concept - -remain aware of own feelings, ideas, values, expectations, and
judgments
-use pos. and matter of fact approach
-build trusting relationship
-be aware of facial/body expression
, components of self concept - -identity
-body image
-role performance
identity confusion occurs when - there is an inability to adapt to identity stressors
role performance stressors - -role conflict
-role ambiguity
-role strain
-role overload
identity - internal sense of individuality, wholeness, and consistency of a person over time
body image - involves attitudes related to physical appearance, structure, or function
role performance - role conflict, role ambiguity, role strain, role overload
nursing process with self concept (assessment) - patient-centered care, direct questioning, observe non-
verbal behavior (content of convo), use your own knowledge of developmental stages, through patient's
eyes, coping behaviors (previous coping strategies as well), significant others (have insights into pt's way
of dealing with stressors)
nursing process with self concept (implementation) - -Healthy lifestyle behaviors: nutrition, exercise,
sleep/rest
-Acute care: address stressors
-Restorative care: acts to solve problems and cope with stressors; allow patient to explore
thoughts/feelings; help patient identify problems and identify coping mechanisms
nursing process with self concept (evaluation) - positive self-concept, verbalizing statements of self-
acceptance
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