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Chapter 41
Self-Concept
21
Nursing
Undergraduate 1
11/25/2013

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Term
Robert age 19yrs has Down syndrome and is mildly developmentally disabled with an intelligence quotient of 82. He told his nurse, "I'm a good helper. You see I can carry these trays because I'm so strong. But I'm not very smart, so I have just learned to help with things I know how to do." Robert most likely has ...
Definition
Positive self-concept and high self-esteem
Term
Joe was asked to make a list of 20 words that describe him. After 15 minutes, Joe listed the following: 25 years old, male, named Joe: then declared he couldn't think of anything else. Joe has demonstrated what?
Definition
Deficient self knowledge
Term
Joe was only able to list three facts, traits or qualities to describe himself. The nurse then asked him to list facts, traits, or qualities that he would like to be descriptive of himself or that he thinks he should have. Joe quickly listed 25 all of which were characteristic of a successful man. When asked if he knew anyone like this he replied, "My father." This discrepancy between Joe's description of himself as he is and as he would like to be indicates what?
Definition
Low self-esteem
Term
David and his wife decided that she will get a job so that David can go to pharmacy school, as he has wanted to do for some time. Their three teenagers, who were involved in the decision, are also getting jobs to buy their own clothes. David plans to work 12 - 16hrs weekly. He states, "I was always an A student but I may have to settle for B's now because I dont wan to neglect my family, and I need to work a few hours so that my wife won't have to work overtime." Davids self expectations are:
Definition
Realistic and positively motivating his development.
Term
This statement made by a parent needs to be followed up with teachings about how to foster healthy development of the self in children.
Definition
"My husband and I both grew up in very restrictive families, we want our children to be free to do whatever they want." Children need structure and guidelines and boundaries.
Term
What intervention would you take first to assist a woman who states that she feels incompetent as the mother of a teenage daughter:?
Definition
Assist the mother to identify both what she believes is preventing her success and what she can do to improve.
Term
This patients is least likely to develop problems related to self-concept?
Definition
A 55-yr-old television news reporter undergoing a hysterectomy.
Term
Juanita sanchez has been in the us only 3 months and has recently suffered the loss of her husband and job. She states that nothing feels familiar, "I don't know who I am supposed to be here" and she misses home (Nicaragua) terribly. This is an example of...
Definition
Personal Identity Disturbance
Term
Jim Boa, a sophomore in HS, has missed a lot of school this year because of leukemia. He said he feels like he is falling behind in everything and misses "hanging out at the mall: with his friends most of all. This is an example of...
Definition
Altered roll performance
Term
Kelly Smith, a college freshman away from home for the first time says, "Why did I have to be born into a family of big bottoms and short fat legs! No one will ever ask me out for a date. Oh, why can't I have long thin legs like everyone else in my class? What a frump I am." This is an example of...
Definition
Body Image Disturbance
Term
Marissa Yule, a 33-yr-old businessperson, is now in couseling attempting to deal with a long-repressed history of sexual abuse by her father. "I guess I should feel satisfied with what I've achieved in life, but I'm never content, and nothing I achieve makes me feel good about myself...I hate my father for making me feel like I'm no good. This is an awful way to life. This is an example of...
Definition
Self esteem Disturbance
Term
Nancy, 36-yrs-old who was divorced 5 yrs ago entered the er department with severe burns and cuts on her face after an auto accident in a car driven by her fianc'e of 3 months. Three weeks later, her fianc'e has not yet contacted her. Nancy states that he is so busy and she is too tired to have visitors anyway. Nancy frequently. This is an example of... lies with her eyes closed and head turned away.
Definition
Self esteem and body image disturbances
Term
What nursing intervention is LEAST likely to assist a severely ill patient with cancer to maintain a positive sense of self?
Definition
fatiguing the patient as little as possible by performing all procedures in silence. (talking to them gives them a sense of worth)
Term
Doris, 16-yrs-old, has a nursing diagnosis of Body Image Disturbance related to severe acne. In planning nursing care, an appropriate goal for this nursing diagnosis is "The patient will....
Definition
demonstrate by diet control and skin care increased interest in control of acne." (this addresses her body image disturbance)
Term
A 4 1/2 -yr-old boy required stitches for a laceration on the eyebrow. After the doctor held him, visited with him, and explained what was going to be done and that his eye would get better and look just like it did before, the boy placed his hands under his hips as instructed and quietly permitted the procedure. He then expressed pride in himself. Evaluation of the effect of this healthcare experience is best expressed in what?
Definition
The child's self-esteem waht enhanced and fear of bodily mutilation decreased, and the parents were given an excellent role model.
Term
self concept
Definition
the mental image or picture of self, has the power to either encourage or thwart personal growth.
Term
self-esteem
Definition
the need to feel good about oneself and to believe that others hold one in high regard.
Term
self-actualization
Definition
the need to reach one's potential through full development of one's unique capability
Term
Identity
Definition
Characteristics, strengths, and fears
Term
Body Image
Definition
Deformity
dependence
Term
Self-esteem
Definition
Socialization, Significance, competence, virtue, power.
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