Self –Concept & Coping. NUR101 Fall 2010 Lecture # 13 K. Burger MSEd , MSN, RN, CNE PPP by: Sharon Niggemeier RN MSN Revised 10/05 kb. Self -Concept. Self-concept : self image Each individual is unique with own self-concept
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NUR101 Fall 2010
Lecture # 13
K. Burger MSEd, MSN, RN, CNE
PPP by: Sharon Niggemeier RN MSN
Revised 10/05 kb
Infant relies on
Autonomy vs Shame and doubt
Gains independence: If expectations too high or low feelings of inadequacy developErikson
Seeks new experiences if restricted becomes hesitant to seek new challenges
Industry vs inferiority
Focuses on achievements and if not accepted develops a lack of self-worthErikson
Transition from childhood to adulthood. Acquires sense of who they are. Confusion if unable to establish sense of direction
Intimacy vs Isolation
Unite self with others –commitments. Fear of commitment results in isolation and lonelinessErikson
Desire to make a contribution to the world. Becoming self absorbed results in stagnation
Ego integrity vs despair
Reminiscence about life -sense of purpose. If believes life was misdirected despair resultsErikson
Attends to needs
Passive “who cares attitude”
Hesitant to express views
Overly Critical of self
Monotone voice – lack of emotion & energy
Neglects own needs
Difficulty making decisions
Avoidance of eye contactHigh self-esteem vs Low self-esteem
Other Dx in which low self-concept is the etiology:
Be comfortable with body imageBe able to describe self positivelyBe able to meet realistic goals Be capable of interacting appropriately with environment and others
- Eleanor Roosevelt
Increased rate/depth respirations
Decreased urinary output
Increased mental alertness
Increased muscle tensionPhysiological Indicators of Stress
AnxietyMild - Panic
Coping Mechanisms(ie: anger, withdrawal, inappropriate laughing and/or crying)
Unconsciousdefense mechanismsPsychological Indicators of Stress
UndoingDefense Mechanismstext review
Factors in the Process of Adaptation
Leads to either:
- localized response of the body to stress- involves only a specific body part
What is of most concern to you at this time?
What have you done in the past to cope with stress?
Do you smoke, use drugs, caffeine intake?
Do you follow a healthy diet ,exercise regime, see you physician regularly?
Change in eating and/or sleeping habits?
Non-verbal cues Eye-contactPostureGrooming/hygiene
Irritability / Tension
What are some others???
The client is able to:
-verbalize cause & effect of stress
-identify and use supports
-practice healthy lifestyle
-utilize effective relaxation techniques