.

Auxtero, Danna Kim A

BSN 1-F

NURSING INTERVENTION TO PROMOTE HEALTHY PSYCHO-SOCIAL RESPONSES .1

?A. What are the four dimensions of self-concept
Identity - involves the internal sense of individuality, wholeness, and consistency of a ●
.person over time and in different situations. It implies being distinct and separate from others
Role Performance - involves attitudes related to the body, including physical appearance, ●
.structure, or function
Body Image - – is the way in which individuals perceive their ability to carry out ●
significant roles (e.g., parent, supervisor, or close friend)
Self-esteem - is an individual’s overall feeling of self-worth or the emotional appraisal of ●
self-concept

?B. What are the different stressors affecting self-concept

Identity stressors - individuals are particularly vulnerable during adolescence ●
Role performance stressors - role of ambiguity, role overload, role conflict, role strain ●
Body image stressors -a change in appearance, structure or function of a body part ●
Self-esteem stressors - vary by developmental stage ●

?C. What are the nursing interventions to promote and enhance self-concept

Nursing Intervention Rationale

Act as a role model for the patient or significant others
.in healthy expression of feelings or concerns
Spend time with the patient; set aside enough time so
.that the encounter is calm and deliberate
Provide privacy
Apply active listening and open-ended questions
Consider the “normal” impact of change on self-
esteem. Reassure the patient that such modifications
often occur in a variety of emotional or behavioral
.responses
Support the patient in his or her attempts to secure
autonomy, reality, positive self-esteem, sense of
.capability, and problem-solving
Patients may want an example of positive measures to
display feelings
Having enough time for the patient conveys the nurse’s
.interest in and acceptance of the patient’s feelings
Private discussions need to take place in a setting where
the patient is free to express feelings without being
.overheard
These communication methods permit the patient to
verbalize interests, concerns, worries, and thoughts
without interruption. It will convey a sense of respect for
the patient’s abilities and strengths in addition to
..recognizing problems and concerns
Disturbances in self-esteem are natural responses to
important changes. Reconstitution of the patient’s self-
esteem occurs as part of the patient’s adjustment to
.change
The patient needs continuous positive feedback and
.support to manage behaviors to promote self-esteem

Give anticipatory direction to reduce anxiety and fear The patient requires a view that places the change in self-
if interference in self-esteem is an expected part of the esteem within the context of the normal recuperative
.process of adjustment to changes in health status .process
Educate the patient to join in activities anticipated to
.result in healthy self-esteem
Present referral information about community
resources, self-help groups, and professional
.counseling
Educate the patient about the harmful effects of
.negative self-talk
/Reference: https://nurseslabs.com/situational-low-self-esteem
The patient needs to explore options to improve self-
esteem by substituting negative behaviors with positive
.actions
Professional and community sources of support provide
the patient with more resources to sustain the work of
.rebuilding positive self-esteem
Recognition of unfavorable thoughts can lift the patient
to develop new techniques for coping. The patient must
replace negative beliefs and ideas with positive thoughts
.about self
Gloria and her husband John live in a residential community from which John commutes to work .2
in a nearby city. Gloria runs an accounting business from their home. They have two teenage boys
who need transportation to many extracurricular activities. Gloria and John teach Sunday school and
are Boy Scout leaders. Gloria's mother has just had knee replacement surgery and cannot take care
of Gloria's father, who has early-stage Alzheimer's disease. In addition to her own home
responsibilities. Gloria must go to her parents' home to prepare meals and to provide care for them
.during the day. Gloria's sister sleeps in the parents' home during the night

.Assess/Diagnose: How would you go about determining Gloria and John's individual stressor A
How might you classify the stressors (anticipatory, physiological and/or psychosocial)? Discuss some
:possible manifestations of these stressors
They are both going through psychological stressors. With the situation they are in, it -
increases their work responsibilities and challenges their adaptive capabilities. They might feel
feelings of inadequacy and frustration if they fail to do things as needed. They might also not be able
.to get enough rest which can affect their overall being

B. Plan/Intervention
Encourage how to manage time -
Encourage for social support. Gloria may ask help from her sister so that she won't have to -
.do it all by herself
Encourage client to take breaks and have enough rest. Ability to manage stress decreases -
.when tired

Nursing school can be very stressful. It is important to find methods to cope with this type of stress
.early in your nursing academic life
A. Discuss a few interventions in which you might use in the future to help cope with nursing school
stress
.Learning how to manage time -
.Ensuring the right amount of sleep. Not getting enough sleep can increase levels of stress -
Develop effective ways of communicating, setting boundaries, being mindful, knowing and -
.acknowledging needs, and setting priorities
.Maintaining a healthy diet-
.Get emotional support-
.
B. Identify at least one outside source that you might reach out to for assistance in coping with
stress (There are several right on campus)
.It can be my friends or family. Being able to vent out to them helps relieve stress -