NURS 362 Self-Concept Paper- Instructions
Self-Concept Paper- Instructions
The chosen client/family system will be assessed according to the components of
self-concept. One self-concept issue will be identified and examined with appropriate
nursing interventions planned to assist the client system to adapt to potential or actual
self-concept alterations. You will begin this paper on your 1st or 2nd clinical day at the
hospital with the assigned patient. This is NOT a patient interview. The information for this
paper is to be derived from your observation, assessment, conversation, and the medical
record documentation.
Directions for the assignment:
1. Client introduction
a. Briefly describe the history pertaining to the chosen client’s present
admission
b. Brief overview of the client’s family situation
c. Your rationale for choosing this particular client for this project
2. Conduct a self-concept assessment of the selected client using the following
guidelines. You may utilize a grid/table to document your self-concept assessments.
a. Intellectual Self
i. Cognitive ability – memory, learning, attention span
ii. Educational level
iii. Creative/artistic abilities/hobbies
iv. Understanding of the illness
b. Physical Self
i. Physical effects of the illness on client’s appearance, function, and
control
ii. Potential threats to sexual self – consider body image from
accident/medical condition/surgical procedure and/or gender identity
● discuss potential threats that YOU think there are given the
patient’s illness
iii. Review of Systems (ROS) – include a detailed, cephalocaudal
comprehensive nursing note of the client. The ROS is to be included
as an appendix to the paper.
c. Moral/Ethical Self
i. Belief system – personal beliefs, values, conscience, religious
preferences
ii. Cultural influences (nationality, ethnicity, food
preferences/requirements, cultural healthcare needs/requirements,
traditions, etc.) (NA is NOT acceptable)
d. Emotional Self
i. Expressiveness in interactions with others
ii. Needs and drives (what motivates the client in terms of health)
iii. Mood and affect related to appearance or feelings about the illness
iv. Support systems available to the client system (family, insurance,
community resources, etc.)
v. Psychological status (history, coping strategies, means of catharsis)
3. Self-Concept nursing diagnosis: Based on the self-concept assessments and
knowledge of the pertinent clinical issues choose one major actual or potential
self-concept issue for this particular client or system
a. Refer to your Taylor text – chapter 40.
b. Identify the major self-concept issue. State the self-concept issue in terms of
a nursing diagnosis.
4. Describe /explain chosen self-concept issue. Use your text to define and discuss
the self-concept issue in your own words.
5. Describe how the chosen issue is affecting the client’s life positively or negatively.
6. Give a specific clinical example seen in YOUR patient of how this self-concept issue
affects the patient. Utilize a scholarly reference to support your example (i.e. your
ostomy patient is depressed – find a scholarly reference that discusses depression
in ostomy patients).
7. Plan of Care:
a. Describe 5 nursing interventions that could be used to specifically assist your
client with the self-concept issue. (each intervention is worth 3 points = 15
points for this section!)Provide a referenced rationale for each intervention;
cite journal article sources in APA format. Interventions should be written in
scholarly, paragraph format. (1.5 points for each rationale = 7.5 points for this
section)
b. Describe how each intervention would or could be implemented for YOUR
client. (1.5 points for each intervention = 7.5 points for this section)
8. Conclusion: Discuss how this paper and client have impacted your awareness of
your own self-concept. Be sure to include how this awareness will influence you in
your career. (This is the ONLY portion of this paper that may be written in first
person.)
9. The project will be submitted in 7th ed. APA student format (title page, heading use,
in text referencing, reference page, appendices, etc.) and judged on writing style,
clarity, proofreading, and grammar.
a. Self-concept assessments may be placed in an appendix and formatted
according to APA style.
b. At least 5 current journal article sources should be utilized in preparing this
assignment. (If you have difficulty finding current articles and did find an older
article that supports your paper, discuss it with your clinical instructor as this
is the person who will grade your paper).
c. This paper will be no more than 10 pages in length which does not include
the title page, reference list, or any appendices if used.
Paper will be submitted via assignments in Brightspace
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