2. Self-Concept

3. How one thinks and feels about oneself Development of self-concept is a complex, lifelong process

4. Components Identity Body image Role performance Self-esteem

5. Role Performance Behaviors Reinforcement-extinction Inhibition Substitution Imitation Identification

6. Self-Concept Stressors Identity stressors Body image stressors Role performance stressors Conflict Ambiguity Strain Overload Self-esteem stressors

7. Effects on Self-Concept Family Nurse

8. Assessment Coping behaviors Significant others Client expectations

9. Nursing Diagnoses Examples Disturbed personal identity Ineffective coping Disturbed body image Chronic low self esteem

10. Planning Goals and outcomes Priorities Continuity of care Cultural considerations

11. Implementation Health promotion Acute care Restorative care

12. Evaluation Client care Client expectations

13. The Experience of Loss, Death, and Grief

14. Loss Actual loss Perceived loss Maturational loss Situational loss

15. Grief Mourning Bereavement

16. Theories of Grief Kubler-Ross’s stages of dying Bowlby’s phases of mourning Worden’s four tasks of mourning Application of theories to other types of loss

17. DENIAL ANGER BARGAINING DEPRESSION ACCEPTANCE Kubler-Ross Stages of Dying

19. Types of Grief Anticipatory grief Complicated grief Disenfranchised grief

20. Assessment Type and stage of grief Grief reactions Factors that affect grief End-of-life decisions Nurse’s experiences Client expectations

21. Factors Influencing Loss and Grief Human development Psychosocial perspectives Socioeconomic status Personal relationships Nature of the loss Culture and ethnicity Spiritual beliefs

22. Culture and Death Rituals, Mourning Practices

23. Death Rituals by Culture African American Chinese Hindu Jewish Mexican Arab Japanese

24. Nursing Diagnoses Anticipatory grieving Dysfunctional grieving Hopelessness Powerlessness Spiritual distress

25. Planning Goals and outcomes Setting priorities Continuity of care

26. Implementation Therapeutic communication Promoting hope Facilitating mourning Postmortem Care

27. Palliative Care Symptom control Maintaining dignity and self-esteem Preventing abandonment and isolation Providing a comfortable and peaceful environment Therapeutic Communication Promote spiritual comfort

28. Supportive Care Support for the grieving family Assist with end of life decision making Hospice care Care after death (postmortem care) Grieving nurse

29. Evaluation Client care Client expectations

30. Sexuality

31. Sexual Development Infancy and early childhood School-age years Puberty/adolescence Young adulthood Middle adulthood Older adulthood

32. Sexual Response Cycle Desire Arousal Orgasm

33. Sexual Orientation Heterosexual Homosexual Bisexual

34. Contraception Nonprescription methods Abstinence Barrier methods Timing methods

35. Contraception Prescription/health care intervention methods Hormonal Intrauterine devices Diaphragm/cervical cap Sterilization

36. Sexually Transmitted Diseases Syphilis Gonorrhea Chlamydia Trichomoniasis Human papillomavirus (HPV) Herpes simplex virus (HSV)

37. Sexually Transmitted Diseases Human immunodeficiency virus (HIV) AIDS Transmission Exposure categories Education Cultural considerations

38. Sociocultural Influences on Sexuality Pregnancy and menstruation Discussing sexual issues

39. Decisional Issues Related to Sexuality Contraception Abortion STD prevention

40. Alterations in Sexual Health Infertility Sexual abuse Personal and emotional conflicts Sexual dysfunction

41. Assessment Factors affecting sexuality Sexual health history Sexual dysfunction Physical assessment Client expectations Nursing diagnosis Cultural considerations

42. Planning Goals and outcomes Priorities Continuity of care

43. Implementation Health promotion Acute care Restorative care

44. Evaluation Client care Client expectations

45. Spiritual Health

46. Caring for the whole person Accepting beliefs and experiences Helping with issues surrounding meaning and hope

47. Framework of Systemic Organization Maintenance Change Coherence Individuation

48. Traditional Concepts Spirituality Faith Religion Hope

49. Problems—Spiritual Distress Acute illness Chronic illness Terminal illness Near-death experience

50. Assessment JAREL spiritual well-being scale Faith/belief Life and self-responsibility Life satisfaction Culture Fellowship and community Ritual and practice Vocation Client Expectations

51. Nursing Diagnoses Spiritual distress Readiness for enhanced spiritual well-being Fear Hopelessness

52. Planning Goals and outcomes Setting priorities Continuity of care

53. Implementation Establishing presence Supporting a healing relationship Support systems Diet therapies Supporting rituals Prayer Meditation Supporting grief work Pastoral Care

54. Evaluation Client care Client expectations