In this episode of Beyond the Bedside, we break down Chapter 42: Self-Concept into clear, clinical, NCLEX-ready language you can actually use with real patients. We start with the three dimensions of self-concept—self-knowledge, self-expectations, and self-evaluation—then layer in attachment, ACEs, culture, disability, and the impact of illness, aging, and trauma on how people see themselves. Using full case stories of Anthony after a below-the-knee amputation, Melissa the overwhelmed nursing student in academic jeopardy, Delores facing terminal lung cancer, and Marvin adapting to a permanent colostomy, you’ll learn how to recognize disturbed body image, situational low self-esteem, impaired role performance, and threatened personal identity at the bedside. We walk through focused assessment questions, the SCVP framework for self-esteem (significance, competence, virtue, power), and concrete nursing interventions to help patients identify strengths, reframe negative self-talk, maintain a sense of self in the hospital, and support children and older adults at risk. The episode closes with NCLEX-style questions and full rationales so you can connect the theory of self-concept directly to exam thinking and real-world nursing practice.
