Coping

A carpenter with full thickness burns of the entire right arm confides, "Ill never be able to use my arm again and Ill be scarred forever" The nurses best initial response is A. "The staff is taking steps to minimize scarring" B. "Think how lucky you are, you are alive" C. "Try not to worry for now. Concentrate on your range of motion exercises" D. "I know your worried, but it is too early to tell how much scarring will occur"

"I know your worried, but it is too early to tell how kuch scarring will occur"

A female client who had a colostomy recently is asking questions about how normal her life will be now that she has a colostomy. The statement by the client that indicates a need for further teaching is: A. "I wanted another child, and now pregnancy is not an option for me." B. "I must allow extra time for irrigating my colostomy when traveling" C. "It is good to know that I can swim everyday after my incision heals" D. "Im glad I wont have to have special clothing and I can wear what I have"

"I wanted another child, and now pregnancy is not an option for me"

The nurse recalls that the major defense mechanism used by an individual with a phonic disorder is: A. Splitting B. Regression C. Avoidance D. Conversion

Avoidance

Another definition of coping

Being action oriented toward a goal of changing a situation

What is the definition of coping?

Cognitive means and behavioral actions to manage internal or external situations perceived as difficult and/or beyond the individuals current resources.

What are the two mechanisms of coping?

Constructive and destructive

The continuum of coping responses aka the scope is

Effective/adaptive responses <--> ineffective/maladaptive responses

A client is scheduled to be transferred from the coronary care unit to a progressive care unit. The client asks a nurse, "are you sure Im ready for this move?" What does the nurse conclude the client is most likely experiencing? A. Fear B. Depression C. Dependency D. Ambivalence

Fear

A nurse determines that a client who, although ambivalent, is considering an abortion because of financial difficulties and is in crisis. How should the nurse intervene to alleviate the crisis? A. Helping the client express her feelings B. Identifying how family members interact C. Suggesting that the client seek spiritual counseling D. Involving the father in the decision-making process

Helping the client express her feelings

Individual risk factors of coping

Impaired cognition Limited resources Age Changes in health status Chronic health conditions

When a disaster occurs, the nurse may have to first treat mass hysteria that is indicated by what response? A. Panic B. Coma C. Euphoria D. Depression

Panic

When you are presented with a stressful situation you begin by determining if the stressor is a threat. What part of assessing the situation is this?

Primary Appraisal

A man has completed an alcohol detoxification program and is settinf goals for rehabilitation. When setting goals it is important for this client to understand the need to A. Plan to avoid people who drink B. Accept he is a fragile person C. Develop new social drinking skills D. Restructure his life without alcohol

Restructure his life without alcohol

After the intial assessment of the stressor, you evaluate your resources to overcome, eliminate and reduce the stressor. This is what part of the coping response?

Secondary appraisal

Maladaptive coping has their own general risk factors, what are they?

Unable to accurately assess stressor Denial/avoidance Actual/percieved lack of control Actual/percieved lack of support No experience or poor past experiences in managing stress