Coping

A client had a breast biopsy that was positive for adenocarcinoma and is scheduled for a mastectomy. She has two young children and she is very concerned with the prognosis. She states that she feels at an all-time low in her life and wants to know ways to help her adjust to this news. Which nursing statement would best assess the client's coping abilities?

"What ways have you used to help reduce stress and help you cope with significant events in your life?"

A middle-aged adult discusses with the nurse the loss of his job due to frequent illness. The nurse recognizes the patient's loss of his income as which of the following?

A stressor

The nurse is working with a patient to assist him in "reframing" his thoughts regarding a new diagnosis of diabetes. Which of the following best defines reframing?

Altering a perception of a situation from a negative view to a positive view

The nurse caring for a client diagnosed with melanoma has identified a nursing diagnosis of "Ineffective coping." What subjective assessment data would provide evidence for this nursing diagnosis?

Client's report of increased consumption of alcohol

A client who has multiple sclerosis (MS) has been diagnosed with ineffective coping related to a diagnosis of chronic health alteration. What outcome is least appropriate to include in a plan of care?

Communicates a sense of helplessness to his spouse.

A nursing diagnosis of "Ineffective coping" has been chosen for a client after receiving a diagnosis of prostate cancer. What assessments would the nurse consider as evidence for this diagnosis?

The client has difficulty concentrating on the details of treatment options. The client states, "I can't handle all of this." The client reports an inability to get adequate restful sleep.

Which client action should the nurse judge to be a healthy coping behavior for a male adolescent after an appendectomy?

insisting on wearing a T-shirt and gym shorts rather than pajamas