A client diagnosed with a chronic illness tells the nurse that the spo

A client diagnosed with a chronic illness tells the nurse that the spouse is not helping the client with household activities, which is causing stress. Which diagnosis should the nurse identify as being appropriate for the client at this time?

1. Defensive Coping
2. Disabled Family Coping
3. Compromised Family Coping
4. Ineffective Coping

ANSWER

Correct Answer: 3
Rationale 1: Defensive coping is the repeated projection of falsely positive self-evaluation based on a self-protective pattern that defends against underlying perceived threats to positive self-regard.
Rationale 2: Disabled Family Coping is an appropriate diagnosis when the behavior of a significant person disables his or her capacities and the client’s capacities to effectively address tasks essential to either person’s adaption to the health challenge.
Rationale 3: The diagnosis of Compromised Family Coping is applicable if a usually supportive primary person provides insufficient, ineffective, or compromised support, comfort, assistance, or encouragement that might be needed by the client to manage or master adaptive tasks related to the health challenge.
Rationale 4: Ineffective coping is the inability to form a valid appraisal of the stressors, inadequate choices of practiced responses, and/or inability to use resources.