A client repeatedly tells the nurse that “all will be well” and “I’m f

A client repeatedly tells the nurse that “all will be well” and “I’m fine” in response to learning of a health problem that requires immediate surgery. The nurse realizes that which diagnosis is appropriate for the client at this time?

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

ANSWER

Correct Answer: 4
Rationale 1: 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 2: Ineffective coping is the inability to form a valid appraisal of the stressors, inadequate choices of practiced responses, and/or inability to use resources.
Rationale 3: Disabled Family Coping is applicable 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 4: 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.