Coping Flashcards
(32 cards)
A nurse is caring for a client who is in crisis following the breakup of a long-term relationship. The client tells the nurse, I might as well just die. My life is over. Which of the following actions should the nurse first take?
Conduct a suicidal risk evaluation.
A nurse is caring for an older adult client who reports being stressed out about their health status due to problems with short-term memory, slower reaction times when driving, and urinary frequency. The nurse should recognize that the client is experiencing which of the following types of stressors?
developmental stressors
A nurse is caring for a client who has been charged with partner violence against their spouse. The client is angry, pacing, and yells out, I wouldn’t have lost my temper if my spouse would just leave me alone. It’s their fault. The nurse should identify the client is displaying which of the following defense mechanisms.
projection
A nurse is caring for a client who has migraine headaches and reports that they are getting worse. Which of the following questions should the nurse ask the client to determine if the headaches are stress-related disorder?
✅ What type of support is available to you when you have a migraine headache?
✅ What coping strategies do you use when you experience a migraine headache?
A nurse is caring for a client whose partner was recently hospitalized with COVID-19. The client is experiencing manifestations related to the alarm stage of General Adaptation Syndrome. For which of the following manifestations should the nurse monitor?
✅ Hypertension
✅ Dilated pupils
✅ Increased state of arousal
A nurse is planning care for a client who was recently divorced with two young children. The client reports difficulty sleeping, feeling hopeless, and being estranged from family. The nurse should plan to monitor the client for which of the following potential manifestations of chronic stress.
suicide
A nurse is interviewing a client who recently experienced an act of workplace violence when an armed person held the workers at gunpoint before police intervened. The client now reports being anxious and fears a gunman might return. The nurse should identify that the client is experiencing which of the following types of crisis?
adventitious
A nurse in a health clinic is interviewing a client who is upset and reports that their stress is too much to handle. The client is unemployed, a single guardian to young children, and has periodic asthma attacks. Which of the following stress-related conditions is the client experiencing?
allostatic load
A nurse is caring for a college student admitted for acute alcohol intoxication. The client reports feeling overwhelmed and expresses an inability to cope with stressors at school. Which of the following statements should the nurse make?
“Let’s talk about the coping methods that have worked for you in the past.”
A nurse is caring for a client who has delivered a healthy newborn. The client tells the nurse that while they are somewhat stressed about being a new parent, they are thrilled by the birth of their child. The nurse should identify that the client is experiencing which of the following types of stress.
eustress
A nurse is caring for a client who has delivered a healthy newborn. The client is tense, refuses to hold the baby, and tells the nurse, I have no idea how to handle having a baby. I wish this pregnancy never happened. Which of the following statements should the nurse make?
“Becoming a parent is a new experience for you. Let’s talk about your concerns.”
A nurse is providing discharge teaching about health promotion to a client who has a new diagnosis of type 2 diabetes. Which of the following instructions should the nurse include?
✅ Practice mindful breathing – Helps reduce stress, which can improve blood glucose control.
✅ Start each day with a to-do list – Promotes organization and reduces stress.
✅ Develop habits to mitigate stress – Managing stress is key in controlling blood sugar levels.
When an individual is disrupted by stress, the body works to maintain equilibrium by initiating the general adaptive syndrome (GAS), which consists of a three-stage response:
alarm, resistance, and exhaustion
What is the definition of coping?
Coping is a dynamic process involving cognitive and behavioral strategies to manage internal or external situations perceived as difficult or beyond current resources.
What are the antecedents required for effective coping?
Individual perception, life experiences, cognitive and emotional appraisal abilities, and support systems/resources.
What are the attributes of effective coping?
Calm affect, appropriate communication, ability to perform ADLs/IADLs, use of resources.
What happens if antecedents are compromised?
The coping concept may not exist or function optimally, leading to negative outcomes.
What conditions place someone at risk for ineffective coping?
Poor stress perception, trauma, lack of support, chronic illness, or mental health disorders.
What are signs of ineffective or maladaptive coping?
Depression, anxiety, suicide ideation, poor self-care, absenteeism, unsuccessful relationships.
What are examples of positive coping consequences?
Ability to ask for help, medication adherence, job retention, identifying stressors.
How does the nurse assess coping ability?
By evaluating affect, communication, performance of ADLs, and use of support systems.
What nursing diagnoses relate to poor coping?
Ineffective Coping, Anxiety, Powerlessness.
What nursing interventions support adaptive coping?
Emotional support, stress-reduction techniques, therapy referrals, encouragement of resource use.
What is the goal of nursing care in coping issues?
Strengthen compromised antecedents, improve attributes, and produce positive outcomes.
