A nurse in the oncology clinic uses Aguilera's theory of coping to work with patients. After assessing the patient's usual coping strategies and the patient's perception of the event, what action should the nurse take next?
a. Assess for available situational coping supports.
b. Determine if there are concurrent developmental crises.
c. Question the patient's readiness to make needed changes.
d. Work to reduce the perceived threat to the patient.
A
Aguilera identifies three balancing factors (the perception of the event, the availability of situational supports, and usual coping mechanisms) that prevent an adverse reaction to a stressful situation. The nurse should assess for all three. Developmental crises are more appropriate to theorists such as Erickson or Duvall. Change theory is the work of Lewin, among others. Perceived threat is part of Lazarus's theory of coping.
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