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 the diagnosis appropriate for the client at this time would be:
1. Compromised Family Coping.
2. Ineffective Coping.
3. Disabled Family Coping.
4. Defensive Coping.
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 his 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 when the behavior of a significant person disables his 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.
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