00069 Inefica Collection

Domain 9: coping/stress tolerance
Class 2: coping responses
Diagnostic Code: 00069
Nanda label: ineffective coping
Diagnostic focus: coping
approved 1978 • Revised 1998

NANDA Nursing Diagnosis Definition

Nanda nursing diagnosis « ineffective coping ” is defined as: non -valid appreciation pattern about stressful agents, with cognitive and/or behavioral efforts, which fail in the management of related demands With well -being.

Definite characteristics

  • Alteration of affective responses
  • Alteration in communication patterns
  • Destructive behavior towards others
  • Destructive behavior towards oneself
  • Difficulty organizing information
  • Fatigue
  • Frequent conditions
  • Deterioration of the ability to ask for help
  • Deterioration of the ability to address information
  • Deterioration of the ability to handle the situation
  • Deterioration of the ability to meet basic needs
  • Deterioration of the ability to meet the expectations of the role
  • Inappropriate monitoring of behavior aimed at the objective
  • Inadequate problem solving
  • Inadequate problem solving skills
  • Express alteration of the sleep-vigilia cycle
  • Informs inadequate control feeling
  • Risk behavior
  • Inappropriate use of substances

Related factors

  • High degree of threat
  • Inability to conserve adaptive energy
  • Imprecision in the appreciation of the threat
  • Inadequate trust in the ability to handle the situation
  • Inadequate health resources
  • Inadequate preparation for stressors
  • Inadequate control sensation
  • Inadequate social support
  • Relaxation strategies of ineffective tension

Risk population

  • People who experience maturation crisis
  • People who experience situational crises

Suggestions of use

  • Many diagnoses describe the disability of coping (for example, anxiety, risk of violence, hopelessness). The most specific diagnosis that adjusts to the defining characteristics of the patient should always be used. Ineñcaz coping represents a more chronic or durable pattern than a tendency to adopt health risk behavior.
  • It is also less specific than the diagnosis of defensive coping.

Suggested alternative diagnostics

Other examples

The patient will be able to:

  • Demonstrate interest in recreational activities
  • Identify personal strengths that can favor effective coping
  • Evaluate and choose between alternatives and consequences
  • Enter a conversation
  • Participate in the AVD
  • Participate in the decision -making process
  • Use verbal and nonverbal expressions appropriate to the situation
  • Verbally express a plan to accept or modify the situation

NIC Interventions

  • Emotional support: provide comfort, acceptance and encouragement during moments of tension
  • Support in decision making: provide information and support to a patient who is making a decision regarding their health
  • Advice: use of an interactive process of help focused on the needs, problems or feelings of the patient and the closest people, to improve or strengthen the coping, solution of problems and interpersonal relationships
  • Anticipatory guidelines: prepare a patient for a situational or development crisis that is coming
  • Training for impulse control: help the patient control their impulsive behaviors through the application of problem -solving strategies in social and interpersonal situations
  • Improvement of self -esteem: help a patient improve the way he judges his personal value
  • Improvement of coping: help the patient adapt to stressful factors, changes or perceived threats that interfere with the satisfaction of the demands and the roles of life
  • Improvement of the role: helping a patient, his family or the closest person to improve relationships by clarifying and complementing specific role behaviors
  • Behavior modification: favor a behavior change
  • Orientation on the health system: facilitate a patient to locate and use adequate health services
  • Prevention of substance consumption: Prevent a lifestyle characterized by alcohol or drug use
  • Anxiety reduction: minimize apprehension, fear, omens or discomfort related to the anticipation of an unknown danger of origin

Nursing Activities


  • Evaluate the self -concept and patient’s self -esteem
  • Identify the causes of ineffective coping (for example, absence of support, life crisis, inappropriate skills to solve problems)
  • Monitor the appearance of aggressive behaviors
  • Identify the way in which the patient perceives his own disease and if he is congruent with the perception of medical personnel
  • (NIC) Improvement of coping:
    • Assess the patient adaptation to changes in his body image, if indicated
    • Assess the effect of the patient’s vital situation on relationships and roles
    • Evaluate the patient’s ability to make decisions
    • Explore with the patient the methods he used to face the problems of life
    • Determine the risk of the patient self -injuring

Patient and family education

  • (NIC) Improvement of coping:
    • Provide factual information about diagnosis, treatment and prognosis
    • Teach the patient to use relaxation techniques, if necessary
    • Provide adequate training in social skills
  • Teach you to solve problems
  • Provide information about community resources

Collaboration activities

  • Organize a meeting on patient care to review its coping mechanisms and establish a care plan
  • Include hospital resources in the emotional support of the patient and the family
  • Act as a link between the patient, other health professionals and community resources (for example, support groups)


  • Help the patient elaborate a plan to accept or modify the situation
  • Help the patient identify their personal strengths and establish realistic objectives
  • Encourage the patient to:
    • Participate in the planning of care activities
    • Enter conversation with others
    • Participate in activities
  • Ask the family to visit the patient as much as possible
  • Encourage the patient to perform physical exercise, if he can do it
  • (NIC) Improvement of coping:
    • Encourage the patient to realistically describe the change of role
    • Have a quiet and trustworthy attitude
    • Reduce the stimuli of the environment that could be interpreted as threatening
    • Create an acceptance climate
    • They advise decision making when the patient suffers great tension
    • Promote constructive ways to download anger and hostility
    • Explore the patient’s reasons for self -criticism
    • Provide situations that encourage patient autonomy
    • Help the patient identify positive responses from others
    • Support the use of appropriate defense mechanisms
    • Encourage the verbal expression of feelings, perceptions and fears
    • Help the patient clarify erroneous ideas
    • Help the patient identify available support systems
    • Value and analyze alternative responses to the situation

Older people

  • Observe family coping patterns
  • Teach family members to monitor possible suicidal tendencies and immediately contact a mental health professional if such trends occur
  • Channel to social services, home psychiatric assistance, and adequate support groups
  • Involve family caregivers in the control of the use of medicines

Babies and Children

  • Communication should be based on the child’s development stadium

Older people

  • In older people who have suffered a stroke (stroke), assess the presence of depression, apathy and emotional lability, which could contribute to ineffective coping
  • Encourage and help evoke positive memories
  • Promote social interaction (family, friends, groups)