Ineffective Coping Care Plan Sample

Ineffective coping is a serious problem that many healthcare providers face duringthe process of their work. Ineffective coping care plan is a useful tool, which can be widely implemented in different healthcare institutions with the aim of reducing cases of poor addressing patients’ needs.

Below is the example of an ineffective coping nursing care plan.

Nursing Outcomes Classification

  • Proposed NOC labels
  • Improvement in coping activities
Definition of ineffective coping: Ineffective coping can be characterized as an inability of an individual to overcome stresses connected to everyday activities, to use proper coping strategies, as well as failure to choose proper responses to stressors.

People tend to experience manystressful situations during their everyday activities. Such stresses can range from small problems in family, at work, and to more serious situations, which can include health problems, divorces, or even deaths. As a result of such situations, people tend to go through serious mental tension and, unfortunately, not all of them are capable of overcoming it. The way people react to stressors greatly depends on the coping abilities of people. Such abilities/resources include optimism, personal life energy, social support, material resources, as well as personal skills of problems solving. In addition, such factors as religion and sociocultural environment can also influence the way people react to the negative situations. Very often, people prefer keeping silent about their problems, which sufficiently limits their coping sources, as sharing is considered to be one of the way to overcoming problems, especially if sharing practice is occurring between the affected individual and health care practitioner. Besides, people vulnerable to different medical problems, including drugs or substance abuse also tend to have limited coping resources. As a result, professional ineffective coping care plan is the only way out for such people.

People experience different situations, which may negatively influence their well-being. As a result, such problems should be avoided by developing nursing care plan for ineffective coping. The following conditions and behaviors tend to lead to serious health problems:

  • Lack of desire to ask for help;
  • Inability to make correct decisions;
  • Self-hurting and living a self-destructing way of life;
  • Inability to use various defense strategies properly;

Physical Conditions that May Indicate that a Person Has Poor Coping Abilities Include:

  1. Depression;
  2. Insomnia;
  3. Constant feeling of fatigue;
  4. Regular headaches;
  5. High rate of getting sick;
  6. Poor appetite of overeating;
  7. Irritability;
  8. Smoking and drinking in big doses;
  9. Emotional instability;
  10. Excessive tranquilizers use.

Other Related Factors:

  • Lack of self-esteem;
  • Vulnerability to external stressors;
  • Poorly developed supportive system;
  • Aggravation of health condition;
  • Unexpected diseases;
  • Situational crises.


  • Ability of a patient to recognize personal problems related to coping behaviors;
  • Identification of coping behaviors by the affected individual;
  • Ability of a patient develop and implement coping strategies;
  • Improved heath of a patient as a result of using new coping strategies.


Nursing care plan for psychosis and other related conditions includes the following assessments:

  1. Assessment of patient’s psychological condition. In most cases, assessment of psychological and behavioral conditions of a person helps in determining the level of coping abilities.
  2. Assessment of stressors. If the specific stressors are timely identified, it can help in developing effective coping strategies for a patient.
  3. Assessment of already existing coping mechanism. It is extremely important for understanding how previous strategies can be modified and improved in order to overcome current difficult situations and what mechanisms should be added to make the treatment process even more effective.
  4. Good ineffective coping care planalso foresees assessment of resources and supportive systems that are available for a specific patient at a specific moment of time. For instance, a person may have sufficient support rate at a hospital setting but strongly discouraged at home. As a result, such situation should be changed in order to get positive treatment result.
  5. It is important to access and understand the level of readiness of a patient to make changes. Very often, patients who face problems with coping tend to resist treatment and refuse from implementing new techniques and strategies, as well as from comprehending new information.
  6. Assessment of abilities of a person to solve problems and make correct decisions in life. In most cases, patients may feel that their inner resources are not enough for solving difficult problems, which leads to constant failures and disappointment.

Therapeutic Coping Interventions for Hopelessness and Lack of Coping Abilities

  • Establish a strong connection with a patient based on such qualities as trust, support, etc.
  • Create an environment for a patient that will facilitate fears and concerns sharing.
  • Encourage a person to identify personal strengths and teach him/her to use them in a moment of crisis.
  • Help a patient find information on how to increase personal coping skills.
  • Teach a person how to accumulate inner resources under stress to make proper decisions.
  • Help a person to learn how to set achievable goals and gain control over each situation in life.
  • Encourage a person to work hard to achieve set aims and indicate sign of progress any time they occur. It is important because people who have difficulties with problems coping are not usually able to trace the progress themselves.
  • Teach patients on how to communicate their fears and feelings with other people to reduce level of stress.


  • Educate person on adequate rest and diet.
  • Teach persons on methods to relax by doing exercises and meditation.
  • Help person learn how to develop additional supportive systems.
  • Encourage a patient to take parts in self-help groups.