CNOR Operating Room Nursing

Category - IPC & Outcomes

A patient is being admitted for surgical amputation of his left arm. Which of the following statements indicates he is using the mechanism of positive reappraisal to cope with the situation?
  1. “Can you finish this teaching later? I’m trying to watch my favorite show on television.”
  2. “I’ll never be able work again. I’ll probably lose my job and then my house because I can’t pay my bills.”
  3. “Before I go into surgery, I’d like to visit with my pastor from church.”
  4. “I guess I’m going to have to learn to write with my right hand now.”
Explanation
Answer: D-The patient who is having surgery for left arm amputation and who states “I guess I’m going to have to learn to write with my right hand now,” is attempting to cope through positive reappraisal. Using this type of coping mechanism involves attempting to take a negative situation and see it in a positive light. Patients cope with surgical changes through various mechanisms, depending on the person. Some other types of coping mechanisms include avoidance, distancing oneself from the problem, and seeking social support.
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