HomeNursingNursing CareplansNursing Care Plan Defensive Coping

Nursing Care Plan Defensive Coping

clip image001 150x150 Nursing Care Plan Defensive CopingNursing-CarePlan.com,Nursing Care Plan Defensive Coping Definition; Repeated projection of falsely positive self-evaluation based on a self-protective pattern that defends against underlying perceived threats to positive self-regard,Direct coping describes any action people take to change an uncomfortable situation, wheres defensive coping denotes the various ways people convince themselves – through a form of self-deception – that they are not really threatened or do not really want something they cannot get.As you can see the body reacts in many different ways to stress. But don’t look at these characteristics as being entirely negative, because they are merely natural reactions to help the body cope with and adjust to the stress. They are common in both animals and man. Another definition of this alarm reaction is the “Fight or Flight” response.Nursing Care Plan

Defining Characteristics

  • Denial of obvious problems
  • Projection of blame
  • Denial of obvious weaknesses
  • Projection of responsibility
  • Difficulty establishing
  • Rationalization of failures relationships
  • Ridicule of others
  • Difficulty in perception of
  • Superior attitude toward reality testing others

Related Factors

  • Conflict between self-perception
  • Low level of confidence in and value system others
  • Fear of failure
  • Low level of self-confidence
  • Fear of humiliation
  • Uncertainty
  • Fear of repercussion
  • Unrealistic expectation of
  • Lack of resilience self

Assessment Focus

  • Behavior
  • Knowledge
  • Emotional
  • Roles/relationships
  • Communication
  • Self-perception
  • Coping

Expected Outcomes

The Patient Will

  • State the reason for hospitalization.
  • Verbally describe self-perception, body image, success, and failures.
  • Engage in decision making about care.
  • Express a responsible attitude toward own behavior.
  • Demonstrate follow-through in decisions related to healthcare.
  • Interact with others in a socially acceptable manner.

Suggested Noc Outcomes

Acceptance: Health Status; Coping; Self-Esteem; Social Interaction Skills

Interventions And Rationales

Determine: Assess patient’s understanding of current illness; relation-ships with family and friends; self-esteem; self-perception; support systems; spiritual support. Specific assessment information will assist in developing an accurate plan of care for the individual.Perform: Assist patient to compile a list of this that he likes and dis-likes about his present situation. Performing this exercise can help 85 the patient identify aspects of self and identify changes he would like to make with specific variables. Have patient perform as many self-care activities as possible, and make treatment-related decisions to encourage a sense of autonomy and promote compliance.Provide a structured daily routine. Structure may help provide an alternative to self-absorption.Inform: Teach patient relaxation techniques such as guided imagery, deep breathing, meditation, aromatherapy, and progres-sive muscle relaxation. Purposeful relaxation efforts helps reduce anxiety.Teach patient strategies for positive thinking. Work specifically to identify negative thoughts and rephrase them in a positive way. Making the patient conscious of negative thoughts will help reinforce the need to think about things and people in a more positive way.Attend: Arrange for interaction between the patient and family or friends and observe the interaction patterns. This allows the nurse to provide feedback about the effectiveness of communi-cation.Allow time for patient to talk about his or her frustration. Speak-ing to a sensitive listener may help to reduce some frustration and may lead to new ideas about how to help the patient resolve his or her issues.Provide positive feedback to patient when he or she assumes responsibility for his or her own behavior in order to reinforce posi-tive coping behaviors.Manage: Encourage the patient to meet with someone who is coping successfully with a similar problem. This may assist the patient to work toward a positive outcome.Encourage the patient to consider participating in a support group. Participation in such a group may help the patient cope more effectively, as well as establish new relationships.Refer to case manager/social worker to ensure that follow-up is provided.

Suggested Nic Interventions

Calming Techniques; Coping Enhancement; Emotional Support; Self-Awareness Enhancement; Self-Responsibility Enhancement


Schwinghammer, S. A., et al. (2006). Different selves have different effects:Self-activation and defensive social comparison. Personality and Social Psychology Bulletin, 32(1), 27–39.