Certified Rehabilitation Registered Nurse (CRRN) Practice Exam

Which behavior indicates a patient is demonstrating ineffective coping?

1. Problem solving in response to a crisis

2. Remaining dependent on staff for initiation of activities

3. Asking many questions about discharge planning

4. Writing down all information provided to the patient and family

The correct answer is: Remaining dependent on staff for initiation of activities

Remaining dependent on staff for the initiation of activities indicates ineffective coping because it reflects a lack of self-initiative and self-efficacy in managing one's own care and responsibilities. This behavior can suggest that the patient feels overwhelmed by their situation, leading them to rely excessively on caregivers instead of engaging in self-directed actions. In effective coping, individuals typically strive to become more independent and engaged in their care process, utilizing problem-solving skills or seeking information as needed. Those who demonstrate effective coping strategies usually take the initiative to address issues directly, whether through engagement in activities, asking questions for clarity in their treatment plan, or making efforts to document important information. In contrast, the behavior of being dependent on staff indicates a possible avoidance of personal responsibility and an inability to navigate the healthcare system autonomously.