10.

Coping and Stress Pattern – the capability to resist challenge to self-integrity,

modes of handling stress, family or other support systems and perceive the ability to
control or manage the situation.
1. History
a. Any big changes in your life in the last year or two? Crisis?
b. Who’s most helpful in talking things over? Is He/she available to you
now?
c. Tense or relaxed most of the time? When do you feel tense? What
helps?
d. do you use any medicine, drugs or alcohol?
e. are there any big problems in your life? How do you handle them?
f. is your way of handling stress or problems successful?

2. Examination: None

3. Example:
Before hospitalization During Hospitalization
The patient copes up with stress by The patients take a nap and rest
watching TV, Cleaning backyard when tired. He verbalizes desires to
and gardening, when they have a recover, able to accept situation by
problem in family they resolved it by cooperating with the medical staff.
means of talking to each other. The
patient has a traumatic event
before having witnessed the death
of his co-soldier.

11. Value-Belief Pattern – values, goals, beliefs that guide someone into health related
choices to include spirituality and ethnic background of the client as well as the effects
of culture and beliefs on health practices.
1. History
a. Generally get things you want from life? Important plans for the future?
b. is Religion important in your life? When appropriate: does this help
when difficulties arise?
 c. when appropriate: will being here interfere with any religious practices?
d. do you have any superstitious belief?
e. What principles in life you learn as a child that are still important to you
today being here in the hospital?

2. Examination: None
3. Other concerns
a. any other things we haven’t talked about that you would like to
mention?
b. Any questions?

4. Example:
Before hospitalization During Hospitalization
The patient’s religious affiliation is a The patient never blame God for his
Roman Catholic, he seldom go to condition, the patient’s relationship
church due to his job but he never with God remained unchanged.
forgot to pray. When he go to
church he brings his wife and child.
He also believes in quack doctors.