Which of the following is an indicator of improved coping skills in a patient under stress?

• A. Increased anxiety
• B. Worsened sleep
• C. Decreased adherence to treatment
• D. Enhanced coping skills

Answer: (D)

The main concept is that seeing the patient develop and apply stronger ways to handle stress signals real improvement in coping. When coping skills are enhanced, the person can regulate emotions, use problem-solving, and stay functioning despite stress. Clinically you’d expect to see the person implement strategies like relaxation techniques, cognitive reframing, seeking support, or better planning, which helps them handle stress more effectively and maintain adherence to daily routines or treatment when needed.

The other indicators describe poorer coping: more anxiety shows heightened distress, disrupted sleep reflects ongoing arousal and difficulty relaxing, and lower adherence suggests the stress is overwhelming the person’s ability to follow treatment. Taken together, they point to inadequate coping rather than improvement.