Often patients undergoing magnetic resonance imaging (MRI) for diagnos
tic purposes are not adequately prepared to deal with the claustrophob
ia commonly experienced while in the MRI machine. They may have been i
nstructed on the procedure and some of the physical sensations they mi
ght encounter, but teaching about coping strategies to utilize when co
nfronted with the occurrence of unanticipated claustrophobia when a se
dating medication is not immediately available may often be lacking. D
rawing on excerpts from a patient's journal that vividly describes her
struggle to cope with claustrophobia during an MRI, this article disc
usses this commonly encountered experience within the context of theor
etical perspectives of stress to underscore the importance of assessin
g for indications of rising anxiety. Suggestions for coping strategies
to include in patient teaching are presented.