Routine assessment of impulsivity and accompanying coping skills is essential for planning care and appropriate management of patients identified as impulsive. Impulsivity is one of the defining characteristics of many adult psychiatric disorders and is also a key component in the clinical risk assessment of anger and aggression. This study aimed to assess the impulsivity and coping skills among psychiatric patients and to determine the relationship between impulsivity and coping skills. The study was carried out in psychiatric outpatient clinic at Assiut University Hospital. The study sample comprised 120 psychiatric patients (70 males) and (50 females), diagnosed with schizophrenia, mood disorders and delusional disorder. Three tools were used for data collection, namely: Patient's assessment structured interview schedule, Impulsivity scale, and Coping scale. the main results yielded by the study proved that, concerning the level of impulsivity , the majority sample had moderate impulsivity, highest among patient's aged from 30–39 years, males than females (51%), married, illiterate (33%), and farmers (32%). The study recommended teaching nurses to understanding the effect of impulsivity on personality, behavior and coping strategies is essential for the accurate assessment and appropriate management of impulsive individuals.