A nurse is attending a group therapy session and listening to clients who have bipolar disorder discuss coping strategies. Which of the following statements by the clients indicate adaptive coping?
(Select All that Apply.)

"I get 7 hours of sleep at night by skipping afternoon naps."

"I exercise aerobically three times a day for 30 minutes at a time."

"I think about my favorite beach vacation when I get anxious."

"I see the glass as half-full when it starts looking empty."

"I tense and release my muscles, starting with my feet."

Answer and Explanation

Correct Answer : A,C,D,E

Choice A reason: Maintaining adequate and consistent sleep helps regulate mood and prevent manic or depressive episodes. Avoiding naps can improve nighttime sleep quality.

Choice B reason: Excessive exercise multiple times a day may increase risk of exhaustion and even trigger mania in bipolar disorder. Moderation is key.

Choice C reason: Using positive mental imagery, such as recalling a pleasant vacation, is a healthy cognitive coping strategy to manage anxiety.

Choice D reason: A positive outlook (optimism) is a strong protective coping mechanism that enhances resilience and stress management in individuals with mood disorders.

Choice E reason: Progressive muscle relaxation is an evidence-based relaxation technique that reduces anxiety, promotes calmness, and decreases tension.

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Correct Answer is C

Explanation

Choice A reason:Glutamate is the primary excitatory neurotransmitter in the brain, promoting neuronal activity. It is not typically targeted for its inhibitory effects in anxiety treatments, as excessive glutamate activity may contribute to heightened anxiety or overstimulation.

Choice B reason:Dopamine is involved in reward, motivation, and movement regulation. While imbalances in dopamine can play a role in some psychiatric conditions, it is not the primary neurotransmitter targeted for its inhibitory effects in anxiety disorders.

Choice C reason:Gamma-aminobutyric acid (GABA) is the main inhibitory neurotransmitter in the brain, helping to calm neuronal activity and reduce anxiety. Many anti-anxiety medications, such as benzodiazepines, enhance GABA’s effects to promote relaxation and reduce symptoms of anxiety.

Choice D reason:Norepinephrine is an excitatory neurotransmitter associated with the body’s stress response and arousal. Elevated levels are often linked to increased anxiety, so it is not targeted for inhibitory effects in anxiety treatments.

A. Close friend. B. Chaplain. C. Social worker. D. Psychologist.

Correct Answer is C

Explanation

Choice A reason:A close friend can offer emotional support, but they may lack the training to address the complex medical, legal, and psychological needs of a sexual assault survivor in the immediate aftermath.

Choice B reason:A chaplain can provide spiritual support, which may be helpful for some clients. However, immediate needs like medical care, evidence collection, and crisis intervention require specialized expertise.

Choice C reason:A social worker is trained to provide crisis intervention, coordinate medical and legal resources, and offer emotional support tailored to trauma survivors. They are the most effective resource immediately following a sexual assault to address comprehensive needs.

Choice D reason:A psychologist can provide long-term mental health support, but immediate post-assault care prioritizes crisis intervention, medical evaluation, and legal coordination, which are better handled by a social worker.

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A nurse is attending a group therapy session and listening to clients who have bipolar disorder discuss coping strategies. Which of the following statements by the clients indicate adaptive coping? (Select All that Apply.)

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Naxlex Comprehensive Predictor Exams

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Correct Answer is C

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Correct Answer is C

Explanation

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A nurse is attending a group therapy session and listening to clients who have bipolar disorder discuss coping strategies. Which of the following statements by the clients indicate adaptive coping?
(Select All that Apply.)