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."
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 D
Explanation
Choice A reason: Offering medication immediately does not address the client’s emotional state and undermines the use of therapeutic communication, which is the first-line intervention for moderate anxiety.
Choice B reason: This response is generic and educational, which is not appropriate in a crisis moment. The client needs immediate support and de-escalation.
Choice C reason: This response is inappropriate and harmful, suggesting a restraint that is not indicated and would likely worsen the client’s distress.
Choice D reason: This is the best therapeutic response. It provides a safe environment for the client to express feelings and decreases external stimuli, helping to reduce anxiety.
Correct Answer is B
Explanation
Choice A reason: Giving 150 mg in one dose would mean the full daily dose is administered at once, not divided as ordered.
Choice B reason: The total daily dose is 150 mg. Dividing this into two equal doses means 150 ÷ 2 = 75 mg per dose.
Choice C reason: Fifty mg per dose would only total 100 mg per day, which is below the prescribed dose.
Choice D reason: One hundred mg per dose would total 200 mg daily, which exceeds the prescribed 150 mg/day.
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