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.)

Choice A reason:Secondary interventions focus on early detection and intervention for individuals at risk to prevent progression of a problem. Identifying those at higher risk for suicide allows for targeted interventions, such as counseling or monitoring, to prevent attempts, making this a secondary intervention.

Choice B reason:Performing life-saving measures is a tertiary intervention, aimed at reducing harm after a suicide attempt has occurred. It focuses on recovery rather than prevention, so it is not a secondary intervention.

Choice C reason:Supporting family and friends after a suicide is a tertiary intervention, addressing the aftermath of the event to aid recovery and coping. It does not prevent the initial act, so it is not a secondary intervention.

Choice D reason:Recognizing warning signs is a primary intervention, aimed at prevention through awareness and education before risk escalates. It precedes identifying specific at-risk individuals, so it is not a secondary intervention.

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.