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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason:Automatic obedience involves unthinkingly following instructions, often seen in catatonia. The client’s oppositional behavior is the opposite, making this an incorrect choice.
Choice B reason:Active negativism, common in schizophrenia, involves deliberately doing the opposite of what is requested, reflecting resistance or opposition. The client’s behavior matches this description.
Choice C reason:Impaired impulse control involves acting on urges without restraint, such as aggression or impulsivity. The client’s deliberate opposition is not impulsive but purposeful, so this is incorrect.
Choice D reason:Waxy flexibility involves maintaining imposed postures, typically in catatonia. The client’s oppositional behavior does not involve physical posturing, making this incorrect.
Correct Answer is B
Explanation
Choice A reason: Reflecting the patient’s feelings can be therapeutic in some cases, but here it could reinforce the delusion of being imprisoned rather than provide reassurance and grounding.
Choice B reason: This response provides reality orientation, reassurance, and therapeutic communication. It acknowledges the client’s concern while reinforcing the purpose of hospitalization, which is treatment and safety.
Choice C reason: Encouraging deep breathing addresses anxiety but does not respond to the client’s delusional thought. It avoids the core issue and may make the client feel dismissed.
Choice D reason: Asking “why” questions can feel confrontational and may heighten paranoia or mistrust. It does not provide therapeutic reassurance.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.