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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Related Questions
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.
Correct Answer is ["A","B","C","E"]
Explanation
Choice A reason: Validating the client’s feelings is essential in crisis intervention because it communicates empathy and understanding, reducing the client’s distress.
Choice B reason: Identifying the cause of anxiety helps target the intervention plan and ensures the nurse addresses underlying triggers.
Choice C reason: Establishing rapport builds trust, which is vital for the client to feel supported and safe during a crisis.
Choice D reason: Avoiding eye contact is non-therapeutic and can be interpreted as avoidance or disinterest, worsening the client’s anxiety.
Choice E reason: A flexible crisis intervention plan allows adjustments based on the client’s immediate needs, ensuring care is individualized and effective.
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