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 C
Explanation
Choice A reason: The Hamilton Depression Scale is used to assess severity of depression, not antipsychotic side effects.
Choice B reason: The Body Attitude Test is used in eating disorder assessments, unrelated to risperidone therapy.
Choice C reason: The Abnormal Involuntary Movement Scale (AIMS) evaluates for movement disorders like tardive dyskinesia, which are possible side effects of antipsychotics. Baseline assessment is essential before starting treatment.
Choice D reason: The Recovery Attitude and Treatment Evaluator measures patient attitudes about recovery and treatment, not medication side effects.
Correct Answer is A
Explanation
Choice A reason:Vomiting or diarrhea can lead to dehydration, which increases lithium levels in the blood, potentially causing toxicity. Instructing the client to notify their provider about these symptoms is critical for safe lithium use.
Choice B reason:Decreasing fluid intake to 1 liter per day is dangerous with lithium, as adequate hydration (typically 2–3 liters daily) is needed to prevent toxicity. This is incorrect advice.
Choice C reason:Excessive saliva is not a common side effect of lithium. More typical side effects include thirst, tremor, or weight gain, so this statement is inaccurate.
Choice D reason:Lithium can be taken with or without food, but taking it with food may reduce stomach upset. Advising it must be taken on an empty stomach is not necessary and could discourage adherence.
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