A nurse is providing care for a client who seems anxious following a recent tragedy. Which of the following statements by the client reflects an adaptive use of sublimation?

Choice A reason:A stimulating environment can exacerbate symptoms during the manic phase of bipolar disorder, as it may increase agitation, impulsivity, or overstimulation. Instead, a calm, structured environment is recommended to help stabilize the client’s mood and behavior.

Choice B reason:Consistent unit routines provide predictability and structure, which are essential for clients in the manic phase. This helps reduce chaos, supports medication adherence, and promotes a sense of safety, aiding in mood stabilization.

Choice C reason:Discouraging daytime napping is appropriate because excessive sleep during the day can disrupt the client’s sleep-wake cycle, potentially worsening manic symptoms. Encouraging a regular sleep schedule supports overall stability in bipolar disorder management.

Choice D reason:Scheduling daily seclusion times is not a standard intervention for mania unless the client poses an immediate safety risk. Seclusion is typically a last resort and not a routine part of care, as it can increase agitation or feelings of isolation.

Choice A reason:Sublimation is a defense mechanism where negative emotions, like anger, are channeled into positive or socially acceptable activities, such as exercise. Working out in the gym when feeling mad transforms the emotion into a constructive outlet, reflecting adaptive use of sublimation.

Choice B reason:Forgetting the event suggests repression or dissociation, not sublimation. This response does not involve channeling emotions into productive activities and is not adaptive for addressing anxiety.

Choice C reason:Denying anxiety indicates denial, not sublimation. This statement avoids acknowledging the emotion rather than redirecting it into a positive action, making it non-adaptive.

Choice D reason:Expressing inability to move past the tragedy reflects rumination or despair, not sublimation. It does not involve transforming negative emotions into constructive behaviors, so it is not an adaptive response.