Which of the following interventions is most appropriate for a patient in the manic phase of bipolar disorder?

Correct Answer: A

Rationale: The most appropriate intervention for a patient in the manic phase of bipolar disorder is providing a calm, structured environment (Choice A). This is because individuals in the manic phase may exhibit high energy levels, impulsivity, and agitation. A calm environment can help reduce stimulation and promote a sense of stability. Structured routines can also help manage erratic behavior and provide a sense of predictability. Choice B is incorrect because group settings may exacerbate the patient's symptoms due to increased stimulation. Choice C is inappropriate as excessive stimulation can worsen agitation and may lead to further escalation of manic symptoms. Choice D is not ideal as encouraging a nap may not address the underlying issues of mania and may not be effective in managing the symptoms associated with the manic phase.

Correct Answer: B

Rationale: The correct answer is B because providing assistance with ambulation and encouraging the patient to take short walks helps promote circulation, prevent complications like blood clots, and improve muscle strength and joint flexibility. This intervention also aids in restoring the patient's mobility and independence. A is incorrect because prolonged bed rest can lead to muscle weakness, decreased circulation, and increased risk of complications. C is incorrect because complete bed rest is not recommended as it can lead to deconditioning and delayed recovery. D is incorrect because limiting physical therapy to passive exercises does not actively engage the patient in their recovery process and may hinder progress towards improved mobility.

Correct Answer: B

Rationale: The correct answer is B: The patient's willingness to participate in treatment and rehabilitation. This is crucial because without the patient's active engagement and commitment to the recovery process, the effectiveness of any treatment plan is greatly diminished. The patient's motivation and dedication play a significant role in overcoming alcohol use disorder. A: The severity of physical symptoms is important but not the key factor in determining success. C: While social support is beneficial, it is not as critical as the patient's willingness to participate actively in treatment. D: Financial ability can impact access to treatment but is not the primary determinant of success in recovery. In summary, the patient's willingness to engage in treatment and rehabilitation is the most important factor for successful recovery from alcohol use disorder.

Correct Answer: C

Rationale: The correct answer is C because deep breathing and muscle relaxation techniques are evidenced-based interventions to help manage panic attacks. Deep breathing helps regulate the body's stress response and relaxation techniques can help reduce muscle tension. Encouraging facing fears immediately (A) can worsen the panic attack. Providing reassurance (B) may not address the underlying anxiety. Offering distractions (D) may not effectively address the panic attack symptoms.

Correct Answer: B

Rationale: The correct answer is B because providing education about the negative impact of compulsive behaviors helps the patient understand the harmful consequences of their actions. This can motivate them to work towards reducing these behaviors. Choice A is incorrect as encouraging the patient to perform compulsive behaviors reinforces the cycle of OCD and does not address the underlying issue. Choice C is incorrect as reassuring the patient can validate their behaviors and hinder progress in treatment. Choice D is incorrect as allowing the patient to engage in compulsive behaviors does not promote recovery and may worsen the condition.