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.)

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.