A client began taking lithium for the treatment of bipolar disorder approximately one month ago. The client asks if it is normal to have gained 12 pounds in this time frame. Which is the appropriate nursing reply?

"Weight gain is a common but troubling side effect."

"What have you been eating? Weight gain is not usually associated with lithium."

"Weight gain occurs only during the first month of treatment with this drug."

"That's strange. Weight loss is the typical pattern."

Answer and Explanation

The Correct Answer is A

Choice A reason: Weight gain is indeed a known side effect of lithium treatment, and acknowledging this can validate the client's experience.

Choice B reason: This response could be perceived as blaming and does not acknowledge that weight gain can be a side effect of lithium.

Choice C reason: This statement is misleading as weight gain can occur beyond the first month of treatment with lithium.

Choice D reason: This statement is incorrect as weight loss is not the typical pattern associated with lithium; weight gain is more common.

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Correct Answer is ["B","C"]

Explanation

Choice A reason: While having a large number of pets can be a sign of hoarding, it is not necessarily a concern unless it negatively impacts the living conditions.

Choice B reason: Becoming angry and upset when attempting to remove items is a common reaction in individuals who hoard, indicating an emotional attachment to possessions.

Choice C reason: Inability to enter rooms due to clutter is a clear sign of hoarding, as it indicates that the accumulation of items has significantly interfered with the intended use of living spaces.

Choice D reason: Obsessive cleaning of the same areas may indicate a different issue, such as obsessive-compulsive disorder, rather than hoarding.

Choice E reason: Throwing away items deemed "unnecessary" is not typically associated with hoarding behavior, as hoarding involves difficulty parting with items.

A. "I think it is the shampoo and conditioner my child is using." B. "I have watched my child pull hair out and try to hide it." C. "I started losing some hair at a young age and think it is just shedding." D. "My child doesn't appear to be nervous or upset about anything."

Correct Answer is B

Explanation

Choice A reason: Shampoo and conditioner are unlikely to cause hair loss on the eyebrows and hairline.

Choice B reason: The parent's observation of the child pulling out hair and attempting to hide it suggests trichotillomania, a condition where individuals pull out their hair as a response to stress or anxiety.

Choice C reason: Genetic factors may contribute to hair loss, but the behavior described by the parent in choice B is more indicative of trichotillomania.

Choice D reason: The absence of visible nervousness or upset does not rule out trichotillomania, as the behavior can be a coping mechanism for internal distress.

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A client began taking lithium for the treatment of bipolar disorder approximately one month ago. The client asks if it is normal to have gained 12 pounds in this time frame. Which is the appropriate nursing reply?

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Naxlex Comprehensive Predictor Exams

Correct Answer is ["B","C"]

Explanation

The nurse observes a lack of hair on the eyebrows and hairline of a young adolescent. Which statement made by the parent demonstrates an understanding of the type of hair loss the child is experiencing?

Correct Answer is B

Explanation

A nurse is caring for a client who has an extremely elevated lithium level. Which of the following actions should the nurse take?

Which of the following explanations should the nurse include when teaching parents why it is difficult to diagnose a child or adolescent exhibiting symptoms of bipolar disorder? Select all that apply.

A client has a history of excessive fear of water. Which term should the nurse use to describe this specific phobia, and under what subtype is this phobia identified?

A client has a history of excessive fear of water. Which term should the nurse use to describe this specific phobia, and under what subtype is this phobia identified?

The nurse maintains a therapeutic relationship with several clients on the behavioral health unit. Which characteristics will be most important for the nurse to foster to maintain these relationships? Select all that apply.

A nurse is assessing a client who has posttraumatic stress disorder (PTSD) following a sexual assault. Which of the following is an expected finding?

The nurse is planning the care of a client with bipolar disorder and addiction to heroin who is in a rehabilitation facility. Which outcomes will the nurse assign in the immediate phase after withdrawal symptoms are over? (Select all that apply.)

The nurse is creating a plan of care for a client with somatic symptom disorder. Which long-term treatment outcomes for this client will be most achievable and measurable? (Select all that apply.)