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."
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","D","E"]
Explanation
Choice A reason: Not feeling relief after an explosive episode can indicate that the behavior is not a controlled release of tension, which is characteristic of intermittent explosive disorder.
Choice B reason: Being mild-mannered and kind does not necessarily indicate intermittent explosive disorder; this behavior could be part of a normal range of personality traits.
Choice C reason: Feeling embarrassed and apologetic after an episode is common in intermittent explosive disorder, as individuals often regret their actions.
Choice D reason: Physical aggression, such as punching walls and breaking furniture, is a key indicator of intermittent explosive disorder.
Choice E reason: Anger that is disproportionate to the situation, especially over minor issues, is a hallmark of intermittent explosive disorder.
Correct Answer is A
Explanation
Choice A reason: Given Brian's recent substance use and expression of not being able to tolerate depressive feelings, a suicide risk assessment is the highest priority to ensure his immediate safety.
Choice B reason: While a neurological assessment may be relevant, it is not the highest priority when there is a potential risk of suicide.
Choice C reason: Assessing the amount of current cannabis use is important but secondary to evaluating the risk of suicide.
Choice D reason: Marital status may inform social support but is not the highest priority in the context of potential self-harm.
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