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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Seclusion may be considered for an adult client following a suicide attempt if they are a danger to themselves or others, but it must be used with caution and as a last resort.
Choice B reason: Seclusion could be used for a school-age client who attempts to repeatedly bite staff as a means to prevent harm to others.
Choice C reason: An adolescent client who throws objects at other clients may also be secluded to prevent harm to others, but again, it should be a last resort.
Choice D reason: Seclusion is contraindicated for an older adult client who is manic and crying due to overstimulation as it may exacerbate their distress and agitation.
Correct Answer is C
Explanation
Choice A reason: Focusing conversations on nutritious food can be positive, but it does not directly indicate a change in behavior related to bulimia nervosa.
Choice B reason: Gaining weight may be a positive sign, but it is not sufficient on its own to indicate a behavioral change, as weight can fluctuate for various reasons.
Choice C reason: Demonstrating healthy coping mechanisms that decrease anxiety is a strong indicator of positive behavioral change in a client with bulimia nervosa, as it suggests the client is developing strategies to manage the disorder.
Choice D reason: While verbalizing an understanding of the disorder's etiology is beneficial, it does not necessarily reflect a change in behavior.
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