A client has been prescribed lithium for long-term maintenance of bipolar disorder diagnosis. Which statement by the client shows an understanding of the medication?

"Lab work is only needed at the start of taking the medication."

"Once I feel better, I will not need to take this medication anymore."

"There is a chance I may become addicted to this medication."

"I need to be aware of situations that may cause dehydration."

Answer and Explanation

The Correct Answer is D

A. "Lab work is only needed at the start of taking the medication." This statement is incorrect. Regular monitoring of lithium levels and kidney function through lab work is crucial for ensuring the medication's effectiveness and preventing potential toxicity.

B. "Once I feel better, I will not need to take this medication anymore." This statement is incorrect. Lithium is typically prescribed for long-term maintenance in bipolar disorder to prevent relapses and stabilize mood.

C. "There is a chance I may become addicted to this medication." This statement is incorrect. Lithium is not addictive. It is a mood stabilizer used to manage bipolar disorder.

D. "I need to be aware of situations that may cause dehydration." This statement demonstrates an understanding of an important consideration with lithium. Dehydration can lead to an increase in lithium levels in the body, potentially leading to toxicity. It's important for clients taking lithium to stay well hydrated and be cautious in situations that may lead to dehydration.

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Correct Answer is C

Explanation

A) Incorrect. This statement is a straightforward denial rather than rationalization.
B) Incorrect. This response is an example of avoidance or distraction, not rationalization.
C) Correct. Rationalization involves offering logical or reasonable explanations to justify behaviors or actions that might otherwise be unacceptable. In this case, the client is rationalizing her alcohol consumption as a means to relax and cope with the day treatment.

D) Incorrect. This statement reflects a defensive response but is not an example of rationalization.

A. The client can accomplish all activities of daily living. B. The client is smiling and happy with their current lifestyle. C. The client has been experiencing hallucinations and delusions for less than six months. D. The client is euphoric with excessive energy.

Correct Answer is C

Explanation

A) Incorrect. The ability to accomplish activities of daily living is not specific to the diagnosis of schizophreniform disorder.

B) Incorrect. The client's emotional state or demeanor is not a specific indicator of schizophreniform disorder.

C) Correct. Schizophreniform disorder is characterized by the presence of hallucinations,
delusions, and other psychotic symptoms for less than six months. It is considered a provisional diagnosis while the condition is still in its early stages.

D) Incorrect. Euphoria and excessive energy are not specific features of schizophreniform disorder.

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A client has been prescribed lithium for long-term maintenance of bipolar disorder diagnosis. Which statement by the client shows an understanding of the medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A female client staggers to day treatment smelling strongly of alcohol. She uses the defense mechanism "rationalization" when approached by the nurse and questioned about her recent alcohol consumption. How is this expressed?

Correct Answer is C

Explanation

The nurse is admitting a client with the diagnosis of schizophreniform disorder. What should the nurse expect to find?

Correct Answer is C

Explanation

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