A client with schizophrenia is prescribed olanzapine. During a follow-up visit, the client reports increased appetite and weight gain. Which nursing action is most appropriate to address this concern?
Explain that weight gain is an expected effect of the medication.
Instruct the client to stop taking the medication until they can be reevaluated.
Suggest the provider change to a first-generation antipsychotic.
Recommend switching to a low-calorie diet and increasing physical activity.
The Correct Answer is D
Choice A reason: While weight gain is a common side effect of olanzapine, simply stating this without providing management strategies does not support the client’s health.
Choice B reason: Stopping the medication abruptly without medical guidance risks relapse of psychotic symptoms and is unsafe.
Choice C reason: First-generation antipsychotics have their own significant risks, including extrapyramidal side effects, and are not automatically safer. Medication changes should only be considered if lifestyle modifications fail and under provider supervision.
Choice D reason: Encouraging healthy lifestyle changes like diet modification and exercise helps manage weight gain while maintaining medication adherence, making this the most appropriate intervention.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: This reverses the definitions of sympathy and empathy. Empathy is not about feeling sorry but about understanding and reflecting feelings.
Choice B reason: Sympathy is pity or sorrow for someone else’s suffering, while empathy means perceiving and validating the client’s experience without judgment, which is essential for therapeutic communication.
Choice C reason: Sympathy does not create emotional distance; instead, it often involves pity that can actually reduce meaningful connection. Empathy provides closeness while maintaining professional boundaries.
Choice D reason: Sympathy and empathy are not interchangeable. They differ in depth and therapeutic effectiveness, making this statement incorrect.
Correct Answer is B
Explanation
Choice A reason: Dismissing the client’s concern as imagination invalidates their feelings and does not uphold honesty, which may worsen paranoia.
Choice B reason: Veracity means truthfulness. Clearly identifying the medication as prescribed treatment provides honest information while supporting trust.
Choice C reason: Withholding information violates both client rights and the ethical principle of veracity. Clients have the right to know what medications they receive.
Choice D reason: Misrepresenting the purpose of the drug undermines trust and is dishonest, which goes against ethical standards.
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