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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Odd beliefs, magical thinking, social anxiety, and eccentric behaviors are characteristic of schizotypal personality disorder, which belongs to Cluster A (odd and eccentric disorders).
Choice B reason: Dramatic, exaggerated emotional expression and attention-seeking behavior reflect histrionic personality disorder, which is classified under Cluster B (dramatic, emotional, or erratic disorders).
Choice C reason: Avoidance of relationships due to fear of rejection and inadequacy, despite desiring connection, is typical of avoidant personality disorder, which falls under Cluster C (anxious or fearful disorders).
Choice D reason: Arrogance, lack of empathy, and entitlement describe narcissistic personality disorder, which is in Cluster B.
Correct Answer is ["A","B","D"]
Explanation
Choice A reason: Planning alternate escape routes is a core part of safety planning, ensuring the victim can exit safely even if blocked.
Choice B reason: Having an emergency bag ready allows quick departure and reduces risk of having to return to the abuser’s home.
Choice C reason: Giving the abuser information about location compromises safety and places the victim at greater risk.
Choice D reason: Establishing a signal with trusted individuals ensures the victim can get help quickly if violence escalates.
Choice E reason: Encouraging firearm purchase is not an appropriate nursing intervention due to safety risks and escalation potential. Safer protective strategies should be emphasized.
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