A health teaching plan for a patient taking lithium should include instructions to

drink twice the usual dally amount of fluid.

double the lithium dose if diarrhea or vomiting occurs.

maintain normal salt and fluids in the diet.

avoid eating aged cheese, processed meats, and red wine.

Answer and Explanation

The Correct Answer is C

A. Patients do not need to double fluid intake, just maintain adequate hydration (2–3 L/day). Drinking twice the usual amount could lead to fluid overload or dilute sodium balance.

B. Lithium should never be doubled. In fact, vomiting and diarrhea increase risk of lithium toxicity, so the provider must be notified instead.

C. Lithium excretion is closely tied to sodium and fluid balance. A stable diet with normal salt and adequate fluid intake helps prevent fluctuations in lithium levels and reduces risk of toxicity.

D. Avoiding aged cheese, processed meats, and red wine is teaching for MAOI therapy (to prevent hypertensive crisis due to tyramine), not for lithium.

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Correct Answer is D

Explanation

A. A busy family may experience stress, but this alone is not the greatest risk factor for abuse.
B. Multiple caregivers can sometimes create inconsistency in care, but it is not the primary factor.
C. Rural living may limit access to resources, but dementia itself poses a greater risk.
D. Dementia (especially Alzheimer’s disease) significantly increases vulnerability to abuse because of impaired memory, communication, and judgment, which limit the ability to report or stop mistreatment.

A. rapport and trust with the nurse. B. self-responsibility and autonomy. C. a greater sense of independence. D. resolved transference.

Correct Answer is A

Explanation

A. The orientation stage focuses on establishing trust, building rapport, clarifying roles, and setting boundaries. Developing trust and rapport is essential before deeper therapeutic work can occur.
B. Self-responsibility and autonomy are outcomes seen later in the working/termination phases as the patient gains insight and coping skills.
C. A greater sense of independence is expected as the therapeutic relationship progresses, not in the orientation stage.
D. Transference (patient projecting feelings onto the nurse) may occur at any phase and is addressed in the working phase, not resolved in orientation.

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A health teaching plan for a patient taking lithium should include instructions to

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

An older adult diagnosed with dementia lives with family in a rural area. During the week, this adult attends a day care center while the family is at work. In the evenings, members of the family provide care. Which factor makes this adult most vulnerable to abuse?

Correct Answer is D

Explanation

What is the desirable outcome for the orientation stage of a nurse-patient relationship? The patient will demonstrate behaviors that indicate

Correct Answer is A

Explanation

A nurse is caring for a child who has autism spectrum disorder. Which of the following findings should the nurse expect? (Select all that apply).

After several therapeutic encounters with a patient who recently attempted suicide, which occurrence should cause the nurse to consider the possibility of countertransference?

A cruel and abusive person often uses rationalization to explain their behavior. Which comment demonstrates use of this defense mechanism?

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Which assessment finding would the nurse expect to see in a patient experiencing delirium? (Select all that apply)

A nurse is caring for a client in the emergency department (ED) Exhibits Which of the following client findings should the nurse report to the provider Immediately? (Select all that apply.)

A patient discloses several concerns and associated feelings. If the nurse wants to seek clarification, which comment would be appropriate?

What is the nurse's priority focused assessment for side effects in a child taking methylphenidate (Ritalin) for ADHD?