A male client with a recent diagnosis of bipolar disorder takes lithium carbonate daily. The client informed the school nurse of the desire to live away from home to attend college after graduating in one month. Which information is most important for the nurse to provide the client and his family?

A The client should plan to participate in group or individual therapy while at college.

The client's serum lithium levels should be routinely evaluated.

The client should be aware of the signs and symptoms of his illness.

Despite the illness, the client should be able to live away from home.

Answer and Explanation

The Correct Answer is B

A. While participation in therapy may be beneficial, the most important consideration with lithium therapy is monitoring serum levels to ensure therapeutic efficacy and avoid toxicity.
B. Lithium therapy requires regular monitoring of serum levels to maintain therapeutic efficacy and prevent toxicity, especially during times of transition or stress such as starting college
C. While it is important for the client to be aware of the signs and symptoms of his illness, routine monitoring of serum lithium levels is more crucial for maintaining stability while living away from home.
D. While independence is a positive goal, the focus in this scenario should be on ensuring the client's safety and stability through appropriate monitoring of lithium levels.

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Correct Answer is B

Explanation

A. Shortness of breath and diaphoresis are more indicative of a medical condition such as a panic attack or cardiovascular problem rather than a conversion disorder.
B. Sudden blindness with no organic pathology suggests a functional neurological symptom disorder, which falls under the category of conversion disorder.
C. Continuous complaints of headache and back pain could be symptoms of various medical conditions and may not specifically indicate a conversion disorder.
D. Extreme anxiety about going outside may indicate agoraphobia or another anxiety disorder rather than a conversion disorder.

A. Wait until the client is completely calm B. Ask difficult questions first to get them out of the way C. Use silence as a tool D. Speak with the client in private E. Observe nonverbal behavior and react accordingly F. Ask several questions in a row

Correct Answer is ["A","C","D","E"]

Explanation

A. Waiting until the client is completely calm is important because it allows the client to feel safe and secure, reducing anxiety and making it easier for them to open up about sensitive issues.
B. Asking difficult questions first is not typically advised as it can increase anxiety and make the client less likely to disclose information. It's important to build rapport and trust before tackling more challenging topics.
C. Using silence as a tool can give the client time to think and process their thoughts, which can lead to more meaningful communication. It also shows the nurse is patient and willing to listen.
D. Speaking with the client in private ensures confidentiality and helps establish a safe space where the client feels comfortable sharing personal information without fear of judgment or exposure.
E. Observing nonverbal behavior and reacting accordingly is crucial as it can provide insights into the client's emotional state and help the nurse respond in a way that is empathetic and supportive.
F. Asking several questions in a row can overwhelm the client and make it difficult for them to provide thoughtful answers. It's better to ask one question at a time and allow the client to fully respond before moving on to the next question.

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A male client with a recent diagnosis of bipolar disorder takes lithium carbonate daily. The client informed the school nurse of the desire to live away from home to attend college after graduating in one month. Which information is most important for the nurse to provide the client and his family?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The charge nurse of the psychiatric unit observes clients in the day area. Which client is exhibiting symptoms of a conversion disorder?

Correct Answer is B

Explanation

The nurse is caring for a client Exhibits In order to help the client disclose a situation that is upsetting to him, what therapeutic communication tools could the nurse use? Select all that apply.

Correct Answer is ["A","C","D","E"]

Explanation

A client engages in repeated checks of door and window locks and behavior that prevents the client from arriving on time and interfering with the ability to function effectively. Which action should the nurse take?

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