A nurse is providing behavioral therapy for a client who has obsessive-compulsive disorder. The client repeatedly checks that the doors are locked at night. Which of the following instructions should the nurse give the client when using thought-stopping technique?

The correct answer is c. Recent head injury.

Rationale for choice c:

• Bupropion lowers the seizure threshold.
• Individuals with a history of head injury have an increased risk of seizures.
• Administration of bupropion to a client with a recent head injury could significantly elevate the risk of seizure activity.
• It's crucial for the provider to be aware of this risk and make an informed decision about whether to prescribe bupropion or consider alternative smoking cessation therapies.

Rationale for choice a:

• Hepatitis B infection does not generally contraindicate the use of bupropion.
• However,it's important to inform the provider of any underlying medical conditions for comprehensive assessment and management.

Rationale for choice b:

• Knee arthroplasty 1 month ago is not a contraindication for bupropion use.
• While pain management following surgery might be a consideration,bupropion is not known to interact with common analgesics used post-operatively.

Rationale for choice d:

• Hypothyroidism also does not contraindicate bupropion use.
• However,thyroid hormone levels should be monitored as bupropion may potentially impact thyroid function in some individuals.

A.Weighing the client every other day might not be appropriate in this case. Individuals with binge eating disorder often struggle with body image issues, and focusing on weight can exacerbate these concerns and contribute to a negative psychological state.

B. Remain with the client for 1 hr after meals: This can help prevent the client from engaging in purging behaviors after eating.

C.Involving the client in meal planning can help them feel more in control and promote healthier eating habits.While meal planning can be beneficial, it's not the most immediate action needed in this situation.

D.Offering snacks when the client is hungry can potentially worsen the disorder. Clients with binge eating disorder often struggle with impulse control and may have difficulty stopping themselves from overeating. Providing unlimited access to snacks may reinforce unhealthy eating patterns.