A client with bipolar disorder is refusing to take mood stabilizers due to weight gain. To increase the patient’s adherence to a medication regimen, what measures could the nurse teach the client? (SELECT ALL THAT APPLY)
Have cut vegetables prepared for a snack instead of chips or cookies.
Extended-release forms of medications have fewer side effects when dissolved in water.
Weigh yourself once in the morning and once in the evening using the same scale.
Drink flavored water instead of soft drinks.
Walk 30 minutes per day, 5 days per week.
Correct Answer : A,D,E
Choice A Reason:
Have cut vegetables prepared for a snack instead of chips or cookies. This choice is correct because it encourages healthier eating habits, which can help manage weight gain associated with mood stabilizers. Vegetables are low in calories and high in nutrients, making them a better alternative to high-calorie snacks like chips and cookies. This can help the client maintain a healthy weight while adhering to their medication regimen.
Choice B Reason:
Extended-release forms of medications have fewer side effects when dissolved in water. This choice is incorrect. Extended-release medications are designed to be released slowly over time and should not be dissolved in water. Dissolving them can alter their release mechanism, leading to potential side effects and reduced efficacy.
Choice C Reason:
Weigh yourself once in the morning and once in the evening using the same scale. This choice is incorrect. Weighing oneself multiple times a day can lead to unnecessary anxiety and obsession over weight fluctuations, which are normal throughout the day. It is generally recommended to weigh oneself once a week at the same time of day for a more accurate measure of weight trends.
Choice D Reason:
Drink flavored water instead of soft drinks. This choice is correct because it promotes healthier beverage choices. Soft drinks are high in sugar and calories, which can contribute to weight gain. Flavored water, on the other hand, can be a refreshing and low-calorie alternative, helping the client manage their weight while staying hydrated.
Choice E Reason:
Walk 30 minutes per day, 5 days per week. This choice is correct because regular physical activity is essential for maintaining a healthy weight and overall well-being. Walking is a low-impact exercise that can help burn calories, improve mood, and enhance adherence to a medication regimen by reducing the side effects of weight gain.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A Reason: Grandiose sense of self-importance
This is the hallmark characteristic of narcissistic personality disorder (NPD). Individuals with NPD often have an exaggerated sense of their own importance and abilities. They may believe they are superior to others and expect special treatment. This grandiosity is a core feature of the disorder and is often accompanied by fantasies of unlimited success, power, brilliance, beauty, or ideal love.
Choice B Reason: Pattern of intense and chaotic relationships
While individuals with NPD may have problematic relationships, this characteristic is more commonly associated with borderline personality disorder. People with NPD may exploit relationships for personal gain, but their relationships are not typically described as chaotic in the same way as those with borderline personality disorder.
Choice C Reason: Submissive and clinging behaviors
Submissive and clinging behaviors are characteristic of dependent personality disorder, not narcissistic personality disorder. Individuals with NPD are more likely to exhibit domineering and controlling behaviors rather than submissive ones.
Choice D Reason: Odd beliefs and magical thinking
Odd beliefs and magical thinking are more characteristic of schizotypal personality disorder. While individuals with NPD may have grandiose fantasies, these do not typically include the bizarre or eccentric beliefs seen in schizotypal personality disorder.
Correct Answer is ["B"]
Explanation
Choice A Reason: Family history
Family history is not a modifiable risk factor. It refers to the genetic predisposition to certain health conditions based on the medical history of one’s family. While it is important to be aware of family history to understand potential risks, it cannot be changed or modified through lifestyle adjustments.
Choice B Reason: Weight
Weight is a modifiable risk factor. Maintaining a healthy weight through diet and exercise can significantly reduce the risk of various health conditions, including heart disease, diabetes, and hypertension. Weight management is crucial for overall health and can be controlled through lifestyle changes.
Choice C Reason: Sedentary lifestyle
A sedentary lifestyle is a modifiable risk factor. Increasing physical activity and reducing sedentary behavior can improve cardiovascular health, enhance mental well-being, and reduce the risk of chronic diseases. Encouraging regular exercise and active living is essential for health improvement.
Choice D Reason: Alcohol consumption
Alcohol consumption is a modifiable risk factor. Limiting or avoiding alcohol can reduce the risk of liver disease, certain cancers, and other health issues. Moderation in alcohol intake is important for maintaining good health and preventing related complications.
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