Which statements are true about bupropion? (Select all that apply)

Choice A reason: Alienation from family corresponds to Maslow’s love and belonging needs, a third-level priority. While important for mental health, it is less urgent than physiological needs like nutrition and hygiene, which are foundational for survival and stability, making this choice lower priority in care planning.

Choice B reason: Refusing to eat or bathe addresses Maslow’s physiological needs, the highest priority in the hierarchy. Nutrition and hygiene are essential for survival and physical health, critical in mental illness to stabilize the patient’s condition and support further treatment, making this the correct choice.

Choice C reason: Reluctance to participate in group therapy relates to esteem or belonging needs, lower in Maslow’s hierarchy. While social engagement aids mental health, it is not as urgent as physiological needs, which underpin survival and basic functioning, making this choice a lower priority in care planning.

Choice D reason: Anxiety about social situations aligns with safety or belonging needs, secondary to physiological requirements. While anxiety impacts mental health, it is less critical than ensuring basic survival needs like food and hygiene, which take precedence in Maslow’s framework, making this choice incorrect.

Choice A reason: Clozapine, an antipsychotic, primarily causes agranulocytosis and metabolic issues, not fluid or electrolyte imbalances. Its effects on the central nervous system and bone marrow do not directly disrupt electrolyte homeostasis, making this choice incorrect for this concern.

Choice B reason: Lithium, a mood stabilizer, affects renal function, impairing sodium and water reabsorption, leading to potential hyponatremia or dehydration. This requires close monitoring of electrolytes, as imbalances can cause toxicity, making this the correct choice for heightened alertness.

Choice C reason: Fluoxetine, an SSRI, primarily affects serotonin levels, with minimal impact on fluid or electrolyte balance. Side effects like nausea do not significantly disrupt electrolytes, making this choice incorrect compared to lithium’s known renal effects.

Choice D reason: Venlafaxine, an SNRI, influences serotonin and norepinephrine but does not significantly affect fluid or electrolyte balance. Its side effects, like hypertension, are unrelated to electrolyte homeostasis, making this choice incorrect for this specific concern.