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Avoiding all physical activity is not necessary. Patients should stay hydrated during activity, but exercise can be safely performed with appropriate precautions.

Increased thirst and urination can be side effects of lithium, but the medication should not be stopped abruptly. The patient should contact their provider.

Regular blood tests are required to monitor lithium levels and kidney function, even when symptoms are controlled.

Limiting therapy to insured clients prioritizes financial concerns over fairness and excludes vulnerable populations, violating the principle of justice.

A first-come, first-served approach may seem fair, but it often disadvantages clients with less access or mobility, failing to address underlying inequities.

Motivation is important but not always reflective of clinical need; this method may ignore those in more severe distress who lack insight or ability to engage.

While respecting autonomy is important, avoiding further discussion may neglect the nurse’s role in promoting the client’s well-being.

Insisting on treatment disregards the client’s autonomy and may damage the therapeutic relationship, despite good intent.

Covert administration is unethical and violates the client's rights, even if the intention is to help.

Serotonin syndrome is more commonly associated with SSRIs, SNRIs, or combining serotonergic agents—not typically with MAOIs alone.

MAOIs are not known to cause kidney damage or require salt and potassium restriction.

MAOIs are not typically associated with hypernatremia, and while weight changes can occur, increasing fluids is not a standard precaution.

While documentation may be helpful, immediately advising legal action may overwhelm the client and compromise trust if they are not ready.

Urging the client to leave immediately may ignore their sense of readiness or fear, which could reduce engagement or increase danger.

Couples counseling is inappropriate in cases of intimate partner violence, as it may place the victim at further risk and shift blame.

While medication noncompliance and repeated hospitalizations are concerning, they do not alone meet the threshold for involuntary admission without immediate risk.

Refusal of treatment and lack of insight (anosognosia) are common in schizophrenia but do not justify involuntary admission unless there is risk of harm.

Family concerns are important but not sufficient by themselves to justify involuntary commitment.

Impaired judgment and poor impulse control are more commonly associated with frontal lobe damage.

Balance and coordination issues, such as a wide-based gait, are typically related to cerebellar dysfunction, not occipital lobe injury.

Inability to comprehend language with fluent but nonsensical speech suggests Wernicke’s aphasia, which involves the temporal lobe, not the occipital lobe.

Reassurance alone does not address the underlying cause of the restlessness, which may be distressing and impair functioning.

Although this can be an expected side effect (akathisia), documenting without intervention neglects the client's discomfort.

Notifying the provider is important, but immediate symptom relief is the priority before adjusting long-term therapy.

Serotonin syndrome presents with similar symptoms (e.g., hyperthermia, agitation, neuromuscular abnormalities), but it is usually associated with serotonergic medications (e.g., SSRIs, SNRIs), not antipsychotics like haloperidol.

Tardive dyskinesia involves involuntary, repetitive movements (e.g., lip smacking, tongue protrusion), but not fever or altered mental status.

Extrapyramidal side effects (EPS) include akathisia, dystonia, and parkinsonism—these do not typically involve fever or altered consciousness.