Share This Link

Monitoring sodium intake is not a specific requirement for lamotrigine, but it may be relevant for other medications or health conditions.

While monitoring weight can be important, it is not the primary teaching point for lamotrigine. Weight monitoring may be more relevant for other medications or as part of a general health assessment.

Although pregnancy prevention may be a consideration for some medications, it is not the primary teaching point for lamotrigine, and clients of childbearing age should be informed of this concern when starting lamotrigine. However, the immediate concern is the potential for a rash and the need to report it promptly.

"It prevents withdrawal symptoms" - This is not the primary purpose of naltrexone. Naltrexone is not used to prevent withdrawal symptoms; it is primarily used to reduce alcohol cravings and decrease the rewarding effects of alcohol when consumed.

"It is useful in managing heightened anxiety" - Naltrexone is not primarily used to manage anxiety. While some individuals with alcohol use disorder may experience anxiety, the primary function of naltrexone is to reduce alcohol cravings and block the rewarding effects of alcohol.

"It treats depressive symptoms" - Naltrexone is not primarily used to treat depressive symptoms. Its main focus is on reducing the desire to drink alcohol and the pleasurable effects of alcohol consumption.In summary, the correct answer is B because naltrexone's main purpose in treating alcoholism is to reduce the craving for alcohol, which can be a crucial step in helping individuals overcome their alcohol dependence.

"Have the client go to his room until calm" - This approach might not be effective and could potentially escalate the situation. In a manic state, individuals with bipolar disorder may not readily comply with such a request, and it may not address their immediate needs or provide therapeutic support.

"Politely ask the client to stop talking" - Directly asking the client to stop talking may not be well-received and could lead to increased agitation. It is important to maintain a therapeutic and empathetic approach.

"Encourage the client to talk more so you can determine what he is thinking" - While communication is important, encouraging a manic client to talk more without providing any guidance or support may not be effective. Flight of ideas can make it challenging for the client to communicate coherently, and it's more appropriate to help the client focus and regulate their thoughts. In summary, option C is the best choice as it aligns with a therapeutic, calming approach to manage a client in a manic state.

"Sweating, nausea, and diarrhea" - These are not common side effects of haloperidol. While gastrointestinal side effects like nausea and diarrhea can occur with some medications, they are not typically associated with haloperidol.

"Mild fever, sore throat, and skin rash" - These symptoms are not common side effects of haloperidol. These could be signs of an allergic reaction or other medical issues that should be evaluated by a healthcare professional.

"Headache, watery eyes, and runny nose" - These are not common side effects of haloperidol. They are more commonly associated with other medications or conditions, such as allergies. In summary, option A represents common side effects of haloperidol, which are important for the nurse to validate with the client who stopped taking the medication due to perceived adverse effects. It's essential to address the client's concerns and discuss potential alternative treatments or management strategies.

"The client can accomplish all activities of daily living" - This choice does not specifically pertain to the diagnosis of schizophreniform disorder. A client's ability to perform activities of daily living can vary widely and may not be a distinguishing characteristic of this disorder.

"The client is smiling and happy with their current lifestyle" - A client's emotional state or level of happiness is not a defining characteristic of schizophreniform disorder. This disorder primarily relates to the presence of specific symptoms like hallucinations, delusions, and disorganized thinking.

"The client is euphoric with excessive energy" - Euphoria and excessive energy are not characteristic symptoms of schizophreniform disorder. This may be indicative of other conditions like bipolar disorder. In summary, the defining feature of schizophreniform disorder is the presence of symptoms like hallucinations and delusions for a duration of less than six months, as mentioned in option C.

Delusions of reference - Delusions of reference involve a false belief that unrelated events or objects in the environment have a special and personal meaning for the individual. This is not related to the client's difficulty in staying focused on a topic.

Tangentiality - Tangentiality involves going off on tangents when speaking but usually returning to the main topic eventually. It is different from loose associations, as the thoughts do not derail as severely.

Neologism - Neologism refers to the creation of new words or expressions that have no known meaning, often seen in severe thought disorder, but it is not directly related to the client's difficulty in staying focused or hearing voices.

Delusions of reference - Delusions of reference involve a false belief that unrelated events or objects in the environment have a special and personal meaning for the individual. This is not related to the client's difficulty in staying focused on a topic.

Tangentiality - Tangentiality involves going off on tangents when speaking but usually returning to the main topic eventually. It is different from loose associations, as the thoughts do not derail as severely.

Neologism - Neologism refers to the creation of new words or expressions that have no known meaning, often seen in severe thought disorder, but it is not directly related to the client's difficulty in staying focused or hearing voices.

"Place metal utensils on the client's meal tray" - This action is not appropriate when a client has a recent suicide attempt, as it poses a potential safety risk. Sharp objects like metal utensils should be avoided in such cases.

"Assign the client to a private room" - While privacy can be important, it's essential to ensure that the client's safety is a top priority. Placing the client in a private room might hinder the ability to closely monitor the client's safety.

"Tuck bedcovers over clients' hands and arms" - Tucking in the bedcovers in this manner is not directly related to ensuring the client's safety after a suicide attempt. The focus should be on assessing and removing potential hazards from the client's environment. In summary, option C is the most appropriate action as it prioritizes the client's safety by inspecting personal belongings for potentially harmful items.

"Encourage participation in a group card game" - Card games may not be suitable during a manic episode, as they often require focus and concentration, which can be challenging for someone in a state of heightened agitation and energy.

"Encourage participation in a BINGO game" - Similarly to card games, BINGO may require sustained attention and concentration, which may be difficult for a person in a manic state.

"Encourage the creation of a new interactive game for the unit" - While creativity can be a positive outlet, individuals in a manic state may have difficulty with impulse control, and creating a new game might lead to disorganized or chaotic interactions. It's important to prioritize safety and structure during a manic episode.