A client began taking lithium for the treatment of bipolar disorder approximately one month ago. The client asks if it is normal to have gained 12 pounds in this time frame. Which is the appropriate nursing reply?

"Weight gain is a common but troubling side effect."

"What have you been eating? Weight gain is not usually associated with lithium."

"Weight gain occurs only during the first month of treatment with this drug."

"That's strange. Weight loss is the typical pattern."

Answer and Explanation

The Correct Answer is A

Choice A reason: Weight gain is indeed a known side effect of lithium treatment, and acknowledging this can validate the client's experience.

Choice B reason: This response could be perceived as blaming and does not acknowledge that weight gain can be a side effect of lithium.

Choice C reason: This statement is misleading as weight gain can occur beyond the first month of treatment with lithium.

Choice D reason: This statement is incorrect as weight loss is not the typical pattern associated with lithium; weight gain is more common.

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Correct Answer is ["B","D","E"]

Explanation

Choice A reason: Considering a transfer might avoid the immediate issue but does not address the nurse's countertransference or promote professional growth.

Choice B reason: Requesting another nurse to take over may be appropriate to ensure the client receives unbiased care while the original nurse addresses their countertransference.

Choice C reason: Discussing personal issues with the client is not appropriate as it can blur professional boundaries and may not be therapeutic for the client.

Choice D reason: The nurse should examine their feelings and responses to prevent personal experiences from affecting professional judgment and interactions with clients.

Choice E reason: Talking about feelings and emotions with a trusted colleague can provide support and help the nurse process their feelings in a safe environment.

A. "This is a good time to make a lot of serious changes in my life, such as a new job." B. "I will be able to maintain sobriety by looking at the long-term outcomes." C. "In order to give myself the best chance for sobriety, I will abstain from alcohol." D. "Now that I have completed rehab, I can safely return to life as it was before."

Correct Answer is C

Explanation

Choice A reason: Making significant life changes immediately after rehab can be overwhelming and might not be advisable as the client adjusts to sobriety.

Choice B reason: Focusing on long-term outcomes can be motivating, but it is also important to have short-term goals to maintain sobriety.

Choice C reason: Abstaining from alcohol is a fundamental part of maintaining sobriety and indicates an understanding of the importance of avoiding triggers.

Choice D reason: Returning to life as it was before rehab can be risky without making changes to support sobriety, such as avoiding triggers and continuing therapy.

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A client began taking lithium for the treatment of bipolar disorder approximately one month ago. The client asks if it is normal to have gained 12 pounds in this time frame. Which is the appropriate nursing reply?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["B","D","E"]

Explanation

The nurse is educating a client with alcoholism who has been in rehabilitation for two weeks to prepare for discharge. Which statement made by the client indicates that education was effective and the client is best prepared for discharge?

Correct Answer is C

Explanation

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