A client who usually is very active in her therapy group tells the nurse that she really does "not feel well today" and would "rather not attend the group therapy session. Which is the nurse's most appropriate response?

A. Patients on lithium do not need to avoid aged cheese and red wine specifically. The main dietary advice is to avoid significant changes in salt intake rather than specific foods like aged cheese or red wine.
B. Skin eruptions are not a common concern specifically linked to lithium therapy. While monitoring for side effects is important, skin changes are not typically a primary focus in lithium management.
C. Lithium use is not directly associated with routine blood pressure monitoring unless there is a specific concern about blood pressure or other cardiovascular issues. While monitoring blood pressure is important for overall health, it is not a specific requirement for patients on lithium unless there are other related concerns.
D. Monitoring blood levels of lithium is essential for managing the risk of toxicity and ensuring therapeutic efficacy. Lithium has a narrow therapeutic range, and regular blood tests are necessary to adjust dosages and avoid side effects.

A. Preferring to eat meals while watching TV is a common behavior that is not specifically associated with suicidal ideation. It may simply reflect the adolescent's comfort or routine preferences rather than a sign of continued suicidal intent.
B. Giving away personal belongings, such as a CD collection, can be a sign that the adolescent is making arrangements for their belongings in case of death. This behavior can sometimes suggest that the individual may be planning for their end, which could indicate lingering suicidal thoughts. It's important to explore this behavior further with the adolescent to understand their intentions and state of mind.
C. While avoidance of discussing the suicide attempt may indicate emotional distress or a reluctance to engage, it does not directly point to ongoing suicidal intent. It could also reflect a desire for privacy or difficulty in expressing feelings, rather than a clear indication of suicidal ideation.
D. Adolescents often express a desire to spend more time with peers rather than family, which is a common developmental behavior. This preference alone does not necessarily indicate suicidal intent and is more reflective of typical adolescent social behavior.