A physician orders Lithium 1.2 grams/day in three divided doses PO for a client with bipolar disorder. The medication is supplied as 300 mg/5 mL. How much will the nurse administer per dose?

(Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

Choice A Reason: The diathesis-stress model assists the client in identifying their level of stress or anxiety.

This statement is incorrect because the diathesis-stress model does not primarily focus on helping clients identify their current levels of stress or anxiety. Instead, it is a framework used to understand how predispositional vulnerabilities (diatheses) and external stressors interact to influence the development of psychological disorders. While understanding stress levels can be part of a broader assessment, it is not the main purpose of the diathesis-stress model.

Choice B Reason: The diathesis-stress model assists in telling me how stressed a client is.

This statement is also incorrect. The diathesis-stress model is not a tool for measuring or quantifying a client’s current stress levels. Rather, it is a theoretical model that explains how stress interacts with an individual’s vulnerabilities to potentially trigger mental health issues. The model helps clinicians understand the interplay between genetic, biological, and environmental factors, but it does not provide a direct measure of stress.

Choice C Reason: The diathesis-stress model assists in identifying risk factors or vulnerabilities for stress.

This statement is correct. The diathesis-stress model is designed to identify and understand the risk factors or vulnerabilities (diatheses) that make an individual more susceptible to developing psychological disorders when exposed to stress. These vulnerabilities can be genetic, biological, psychological, or situational. By identifying these factors, clinicians can better predict which individuals are at higher risk for developing mental health issues under stress and can tailor interventions accordingly.

Choice D Reason: The diathesis-stress model assists in identifying what mental health disorder related to stress the client has.

This statement is partially correct but not entirely accurate. While the diathesis-stress model can help in understanding the development of mental health disorders, it does not specifically identify which disorder a client has. The model provides a framework for understanding how various factors contribute to the onset of disorders, but a comprehensive clinical assessment is required to diagnose specific mental health conditions.

The correct answer is b. Generates conflict among the staff.

Choice A Reason:

Bizarre speech patterns are not typically associated with borderline personality disorder (BPD). BPD is characterized by intense emotional responses, unstable relationships, and impulsive behaviors. While individuals with BPD may exhibit erratic behavior, bizarre speech patterns are more commonly linked to disorders such as schizophrenia.

Choice B Reason:

Generating conflict among the staff is a behavior pattern often observed in individuals with borderline personality disorder. People with BPD may have difficulty maintaining stable relationships and can exhibit manipulative behaviors, leading to conflicts. This behavior stems from their intense fear of abandonment and efforts to avoid real or perceived rejection.

Choice C Reason:

Social isolation is not a primary characteristic of borderline personality disorder. While individuals with BPD may experience intense and unstable relationships, they typically do not isolate themselves socially. Instead, they may engage in intense and tumultuous interactions with others.

Choice D Reason:

Suspiciousness of others is more commonly associated with paranoid personality disorder rather than borderline personality disorder. While individuals with BPD may have trust issues and fear abandonment, their behavior is more characterized by emotional instability and impulsive actions rather than pervasive suspiciousness.