A client with bipolar disorder is refusing to take mood stabilizers due to weight gain. To increase the patient’s adherence to a medication regimen, what measures could the nurse teach the client? (SELECT ALL THAT APPLY)

Have cut vegetables prepared for a snack instead of chips or cookies.

Extended-release forms of medications have fewer side effects when dissolved in water.

Weigh yourself once in the morning and once in the evening using the same scale.

Drink flavored water instead of soft drinks.

Walk 30 minutes per day, 5 days per week.

Answer and Explanation

Correct Answer : A,D,E

Choice A Reason:

Have cut vegetables prepared for a snack instead of chips or cookies. This choice is correct because it encourages healthier eating habits, which can help manage weight gain associated with mood stabilizers. Vegetables are low in calories and high in nutrients, making them a better alternative to high-calorie snacks like chips and cookies. This can help the client maintain a healthy weight while adhering to their medication regimen.

Choice B Reason:

Extended-release forms of medications have fewer side effects when dissolved in water. This choice is incorrect. Extended-release medications are designed to be released slowly over time and should not be dissolved in water. Dissolving them can alter their release mechanism, leading to potential side effects and reduced efficacy.

Choice C Reason:

Weigh yourself once in the morning and once in the evening using the same scale. This choice is incorrect. Weighing oneself multiple times a day can lead to unnecessary anxiety and obsession over weight fluctuations, which are normal throughout the day. It is generally recommended to weigh oneself once a week at the same time of day for a more accurate measure of weight trends.

Choice D Reason:

Drink flavored water instead of soft drinks. This choice is correct because it promotes healthier beverage choices. Soft drinks are high in sugar and calories, which can contribute to weight gain. Flavored water, on the other hand, can be a refreshing and low-calorie alternative, helping the client manage their weight while staying hydrated.

Choice E Reason:

Walk 30 minutes per day, 5 days per week. This choice is correct because regular physical activity is essential for maintaining a healthy weight and overall well-being. Walking is a low-impact exercise that can help burn calories, improve mood, and enhance adherence to a medication regimen by reducing the side effects of weight gain.

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Correct Answer is A

Explanation

a. Charming, dramatic, seductive, and seeks admiration.

Explanation of Choices

Choice A Reason: Charming, Dramatic, Seductive, and Seeks Admiration

Clients with histrionic personality disorder often exhibit behaviors that are charming, dramatic, and seductive. They seek constant attention and admiration from others. These individuals may use their appearance and behavior to draw attention to themselves and can be very expressive and theatrical. Their need for approval and validation is a core feature of the disorder, and they may go to great lengths to ensure they are the center of attention.

Choice B Reason: Preoccupied with Minute Details and Is a Perfectionist

This description is more characteristic of obsessive-compulsive personality disorder (OCPD), not histrionic personality disorder. Individuals with OCPD are often preoccupied with orderliness, perfectionism, and control. They may focus excessively on details, rules, and schedules, often at the expense of flexibility and efficiency. This behavior is not typically seen in those with histrionic personality disorder.

Choice C Reason: Grandiose, Self-Important, and Has a Sense of Entitlement

These traits are more indicative of narcissistic personality disorder. Individuals with narcissistic personality disorder often have an inflated sense of their own importance, a deep need for excessive attention and admiration, and a lack of empathy for others. They may believe they are superior to others and expect special treatment. While there can be some overlap in behaviors, these traits are not the primary characteristics of histrionic personality disorder.

Choice D Reason: Describes Difficulty Being Alone and Shows Indecisiveness and Submissiveness

This description aligns more closely with dependent personality disorder. Individuals with dependent personality disorder often have difficulty making decisions without excessive advice and reassurance from others. They may feel uncomfortable or helpless when alone and may go to great lengths to avoid being alone. They often exhibit submissive and clingy behavior, seeking others to take care of them.

A. Apple pie and coffee B. A bagel with cream cheese and tea C. Pepperoni pizza and red wine D. Potato chips and diet cola

Correct Answer is C

Explanation

The correct answer is c. Pepperoni pizza and red wine.

Choice A Reason:

Apple pie and coffee are generally safe to consume while taking MAOIs. These foods do not contain high levels of tyramine, which is the substance that can cause dangerous interactions with MAOIs. Tyramine is found in aged, fermented, or cured foods, and neither apple pie nor coffee falls into these categories.

Choice B Reason:

A bagel with cream cheese and tea is also considered safe for individuals taking MAOIs. Cream cheese is a fresh cheese and does not contain high levels of tyramine. Tea, while containing caffeine, does not pose a significant risk of tyramine interaction.

Choice C Reason:

Pepperoni pizza and red wine are high in tyramine and should be avoided by individuals taking MAOIs. Pepperoni is a cured meat, and red wine is a fermented beverage, both of which can lead to a hypertensive crisis when consumed with MAOIs. This combination can cause a dangerous spike in blood pressure, making it the correct answer to the question.

Choice D Reason:

Potato chips and diet cola do not contain high levels of tyramine and are generally safe to consume while taking MAOIs. Potato chips are not aged or fermented, and diet cola, although containing caffeine, does not pose a significant risk of tyramine interaction.

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A client with bipolar disorder is refusing to take mood stabilizers due to weight gain. To increase the patient’s adherence to a medication regimen, what measures could the nurse teach the client? (SELECT ALL THAT APPLY)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is scheduled to interview a client with histrionic personality disorder. The nurse can anticipate that the assessment findings will include the following. The client:

Correct Answer is A

Explanation

A psychiatrist prescribes a monoamine oxidase inhibitor (MAOI) for a client. When teaching the client about food interactions with the medication, which foods will the nurse caution the client to avoid?

Correct Answer is C

Explanation

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