Which laboratory value must be monitored frequently for the client who is on Lithium therapy?

Choice A rationale: TCAs do not have an immediate mechanism of action and may take approximately 2-4 weeks to have an effect on the neurotransmitters involved in mood regulation hence the brain may take some time to adjust to these changes.
Choice B rationale: 1-2 weeks is too short, and may lead clients to feel discouraged or frustrated if they do not see any results by then hence informing them of the duration it will take before they can realize a change in their mood or anxiety is crucial.
Choice C rationale: 3-4 days is too short, and may lead clients to feel discouraged or frustrated if they do not see any results.
Choice D rationale: 1-2 days is too short and unrealistic gives the client false expectations and may make them think that the drugs are ineffective in their mood and anxiety control.

Choice A rationale: this statement is an example of false reassurance which may be dismissive and may make the client feel pressured to recover quickly.
Choice B rationale: this statement shows empathy since it acknowledges the client’s pains and validates the feelings and emotions without making them feel judged.
Choice C rationale: this statement is an example of positive reframing and can make the client feel guilty for feeling negative and may make them feel invalidated.
Choice D rationale: this is a form of sympathy to the patient rather than being empathetic since it shows that the nurse is sorry for the patient but is not necessarily relating to their emotions.