The nurse would evaluate that client education regarding lithium ...

[Jkov05]

The nurse would evaluate that client education regarding lithium therapy for an individual with bipolar disorder is effective if the client states:
 
  1. I can stop my lithium when I feel better.
  2. I will probably need to take the lithium for the rest of my life.
  3. I will taper my lithium when a therapeutic serum level is achieved.
  4. I can continue with my diuretic and cardiac medications.

Question 2

Which of the following client outcomes would be appropriate to determine early favorable re-sponse to antidepressant medication? The client will:
 
  1. Describe signs and symptoms of major depression
  2. Make plans to attend one community social activity a week
  3. Demonstrate assertive communication skills
  4. Complete own self-care activities

[jasonq]

Answer to Question 1

ANS: 2
Most clients with bipolar disorder require long-term maintenance on lithium or other antimanic medication. 1. Clients should never stop medication without consulting the physician. 3. Once a therapeutic level is achieved, the client will continue on maintenance doses of lithium. 4. Diuret-ics are contraindicated for the client on lithium.

Answer to Question 2

ANS: 4
Ability to manage basic ADLs demonstrates improvement in major depression. 1. Understanding the disorder may occur later when the client cognition has improved enough to be able to process information. 2. Initiation of community social activity occurs when the client has increased ener-gy. 3. Assertive communication is learned and practiced after the depression lifts.

[Jkov05]

Excellent

[cam1229]

Great answer, keep it coming