A male patient calls to tell the nurse that his monthly lithium level is 1.7 mEq/L. Which nursing intervention will the nurse implement initially?

Correct Answer: B

Rationale: The correct answer is B because a lithium level of 1.7 mEq/L is above the therapeutic range (0.6-1.2 mEq/L), indicating potential toxicity. Instructing the patient to hold the next dose and contact the prescriber is the initial action to prevent further toxicity and adjust the medication regimen. Choice A is incorrect because the level is above the therapeutic range. Choice C is unnecessary unless the patient is experiencing severe symptoms. Choice D is not the initial intervention; holding the next dose is more immediate.

Correct Answer: A

Rationale: The correct answer is A because an autocratic leader makes decisions for the group without consulting them. In this response, the leader dictates the topic without considering input from group members. Choice B involves democratic leadership by seeking input from everyone. Choice C also reflects democratic leadership by allowing the group to reach a decision collectively. Choice D demonstrates a collaborative approach, not autocratic, as the leader is working with the group to find a suitable topic.

Correct Answer: D

Rationale: The correct answer is D because the client's statement about the partner being 'sorry' for their breakup indicates potential harm or danger. This statement may suggest thoughts of retaliation or harm towards the partner, raising concerns for safety and potential violence. It should be the nurse's priority to assess the client's risk of harm to themselves or others. Explanation of why the other choices are incorrect: A: The client being silent during some interviews may indicate anxiety or distress, but it does not necessarily pose an immediate safety concern. B: A history of preeclampsia with a past pregnancy is important for medical history but does not indicate an immediate risk to the client's safety. C: The family bringing in magazines is not a critical detail that raises concerns about the client's safety or well-being.

Correct Answer: A

Rationale: The correct answer is A: erotomaniac. This delusion involves falsely believing that someone of higher social status, like a celebrity or royalty, is in love with them. In this case, the client believes they will marry Prince Harry. This delusion is characterized by a romantic or sexual focus on the person of interest. Choice B, grandiose delusion, involves an exaggerated sense of self-importance or power, not related to a specific person. Choice C, somatic delusion, involves beliefs about one's body, health, or physical condition. Choice D, persecutory delusion, involves feeling targeted, harassed, or conspired against, which is not applicable in this scenario.

Correct Answer: A

Rationale: The correct answer is A: To have the client choose the topic of the conversation. By asking the client to share what's on their mind, the nurse is allowing the client to lead the discussion and express their concerns or thoughts. This empowers the client to direct the conversation towards what is most important to them, promoting client-centered care and fostering a sense of autonomy. Choice B is incorrect because the purpose is not to present new ideas but to encourage the client to share their own thoughts. Choice C is incorrect as conveying interest is important in therapeutic communication but not the primary purpose of this specific technique. Choice D is incorrect as the purpose is not specifically to provide time for reflection but to allow the client to initiate the conversation.