Which factor can the nurse disregard as he or she plans teaching for clients with bipolar disorder who will be discharged on lithium? Clients:
1. Often prefer feeling "high" and energetic to feeling calm and slowed
2. Should take lithium daily without skipping doses or taking make-up doses
3. May experience auditory hallucinations telling them lithium is poison
4. Should not change the amount of salt in their diets from day to day
ANS: 3
It is rare for clients with bipolar disorder to experience auditory hallucinations of a persecutory nature; thus this factor is irrelevant. The other factors listed in options 1, 2, and 4 have relevance to development of the teaching plan.
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