A client with bipolar disorder is monitored by the community mental health nurse. The client's
mood disorder is under good control when the client takes the prescribed doses of lithium.
The client
tells the nurse she is pregnant as the result of her boyfriend committing date rape. The nurse makes
the following assessments: lithium taken throughout pregnancy may result in a baby born with birth
defects; the client is likely to have a relapse of her illness if she stops taking lithium; and the client is
a devout Catholic who believes her boyfriend will marry her even if he did get carried away and
care for their child. Which option would be congruent with the client's values and ethical beliefs?
a. Continue lithium; deal with the issue of a baby with birth defects if it occurs.
b. Continue lithium and encourage the client to undergo a therapeutic abortion.
c. Discontinue lithium, use alternative medication, and prepare for hospitalization
prn.
d. Arrange for involuntary hospitalization for the duration of the pregnancy.