At an outpatient visit 3 months after discharge from the hospital, a client says he has stopped his olanzapine (Zyprexa) even though it controls his symptoms of schizophrenia better than other...

At an outpatient visit 3 months after discharge from the hospital, a client says he has stopped his olanzapine (Zyprexa) even though it controls his symptoms of schizophrenia better than other medications. “I have gained 20 lb (9.1 kg) already. I can't stand anymore.” Which response by the nurse is most appropriate?

1. “I don't think you look fat; why do you think so?”

2.  “I can help you with a diet and exercise plan to keep your weight down.”

3. “You can be switched to another medicine.”

4. “Your weight gain will level off if you stay on the medication 3 more months.”