A client has an order for Congentin 2 mg tablet 2x a day. The client asks the nurse for the possible side effects of this medication. (Select all that apply)

Choice A reason: Separation anxiety disorder involves excessive fear of being separated from attachment figures, primarily in children but sometimes persisting into adulthood. It manifests as distress about separation, not generalized worry across multiple situations, as described. The client’s broad, uncontrollable anxiety does not align with this specific fear-based disorder.

Choice B reason: Agoraphobia involves fear of situations where escape or help may be unavailable, like crowded places or public transport, leading to avoidance behaviors. The client’s symptoms of excessive, uncontrollable worry across various circumstances do not specifically indicate fear of such situations, making agoraphobia an incorrect diagnosis.

Choice C reason: Panic disorder is characterized by recurrent, unexpected panic attacks with intense physical symptoms like heart palpitations and shortness of breath, followed by persistent fear of future attacks. The client’s ongoing, diffuse worry without mention of discrete panic episodes does not fit this diagnosis, which is more acute and episodic.

Choice D reason: Generalized anxiety disorder involves excessive, uncontrollable worry about multiple aspects of life, such as work, health, or daily events, lasting at least six months. The client’s symptoms of pervasive anxiety and inability to control worry align directly with this disorder, reflecting its chronic, diffuse nature affecting daily functioning.

Choice A reason: Taking art lessons to relieve stress suggests a healthy coping mechanism, not a substance use disorder. Alcohol use disorder involves impaired functioning, like work performance, not positive activities like art, which indicates adaptive behavior rather than addiction.

Choice B reason: Loss of appetite can indicate alcohol use disorder, as chronic alcohol consumption disrupts appetite-regulating hormones (e.g., ghrelin) and causes gastrointestinal irritation, reducing desire to eat. Combined with work reprimands from drinking, this suggests impaired functioning, a hallmark of substance use disorder.

Choice C reason: Being focused with many goals does not indicate a substance use disorder, which typically impairs concentration and goal-directed behavior due to alcohol’s neurotoxic effects. This statement suggests intact functioning, inconsistent with the negative consequences described in the scenario.

Choice D reason: Having supportive friends is a positive factor, not indicative of substance use disorder. Alcohol use disorder often leads to social isolation or strained relationships, not reliance on a support system, making this statement unrelated to addiction criteria.