A nurse is caring for a client who has a new diagnosis of somatic symptoms disorder. The nurse should identify that the client must have been experiencing manifestations of the disorder for how long before diagnosis?

C. Agranulocytosis is a serious side effect associated with clozapine, an antipsychotic medication. Agranulocytosis is characterized by a severe reduction in the number of white blood cells (specifically granulocytes) in the bloodstream, leading to an increased risk of infection. The client should be educated to monitor for signs and symptoms of agranulocytosis, including sore throat, fever, chills, and muscle aches, as these may indicate an underlying infection due to neutropenia.

A. Severe restlessness may be a side effect of some antipsychotic medications, but it is not specifically associated with agranulocytosis.

B. Respiratory depression and a comatose state are not typical manifestations of agranulocytosis.

D. Increased anxiety and suicidal ideations may be symptoms of certain mental health conditions or adverse effects of psychiatric medications, but they are not characteristic of agranulocytosis.

C. It indicates a positive childhood experience where the adolescent has a supportive and attentive teacher who listens well. Positive relationships with supportive adults, such as teachers, coaches, or mentors, can serve as protective factors for adolescents with anxiety disorders

A. This statement suggests that the adolescent experiences stress and worry related to their sibling's health problems, which may exacerbate their anxiety rather than serving as a protective factor.

B. This statement provides information about the adolescent's family background but does not necessarily indicate a positive childhood experience or protective factor for anxiety.

D. Frequent moves associated with military life may present challenges rather than protective factors for anxiety, such as disruptions in social relationships and support networks.