A nurse is caring for a client who has borderline personality disorder and has been engaging in self-mutilation.
The nurse should encourage the client to participate in which of the following groups?

Choice A rationale:

Illness anxiety disorder. Illness anxiety disorder, formerly known as hypochondriasis, is characterized by excessive worry about having a serious illness despite having no or mild medical symptoms. This disorder primarily involves excessive health-related anxiety and preoccupation with the idea of having a severe illness. It is not associated with physical symptoms causing distress and impairment in daily life, as described in the question.

Choice B rationale:

Conversion disorder. Conversion disorder, also known as functional neurological symptom disorder, is characterized by the presence of neurological symptoms that cannot be explained by a medical condition. These symptoms are not intentionally produced and often involve motor or sensory deficits. In this disorder, there is a disconnection between psychological distress and physical symptoms, but it does not involve chronic physical symptoms or the intentional production of symptoms, as mentioned in the question.

Choice D rationale:

Factitious disorder. Factitious disorder involves intentional production of physical or psychological symptoms to assume the role of a sick person. People with this disorder often seek medical attention, and they may even harm themselves to create symptoms. However, factitious disorder does not fully explain the chronic physical symptoms that the client in the question is experiencing. This disorder is more about the intentional creation of symptoms rather than distress from chronic physical symptoms. Now, let's move on to the next question.

Choice A rationale:

Acetaminophen is not contraindicated when taken with selegiline. There is no significant interaction between these two medications.

Choice B rationale:

Warfarin is not contraindicated when taken with selegiline. While selegiline may increase the risk of bleeding in combination with other drugs, warfarin itself is not directly contraindicated.

Choice C rationale:

Fluoxetine is contraindicated when taken with selegiline. When these two drugs are used together, there is an increased risk of serotonin syndrome, which can be a life-threatening condition. Serotonin syndrome can cause symptoms such as agitation, hallucinations, rapid heartbeat, fever, muscle stiffness, and tremors.

Choice D rationale:

Calcium carbonate is not contraindicated when taken with selegiline. These two medications do not have significant interactions.