A nurse is caring for a client who has bulimia nervosa has a new prescription for a selective serotonin reuptake inhibitor (SSRI). Which of the following medications should the nurse anticipate administering?

A. Assess the client for suicidal ideation and thoughts of self-harm. The client's statement about feeling tired of living and contemplating ending it all indicates a potential risk for suicide. It is essential for the nurse to conduct a thorough assessment of the client’s mental state, including any suicidal thoughts or plans, to ensure their safety.
B. Determine if the client has entered one of their alter personalities. This action is not relevant to factitious disorder, as it involves intentionally producing or feigning symptoms rather than dissociative identity disorder, which features the presence of distinct personality states.
C. Encourage the client to use relaxation techniques. While relaxation techniques can be beneficial for managing stress, they do not address the immediate risk of suicidal ideation and should not be prioritized over a safety assessment.
D. Encourage the client to participate in group therapy sessions. While group therapy can be beneficial, it may not be appropriate to encourage participation until the client's safety is ensured. Assessing for suicidal thoughts takes precedence to address any immediate risk to the client.

A. Nausea and vomiting. While some antipsychotic medications may cause gastrointestinal side effects, nausea and vomiting are not characteristic of tardive dyskinesia. Tardive dyskinesia specifically affects involuntary motor control.
B. Hallucinations and delusions. These are symptoms of psychotic disorders, not side effects of tardive dyskinesia. While some antipsychotic medications can cause paradoxical worsening of psychosis, tardive dyskinesia primarily involves involuntary movements rather than psychiatric symptoms.
C. Seizures and tremors. Some antipsychotics lower the seizure threshold, increasing seizure risk, while tremors are more associated with drug-induced parkinsonism. However, these are different from the repetitive, involuntary movements seen in tardive dyskinesia.
D. Uncontrolled movements around the mouth. Tardive dyskinesia is a serious side effect of long-term antipsychotic use, characterized by involuntary movements, especially around the mouth, tongue, and face (e.g., lip smacking, tongue protrusion, and grimacing). These movements can become permanent, making early detection and intervention crucial.