A nurse is caring for a client who ingested a selective serotonin reuptake inhibitor and St. John's Wort. Which of the following findings should the nurse identify as being consistent with serotonin syndrome?

Tinnitus and jerking movements

Pill rolling movements and drooling

Suicidal ideations

Dilated pupils and loss of muscle coordination

Answer and Explanation

The Correct Answer is D

A. Tinnitus and jerking movements are not typical signs of serotonin syndrome.
B. Pill rolling movements and drooling are more characteristic of Parkinsonian symptoms, not serotonin syndrome.
C. Suicidal ideations, while a serious mental health concern, are not specific to serotonin syndrome.
D. Dilated pupils and loss of muscle coordination are consistent with serotonin syndrome, which is a potentially life-threatening condition caused by excessive serotonin activity in the central nervous system. Other symptoms may include agitation, confusion, rapid heart rate, high blood pressure, dilated pupils, and muscle rigidity.

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Correct Answer is A

Explanation

A. This response validates the client's feelings and opens up a dialogue for the client to express their thoughts and concerns about group therapy, which is a key aspect of therapeutic communication.

B. This response may come across as dismissive of the client's feelings and does not encourage open communication.

C. While this response acknowledges the client's feelings, it does not encourage the client to share more about their concerns.

D. This response makes assumptions about the client's feelings and does not invite them to express their thoughts.

A. Functional neurological symptom disorder B. Illness anxiety disorder C. Factitious disorder D. Somatic symptom disorder

Correct Answer is B

Explanation

A. Functional neurological symptom disorder (conversion disorder) involves neurological symptoms incompatible with medical conditions, not primarily anxiety about disease.

B. Illness anxiety disorder is characterized by excessive worry about having or acquiring a serious illness and behaviors such as repeated body checking.

C. Factitious disorder involves deliberately producing or exaggerating symptoms for the purpose of assuming a sick role.

D. Somatic symptom disorder involves physical symptoms that cause significant distress and impairment, but the primary feature is the symptom itself, not the fear of having a disease.

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A nurse is caring for a client who ingested a selective serotonin reuptake inhibitor and St. John's Wort. Which of the following findings should the nurse identify as being consistent with serotonin syndrome?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is refusing to attend group therapy. The client states, "I don't know why you think I need therapy. I am fine without it."" Which of the following responses by the nurse indicates a therapeutic response?

Correct Answer is A

Explanation

A nurse is caring for a client who describes extreme fear of having or acquiring a disease. The client is also exhibiting behaviors like repeated body checking. The nurse should identify that the client is exhibiting manifestations of which of the following disorders?

Correct Answer is B

Explanation

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