A nurse is contributing to the plan of care for a client who is to start therapy with fluoxetine. Which of the following is an expected outcome for this client?

Absence of seizures

Reduction in hand tremors

Improved mood

Decreased hallucinations

Answer and Explanation

The Correct Answer is C

A.   Fluoxetine is not indicated for the treatment of seizures. Its primary therapeutic effect is related to mood stabilization through serotonin reuptake inhibition in the brain. Therefore, absence of seizures would not be an expected outcome of fluoxetine therapy.
B.   Hand tremors are not typically a direct symptom of depression or anxiety but can occur as a side effect of certain medications or due to anxiety-related physiological responses. Fluoxetine itself does not typically cause or treat hand tremors directly. Therefore, while tremor reduction might occur as a result of improved mood and reduced anxiety, it is not a direct therapeutic outcome of fluoxetine.
C.   Improved mood is one of the primary expected outcomes of fluoxetine therapy. SSRIs like fluoxetine work by increasing serotonin levels in the brain, which helps regulate mood and alleviate symptoms of depression and anxiety. Clients typically experience a reduction in feelings of sadness, hopelessness, and anxiety, leading to an overall improvement in mood.
D.   Hallucinations are not a typical symptom of depression or anxiety disorders but can occur in conditions such as schizophrenia or psychotic depression. Fluoxetine is not primarily indicated for treating hallucinations.

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Correct Answer is ["4"]

Explanation

To administer the correct dose of duloxetine, which is 120 mg, when only 30 mg capsules are available

By dividing the total daily dose needed (120 mg) by the strength of each capsule (30 mg), we find that 4 capsules are needed to achieve the 120 mg dosage.

Therefore, the nurse should administer four 30 mg capsules of duloxetine to the client.

A. Reaction formation B. Somatization C. Sublimation D. Intellectualization

Correct Answer is B

Explanation

A. Reaction formation is a defense mechanism where an individual expresses feelings or impulses that are the opposite of their anxiety-provoking unconscious feelings. For example, someone who harbors unconscious aggressive feelings might demonstrate exaggerated friendliness. However, this defense mechanism is more about behaviors and attitudes rather than physical manifestations.
B. Somatization is the conversion of psychological distress into physical symptoms. It involves experiencing physical symptoms, such as pain or illness, without a clear medical cause. This defense mechanism is common in individuals with anxiety disorders who may manifest their anxiety through physical complaints rather than acknowledging their emotional distress.
C. Sublimation involves channeling unacceptable impulses or emotions into socially acceptable behaviors. It does not typically involve physical manifestations but rather a redirection of emotions or impulses into constructive activities. For example, someone with aggressive impulses might channel them into sports or artistic pursuits.
D. Intellectualization is a defense mechanism where reasoning and logic are used to distance oneself from uncomfortable or threatening feelings. It involves focusing on facts and avoiding emotions associated with a situation. This mechanism is more cognitive and may involve discussing or analyzing anxiety-inducing situations in a detached, rational manner.

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A nurse is contributing to the plan of care for a client who is to start therapy with fluoxetine. Which of the following is an expected outcome for this client?

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Naxlex Comprehensive Predictor Exams

Correct Answer is ["4"]

Explanation

A nurse is caring for a client who has an anxiety disorder. The client transforms their anxiety into physical manifestations. The nurse should recognize that the client is exhibiting which of the following manifestations?

Correct Answer is B

Explanation

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