A school nurse is planning a presentation about identifying potential warning signs of suicide for high school students. Which of the following examples of behaviors should the nurse include in the teaching?

A. A 30-year-old rich man: While anyone can develop depression, wealth and younger age generally lower the risk.

B. A 70-year-old married man in a two-income household: Having a supportive spouse and financial stability generally lower depression risk in older adults.

C. A 24-year-old married woman in a single-income home: While financial stress may be a risk factor, younger married individuals tend to have more social support, reducing their overall risk.

D. A 64-year-old single woman: Older women, especially those who are single, widowed, or lacking social support, have an increased risk for depression. The risk is compounded by potential health issues and isolation.

A. Hypotension, urinary retention, and blurred vision: These symptoms are more characteristic of anticholinergic toxicity rather than serotonin syndrome.

B. Dizziness, lethargy, and headache: These symptoms are non-specific and do not define serotonin syndrome, which involves neuromuscular, autonomic, and mental status changes.

C. Hypomania, arrhythmias, and panic attacks:. While serotonin syndrome can cause agitation, it does not cause hypomania (a mild form of mania). Arrhythmias can occur but are not a hallmark symptom.

D. Confusion, restlessness, tachycardia, and diaphoresis: Serotonin syndrome is characterized by mental status changes (confusion, agitation), autonomic instability (tachycardia, hypertension, hyperthermia), and neuromuscular abnormalities (hyperreflexia, tremors, clonus).