(Select all that apply):. A nurse is explaining different classes of antidepressant medications to a client. Which of the following are examples of selective serotonin reuptake inhibitors (SSRIs)? Select all that apply.

Choice A rationale:

Avoiding any discussion of the client's physical symptoms would be counterproductive in building a therapeutic nurse-client relationship. Ignoring the client's concerns might lead to feelings of neglect and hinder the development of trust and rapport.

Choice B rationale:

Establishing trust and rapport is a fundamental aspect of nursing care, particularly when dealing with clients with somatic symptom illness. These clients often experience distressing physical symptoms that have psychological roots. By creating a safe and supportive environment, the nurse can encourage the client to share their experiences, emotions, and concerns openly. This helps the nurse understand the client's condition better and collaborate on an effective care plan.

Choice C rationale:

Dismissing the client's emotional experiences would be detrimental to their well-being. Clients with somatic symptom illness often have genuine distress related to their physical symptoms. Addressing their emotional experiences validates their feelings and aids in uncovering the underlying psychological factors contributing to their symptoms.

Choice D rationale:

Using sarcasm to help the client confront their behavior is inappropriate and unprofessional. Sarcasm can damage the therapeutic relationship, making the client feel ridiculed and unheard. Respectful and empathetic communication is crucial in nursing care, especially when dealing with individuals who are experiencing distress.

Choice A rationale:

Genetic predisposition and neurobiological abnormalities - Somatic symptom illnesses often have a genetic component, with certain individuals being more susceptible due to genetic factors that influence the way their brain and nervous system respond to stress and emotions. Neurobiological abnormalities can lead to altered perception and processing of bodily sensations, contributing to the development and persistence of these illnesses.

Choice B rationale:

Substance use or withdrawal and medication side effects - While substance use, withdrawal, and medication side effects can impact an individual's overall well-being and potentially exacerbate physical symptoms, they are not core factors that contribute to the development and maintenance of somatic symptom illnesses.

Choice C rationale:

Childhood abuse or neglect and family history of mental disorders - These factors can contribute to the development of various mental health conditions, but they are not specific to somatic symptom illnesses. Somatic symptom illnesses involve the interaction between emotional factors and physical symptoms that are not fully explained by medical conditions.

Choice D rationale:

Social isolation and cultural expectations regarding health - While social isolation and cultural expectations can influence an individual's perception of health and illness, they are more likely to play a secondary role in the context of somatic symptom illnesses. These illnesses are primarily rooted in the interaction between psychological and physiological factors.