(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.

Fluoxetine.

Venlafaxine.

Amitriptyline.

Escitalopram.

Duloxetine.

Answer and Explanation

Correct Answer : A,D,E

Choice A rationale:

Fluoxetine is a selective serotonin reuptake inhibitor (SSRI) commonly used to treat depression and other mood disorders. It works by increasing the levels of serotonin in the brain, which helps improve mood and reduce symptoms of depression.

Choice B rationale:

Venlafaxine is not an SSRI; it is a serotonin-norepinephrine reuptake inhibitor (SNRI). While it also affects serotonin levels, it additionally targets norepinephrine, making it different from the classic SSRIs.

Choice C rationale:

Amitriptyline is a tricyclic antidepressant (TCA), not an SSRI. TCAs work by affecting the levels of multiple neurotransmitters, including serotonin and norepinephrine. They are generally considered second-line treatments due to their side effect profile and the availability of newer options like SSRIs and SNRIs.

Choice D rationale:

Escitalopram is an SSRI used to treat depression and anxiety disorders. It specifically targets serotonin reuptake, leading to increased serotonin levels in the brain and improved mood.

Choice E rationale:

Duloxetine is an SNRI that is used to treat major depressive disorder, generalized anxiety disorder, and certain pain conditions. Like other SNRIs, it acts on both serotonin and norepinephrine systems to alleviate symptoms of depression and anxiety.

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Correct Answer is D

Explanation

Choice A rationale:

Encouraging the client to focus solely on physical symptoms neglects the emotional aspect of somatic symptom illness. A comprehensive approach involves addressing both the physical symptoms and the underlying emotions.

Choice B rationale:

Advising the client to ignore their emotional experiences dismisses an essential component of their condition. Ignoring emotions can lead to emotional distress and exacerbate the somatic symptoms.

Choice C rationale:

Suggesting that the client suppress their emotions would not be beneficial. Emotional suppression can contribute to increased psychological distress and hinder the client's progress toward better emotional well-being.

Choice D rationale:

Assisting the client to identify and use healthy coping strategies is a sound intervention. Coping strategies can help the client manage both physical symptoms and emotional distress in adaptive ways, improving their overall quality of life.

A. Encouraging the client to ignore their physical symptoms. B. Explaining that the symptoms are purely psychological. C. Assisting the client to express their emotions and thoughts. D. Providing excessive attention and sympathy to the client.

Correct Answer is C

Explanation

Choice A rationale:

Encouraging the client to ignore their physical symptoms would not be an appropriate intervention. Somatic symptom illness involves genuine distress and discomfort, and disregarding the symptoms might lead to increased frustration and anxiety.

Choice B rationale:

Explaining that the symptoms are purely psychological oversimplifies the situation. While psychological factors do play a role in somatic symptom illness, the symptoms are not purely imaginary. Validating the client's experiences while addressing underlying emotional factors is a more comprehensive approach.

Choice C rationale:

Assisting the client to express their emotions and thoughts is a suitable intervention. Somatic symptom illness often arises from unaddressed emotional distress. By encouraging the client to discuss their feelings, the nurse provides a safe space for emotional expression and can help identify contributing factors.

Choice D rationale:

Providing excessive attention and sympathy to the client might inadvertently reinforce their focus on physical symptoms rather than addressing the underlying emotional issues. This approach could potentially contribute to the maintenance of somatic symptom illness.

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(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.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is planning care for a client with a somatic symptom illness. The client keeps a detailed journal of physical symptoms and associated emotions. Which statement is accurate regarding the nurse's intervention?

Correct Answer is D

Explanation

A client with a somatic symptom illness states, "I always feel weak and fatigued, no matter what I do. I can't even walk properly." Which nursing intervention is appropriate for this client?

Correct Answer is C

Explanation

(Select all that apply):. A nurse is discussing non-pharmacological treatments for somatic symptom illnesses with a client. Which of the following interventions can be considered as relaxation techniques? Select all that apply.

A nurse is educating a group of students about somatic symptom illnesses. Which disorder is characterized by intentional production or falsification of symptoms to gain attention or care?

A nurse is providing health teaching to a client with a somatic symptom illness. What is a crucial component of the nurse's education for the client?

A nurse is conducting an assessment of a client with suspected somatic symptom illness. Which aspect should the nurse consider as part of the assessment process?

A client has persistent fear and belief of having a serious illness, despite having minimal or no symptoms. What is the primary motivation for this behavior?

A nurse is caring for a client who exhibits chronic physical symptoms that cannot be fully explained by medical conditions. These symptoms cause distress and impairment in the client's daily life. What term is used to describe this condition?

A nurse is providing care for several clients with somatic symptom illnesses. Which of the following clients is most likely to have illness anxiety disorder?

A nurse is discussing potential complications of somatic symptom illnesses with a client. Which of the following factors can influence the client's outcomes in managing their condition?