Ten days after attempting suicide using an antidepressant medication, a 23-year-old woman receives a prescription for venlafaxine. She becomes tachycardic, diaphoretic, and develops myoclonic jerks. Which of the following medications did she take to attempt suicide?
Bupropion (Wellbutrin)
Phenelzine (Nardil)
Lorazepam (Ativan)
Hydroxyzine (Vistaril)
The Correct Answer is B
Choice A reason: Bupropion is a norepinephrine-dopamine reuptake inhibitor and does not significantly increase serotonin levels. While it can cause seizures in overdose, it is not typically associated with serotonin syndrome.
Choice B reason: Phenelzine is a monoamine oxidase inhibitor (MAOI) that prevents the breakdown of serotonin. When combined with venlafaxine, a serotonin-norepinephrine reuptake inhibitor (SNRI), it can lead to dangerously elevated serotonin levels and trigger serotonin syndrome. The symptoms described—tachycardia, diaphoresis, and myoclonic jerks—are classic signs.
Choice C reason: Lorazepam is a benzodiazepine and acts on GABA receptors. It does not affect serotonin levels and is not implicated in serotonin syndrome.
Choice D reason: Hydroxyzine is an antihistamine with anxiolytic properties. It does not influence serotonin metabolism and is not associated with serotonin syndrome.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Schizoid personality disorder is characterized by detachment from social relationships and a limited range of emotional expression. While the client shows social withdrawal and constricted affect, the presence of magical thinking and unusual beliefs (ESP and UFO experiences) is not typical of schizoid personality disorder.
Choice B reason: Schizotypal personality disorder includes social anxiety, eccentric behavior, odd beliefs or magical thinking, and peculiar speech or appearance. The client’s lifelong social anxiety, mismatched clothing, constricted affect, and belief in ESP following a UFO sighting are hallmark features of schizotypal personality disorder.
Choice C reason: Paranoid personality disorder involves pervasive distrust and suspicion of others. Although the client shows some suspiciousness, the presence of magical thinking and eccentric behavior is more consistent with schizotypal personality disorder.
Choice D reason: Antisocial personality disorder is marked by disregard for the rights of others, deceitfulness, impulsivity, and lack of remorse. There is no evidence of these traits in the scenario, making this diagnosis inappropriate.
Correct Answer is D
Explanation
Choice A reason: The forming phase is the initial stage of group development where members are polite, cautious, and focused on orientation. Communication is limited and guarded.
Choice B reason: The storming phase involves conflict and competition as members assert their opinions and challenge group norms. Communication may be intense but not yet open or spontaneous.
Choice C reason: The norming phase is marked by increased cohesion and collaboration. Communication improves, but spontaneity and openness are still developing.
Choice D reason: The performing phase is the most advanced stage of group development. Members communicate openly and spontaneously, trust is established, and the group functions effectively toward shared goals.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.
