A client with bulimia nervosa is being treated at an outpatient clinic and is prescribed a selective serotonin reuptake inhibitor (SSRI). Which of the following would the nurse include when teaching the client about the prescribed medication?

Correct Answer: D

Rationale: Rationale: - The correct answer is D because monitoring weight changes is crucial in the early stages of SSRI treatment, as weight gain could be a side effect. - A is incorrect because SSRIs do not typically affect fluid intake. - B is incorrect because abruptly stopping an SSRI can lead to withdrawal symptoms and should only be done under medical guidance. - C is incorrect as menstrual irregularities are not a common side effect of SSRIs. Summary: Monitoring weight changes is essential when taking SSRIs to address potential side effects. Other choices are incorrect as they do not align with the usual considerations for SSRI treatment.

Correct Answer: C

Rationale: The correct answer is C: Severe anxiety. The person's symptoms indicate severe anxiety. Nausea, dizziness, tachycardia, and hyperventilation are all physical manifestations of severe anxiety. Additionally, the person's statement of feeling like something awful is going to happen, along with an inability to focus, also point towards severe anxiety. Mild anxiety typically wouldn't cause such intense physical symptoms. Moderate anxiety may cause some physical symptoms but not to the extent described in the scenario. Panic level of anxiety would usually involve more extreme symptoms such as a full-blown panic attack, which is not explicitly mentioned in the scenario.

Correct Answer: D

Rationale: Rationale: - The correct answer is D because monitoring weight changes is crucial in the early stages of SSRI treatment, as weight gain could be a side effect. - A is incorrect because SSRIs do not typically affect fluid intake. - B is incorrect because abruptly stopping an SSRI can lead to withdrawal symptoms and should only be done under medical guidance. - C is incorrect as menstrual irregularities are not a common side effect of SSRIs. Summary: Monitoring weight changes is essential when taking SSRIs to address potential side effects. Other choices are incorrect as they do not align with the usual considerations for SSRI treatment.

Correct Answer: C

Rationale: The correct answer is C because showing respect that is not based on the client's behavior is essential in establishing a therapeutic relationship. This approach conveys unconditional positive regard, helping the client feel valued and accepted regardless of their current emotional state. Choice A of establishing a friendship may blur boundaries and hinder the professional therapeutic relationship. Choice B of using humor may not be appropriate for a client experiencing anger and depression. Choice D of sympathizing with the client's sad feelings may be seen as pity rather than genuine understanding, which can be counterproductive. Overall, choice C demonstrates empathy, understanding, and a non-judgmental attitude, which are crucial in building trust and rapport with the client.

Correct Answer: D

Rationale: The correct answer is D because communication disorders labeled as unspecified can have various causes, including genetic predisposition, environmental factors, and physical conditions. Genetic factors play a role in some communication disorders, but they are not the sole cause. Traumatic brain injury, as mentioned in choice B, is a specific cause and not applicable to unspecified disorders. Choice C is incorrect as all disorders have underlying causes, even if they are not fully understood. Choice A is also incorrect as it oversimplifies the causes of unspecified communication disorders. In summary, choice D is the most comprehensive and accurate explanation as it considers the multifactorial nature of communication disorders.