A college student has been diagnosed with generalized anxiety disorder (GAD). Which symptoms should a campus nurse expect this client to exhibit? (Select the one that does not apply.)

Correct Answer: B

Rationale: The correct answer is B: Anorexia. Generalized anxiety disorder (GAD) typically presents with symptoms such as fatigue, hyperventilation, and insomnia due to excessive worry and stress. However, anorexia is not a common symptom of GAD. Anorexia refers to a lack of appetite or an eating disorder, which is not directly associated with GAD. Therefore, the campus nurse should not expect a client with GAD to exhibit symptoms of anorexia.

Correct Answer: D

Rationale: The correct answer is D because it addresses the patient's concern about sexual side effects while highlighting the importance of continuing antidepressant treatment to prevent the recurrence of depression. It acknowledges the impact of medication on sexual function and offers a solution by mentioning other medications that may have fewer sexual side effects. Option A fails to address the patient's concern about sex drive and does not provide a solution to the issue. Option B focuses only on adjusting medication timing but does not address the underlying problem of sexual side effects. Option C dismisses the medication as the cause of the issue without offering a potential solution or addressing the importance of continued treatment for depression.

Correct Answer: D

Rationale: The correct answer is D: Watch for bleeding or excessive bruising. Enoxaparin is an anticoagulant medication that helps prevent blood clots. The nurse should teach the patient and family members to monitor for signs of bleeding or excessive bruising, as these could indicate a potential complication of the medication. This is crucial for early detection and intervention to prevent serious consequences. Explanation for incorrect choices: A: Visual demonstration of intramuscular heparin administration is not applicable to enoxaparin as it is typically administered subcutaneously. B: Prothrombin time and international normalized ratio monitoring are not usually required for enoxaparin as it works through a different mechanism compared to warfarin. C: Avoidance of green leafy vegetables is not necessary for enoxaparin, unlike warfarin which interacts with vitamin K found in green leafy vegetables.

Correct Answer: C

Rationale: The correct answer is C: SSRIs make more serotonin available at the synaptic gap. SSRIs work by blocking the reuptake of serotonin, allowing more serotonin to remain in the synaptic gap, leading to enhanced transmission of signals between neurons. This increased availability of serotonin helps regulate mood and emotions, ultimately alleviating symptoms of depression. Choice A is incorrect because SSRIs do not destroy serotonin but rather prevent its reuptake. Choice B is incorrect as SSRIs do not block muscarinic and α1 norepinephrine receptors; they specifically target serotonin reuptake. Choice D is incorrect because SSRIs do not increase the production of acetylcholine and dopamine; their primary mechanism of action is related to serotonin.

Correct Answer: B

Rationale: The correct answer is B: Allow the design of custom drugs. Pharmacogenetics involves studying how genes influence a person's response to drugs. By understanding how genetic variations affect drug metabolism and efficacy, researchers can design personalized medications tailored to an individual's genetic profile. This approach can lead to more effective and safer treatments. Choice A is incorrect because removing genes that cause illness is not the focus of pharmacogenetics; it is more about optimizing drug therapies based on genetic information. Choice C is incorrect as pharmacogenetics primarily deals with drug responses, not food development. Choice D is incorrect as splicing genes for health improvement is more related to genetic engineering and gene therapy, not specifically pharmacogenetics.