A patient with major depressive disorder is started on fluoxetine. What is a common side effect the nurse should monitor for?

Correct Answer: C

Rationale: The correct answer is C: Nausea. Fluoxetine, an SSRI antidepressant, commonly causes gastrointestinal side effects such as nausea. This is due to its effect on serotonin levels in the gut. Weight gain (A) and increased appetite (B) are less common side effects of fluoxetine. Dry mouth (D) is more commonly associated with tricyclic antidepressants, not SSRIs. Monitoring for nausea is crucial to ensure patient compliance and well-being.

Correct Answer: B

Rationale: The correct answer is B: Electrolyte imbalances. In anorexia nervosa, electrolyte imbalances can lead to serious complications like cardiac arrhythmias and even sudden death. This is the most concerning finding as it directly impacts the patient's health and can be life-threatening. Bradycardia (choice A) is common in anorexia but usually reversible with treatment. Slight hypotension (choice C) may occur due to dehydration but can be managed. Lanugo (choice D) is a reversible side effect of malnutrition and not as concerning as electrolyte imbalances.

Correct Answer: D

Rationale: The correct answer is D because encouraging the patient to express their feelings and concerns is crucial in addressing depressive symptoms in bipolar disorder. This intervention can help the patient process their emotions, improve self-awareness, and facilitate therapeutic communication. It also promotes a supportive environment for the patient to receive appropriate care. Incorrect choices: A: While physical activities can be beneficial, they may not address the underlying emotional issues during a depressive episode. B: Providing a stimulating environment might overwhelm the patient and worsen their symptoms. C: Allowing the patient to isolate may exacerbate feelings of loneliness and hopelessness, and hinder recovery.

Correct Answer: B

Rationale: The correct answer is B because excessive worrying about various aspects of life is a core symptom of GAD. This persistent and uncontrollable worry is disproportionate to the actual events or situations. Fear of social situations (A) is common in social anxiety disorder, not GAD. Hallucinations (C) are not typically associated with GAD. Impulsive behaviors (D) are more indicative of conditions like ADHD or impulse control disorders.

Correct Answer: A

Rationale: Correct Answer: A Rationale: 1. Consistency in medication timing helps maintain a steady blood level for effectiveness. 2. Following a regular schedule improves adherence and reduces the risk of missing doses. 3. Ensures optimal therapeutic effects and minimizes potential side effects. 4. Options B, C, and D are incorrect as stopping abruptly, mixing with alcohol, or taking as needed can lead to relapse, reduced efficacy, or increased risk of side effects.