A community health nurse is presenting epidemiological and etiological data related to somatic symptom disorder and related disorders. Which of the following information should the nurse include?

Somatic symptom disorder impacts more women than men.

Clients who have somatic symptom disorder exhibit more than one personality.

Clients who have this disorder are intentionally faking their symptoms.

Somatic symptom disorder impacts the majority of clients who have depression.

Answer and Explanation

The Correct Answer is A

A. Somatic symptom disorder is more commonly diagnosed in women than men.

B. Clients with somatic symptom disorder do not exhibit multiple personalities; this is more characteristic of dissociative identity disorder.

C. Somatic symptom disorder involves genuine distress about physical symptoms, not intentional faking.

D. While clients with somatic symptom disorder may experience comorbid depression, it does not impact the majority of clients with depression.

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Correct Answer is A

Explanation

A. A lithium level of 1.6 mEq/L is indicative of mild to moderate lithium toxicity, with symptoms including gastrointestinal discomfort and poor coordination.

B. Lip smacking and tongue thrusting are associated with tardive dyskinesia, not lithium toxicity.

C. Blurred vision and jerking motor movements are more indicative of severe lithium toxicity or other neurological disorders.

D. Fever and fluctuating blood pressure are not typical manifestations of lithium toxicity at this level.

A. Tinnitus and jerking movements B. Pill rolling movements and drooling C. Suicidal ideations D. Dilated pupils and loss of muscle coordination

Correct Answer is D

Explanation

A. Tinnitus and jerking movements are not typical signs of serotonin syndrome.
B. Pill rolling movements and drooling are more characteristic of Parkinsonian symptoms, not serotonin syndrome.
C. Suicidal ideations, while a serious mental health concern, are not specific to serotonin syndrome.
D. Dilated pupils and loss of muscle coordination are consistent with serotonin syndrome, which is a potentially life-threatening condition caused by excessive serotonin activity in the central nervous system. Other symptoms may include agitation, confusion, rapid heart rate, high blood pressure, dilated pupils, and muscle rigidity.

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A community health nurse is presenting epidemiological and etiological data related to somatic symptom disorder and related disorders. Which of the following information should the nurse include?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing laboratory results for a client and notes a serum lithium level of 1.6 mEq/L. Which of the following manifestations should the nurse expect the client to report?

Correct Answer is A

Explanation

A nurse is caring for a client who ingested a selective serotonin reuptake inhibitor and St. John's Wort. Which of the following findings should the nurse identify as being consistent with serotonin syndrome?

Correct Answer is D

Explanation

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