A patient who has been treated with fluoxetine for depression over the past several years has recently experienced several losses in his life that have led to a worsening of his depressive symptoms. At the advice of his friend, the patient started taking St. John's Wort in addition to his antidepressant. After several days of being on the medication, the patient developed fever, tachycardia, mood swings, and myoclonus. The admitting nurse is aware that the patient is most likely experiencing:.
An allergic reaction to St. John's Wort.
Serotonin syndrome.
Neuroleptic malignant syndrome.
An expected side effect of St. John's Wort.
The Correct Answer is B
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A."Your mood must be lifting because you have on clean clothes and have combed your hair.": This makes an assumption about the client’s mood, which may not be accurate and can be interpreted as minimizing the client’s ongoing struggle.
B. "Oh, I'm so pleased that you finally put on clean clothes.": This response might come across as condescending or patronizing, which can negatively impact the therapeutic relationship.
C. "I see that you have on clean clothes and have combed your hair."This response is an example of therapeutic communication that acknowledges the client’s actions without making assumptions or passing judgment. It is an observational statement that recognizes the client's effort, which can help to encourage further positive behavior without imposing interpretations on the client's motivations.
D. "Why did you wear clean clothes and comb your hair today?": This could be interpreted as questioning the client's actions in a way that might make them feel defensive or uncomfortable.
Correct Answer is A
No explanation
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