A severely depressed, sullen client has been taking fluoxetine for 10 days. During the first outpatient visit, the client smiles excitedly and states, "I feel so much better now." How should the nurse interpret this behavior change? The:

client may have decided to carry out the suicide plan.

medication has potentiated serotonin syndrome.

medication dosage should be decreased.

client's behavioral change is normal and expected.

Answer and Explanation

The Correct Answer is D

D. This recognizes that the client's improvement in mood is a typical response to antidepressant medication and does not automatically suggest any negative outcomes such as suicidal ideation or serotonin syndrome.
A. It's important to be vigilant for signs of suicidal ideation but sudden improvements in mood can also occur as a positive response to antidepressant medication.
B. The client's description of feeling better does not align with the symptoms of serotonin syndrome, which include agitation, confusion, rapid heart rate, high blood pressure, and hyperthermia.
C. Antidepressant medications often take several weeks to reach their full therapeutic effect, so it's not unusual for some clients to experience an improvement in mood within the first few weeks of treatment.

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Correct Answer is B

Explanation

B. Individuals with borderline personality disorder may exhibit behavior that generates conflict among staff members or within their interpersonal relationships. They may have difficulty regulating emotions, experience intense mood swings, and engage in impulsive or manipulative behaviors that contribute to conflicts with others.
A. Individuals with borderline personality disorder often struggle with interpersonal relationships and may have difficulty maintaining stable and healthy connections with others.
C. Suspiciousness of others is not a primary characteristic of borderline personality disorder.
D. Bizarre speech patterns are not typically associated with borderline personality disorder.

A. Submissive and clinging behaviors B. Grandiose sense of self-importance C. Pattern of intense and chaotic relationships D. Odd beliefs and magical thinking

Correct Answer is B

Explanation

B. Individuals with this disorder often have an exaggerated sense of their own importance, achievements, talents, and capabilities. They may believe they are special or unique and expect to be recognized as such without commensurate achievements.
A. Individuals with narcissistic personality disorder tend to display a sense of superiority and entitlement rather than submissive or dependent behaviors.
C. The characteristic feature is not typically intense and chaotic relationships. Instead, relationships may be characterized by exploitation, manipulation, and a lack of genuine emotional connection.
D. Odd beliefs and magical thinking are more commonly associated with other personality disorders, such as schizotypal personality disorder. In narcissistic personality disorder, individuals may have an inflated sense of self and unrealistic beliefs about their abilities.

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A severely depressed, sullen client has been taking fluoxetine for 10 days. During the first outpatient visit, the client smiles excitedly and states, "I feel so much better now." How should the nurse interpret this behavior change? The:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client diagnosed with borderline personality disorder is admitted to a psychiatric unit. Which behavior pattern would the nurse expect to observe?

Correct Answer is B

Explanation

When assessing a client diagnosed with narcissistic personality disorder, the nurse expects to identify which characteristic behavior?

Correct Answer is B

Explanation

The nurse believes that a client being admitted for a surgical procedure may have a drinking problem. Which screening tool should the nurse use to further evaluate this possibility?

A psychiatrist prescribes a monoamine oxidase inhibitor (MAOI) for a client. When teaching the client about the effects of tyramine, which foods will the nurse caution the client to avoid?

The client asks the nurse about pet therapy. Which response by the nurse provides the client with accurate information? "Pet therapy:

The nurse assesses that medication teaching about tricyclic antidepressants was understood when the client states:

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An adolescent diagnosed with Attention Deficit Hyperactivity Disorder (ADHD) is having difficulty maintaining concentration in the inpatient milieu. Which nursing intervention would help improve the client's task performance?