A patient tells the nurse that he dreads the winter, stating he does not spend much time outdoors because of the bad weather and he becomes blue and depressed. Then all of his muscles hurt and he "just is not able to do anything."
The nurse realizes this patient's symptoms are worse in the winter due to: 1. A decrease in serotonin.
2. Spending too much time in dry heat.
3. A lack of motivation.
4. Poor diet.
A decrease in serotonin.
Rationale: The patient is describing symptoms seen in fibromyalgia. Serotonin, a brain chemical, is low in patients diagnosed with fibromyalgia, which causes extreme sensitivity to even minor pain. The nurse has does not have enough information to know if the patient is spending too much time in dry heat, lacks motivation, or has a poor diet.
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