A 26-year-old woman presents to the psychiatric-mental health nurse (PMHNP) for an evaluation. She has a history of trauma and reports weekly flashbacks, depression, startle responses, severe anxiety, and difficulty sleeping. Which medication is FDA-approved for posttraumatic stress disorder (PTSD)?
Fluoxetine (Prozac)
Sertraline (Zoloft)
Mirtazapine (Remeron)
Lamotrigine (Lamictal)
The Correct Answer is B
Choice A reason: Fluoxetine is an SSRI that may be used off-label for PTSD, but it is not specifically FDA-approved for this condition.
Choice B reason: This is correct. Sertraline is an SSRI and one of the first-line medications approved by the FDA for PTSD treatment, demonstrating efficacy in reducing core PTSD symptoms.
Choice C reason: Mirtazapine is not FDA-approved for PTSD but may be used off-label to target sleep disturbances or depressive symptoms.
Choice D reason: Lamotrigine is a mood stabilizer used primarily for bipolar disorder and not FDA-approved for PTSD management.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: This response is vague and lacks educational value. It does not explain the purpose of the Holter monitor or the clinical reasoning behind its use.
Choice B reason: While accurate, this response is overly formal and may be difficult for a patient to understand. It focuses on guidelines rather than the patient’s specific situation and diagnostic needs.
Choice C reason: This response provides a clear, patient-centered explanation. It informs the patient that a standard ECG was inconclusive, and the Holter monitor is necessary to obtain continuous data to accurately diagnose atrial fibrillation, helping the patient understand the rationale and importance.
Choice D reason: This statement is dismissive and minimizes the patient’s concern. It does not explain the clinical purpose of the test and could lead to misunderstanding or anxiety.
Correct Answer is B
Explanation
Choice A reason: Fluoxetine is an SSRI that may be used off-label for PTSD, but it is not specifically FDA-approved for this condition.
Choice B reason: This is correct. Sertraline is an SSRI and one of the first-line medications approved by the FDA for PTSD treatment, demonstrating efficacy in reducing core PTSD symptoms.
Choice C reason: Mirtazapine is not FDA-approved for PTSD but may be used off-label to target sleep disturbances or depressive symptoms.
Choice D reason: Lamotrigine is a mood stabilizer used primarily for bipolar disorder and not FDA-approved for PTSD management.
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