Your patient has a diagnosis of major depressive disorder and has been started on sertraline (Zoloft) 50mg daily. After taking the medication for 3 days, the patient says, "I don't think the medicine is working. I don't want to take it any longer." What is your best response?

"I'll let your doctor know, and he may order a different medication."

"These medications usually take a few weeks to bring about an improvement in your symptoms."

"It is important to eat a more balanced diet to help this medication work."

"The important thing now is getting more involved in patient activities."

Answer and Explanation

The Correct Answer is B

Choice A reason: While it's important to communicate with the doctor, this does not provide immediate reassurance or information about the medication's typical onset of action.

Choice B reason: This is the most accurate response as SSRIs like sertraline (Zoloft) typically take several weeks to show full effects, and it's important for patients to understand this.

Choice C reason: While a balanced diet is important, it is not directly related to the effectiveness of sertraline in the short term.

Choice D reason: Encouraging involvement in activities is beneficial, but it does not address the patient's concern about the medication's effectiveness.

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Correct Answer is C

Explanation

Choice A reason: Electroconvulsive therapy (ECT) requires informed consent, as it is a significant medical procedure involving anesthesia and induced seizures. Informed consent is a process where a patient is fully informed about the procedures and risks involved in a treatment and voluntarily agrees to it.

Choice B reason: Nurses cannot share information with a client's family without the client's permission due to confidentiality laws, except in specific circumstances defined by law. Patient information is protected under the Health Insurance Portability and Accountability Act (HIPAA), which requires patient consent for disclosure.

Choice C reason: Patients have the right to refuse medication. This right is part of the patient's autonomy and informed consent process. A mentally competent adult can refuse treatment, even if it may result in serious illness or death.

Choice D reason: The use of restraints in mental health facilities is highly regulated. Restraints may only be used when necessary to prevent immediate harm to the patient or others and must be discontinued as soon as the risk of harm has subsided.

A. "Why don't you wait to speak to your provider in the morning?" B. "Go back to your room, and I'll try to get in touch with your provider in the morning." C. "You seem to be very upset about something. Tell me about it." D. "Everything will be okay until morning. You can speak with your provider then."

Correct Answer is C

Explanation

Choice A reason: This response may come off as dismissive and does not address the patient's immediate concerns or feelings.

Choice B reason: While this response offers a solution, it does not engage with the patient's current emotional state or provide immediate support.

Choice C reason: This response is therapeutic as it acknowledges the patient's emotional state and invites them to discuss their concerns, which is important in managing patients with bipolar disorder.

Choice D reason: This response might minimize the patient's feelings and does not encourage communication about the patient's current distress.

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Your patient has a diagnosis of major depressive disorder and has been started on sertraline (Zoloft) 50mg daily. After taking the medication for 3 days, the patient says, "I don't think the medicine is working. I don't want to take it any longer." What is your best response?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A newly licensed nurse is assisting with the involuntary admission of a client who has depression to an acute care mental health facility. Which of the following guidelines should the nurse follow when caring for the client?

Correct Answer is C

Explanation

A nurse on the mental health unit is caring for a client who has bipolar disorder and comes to the nurse's station at 0300 demanding to see the provider. Which of the following responses should the nurse make?

Correct Answer is C

Explanation

The nurse is caring for a group of patients. Which patient is at the highest risk for developing heart failure (HF)?

A nurse is assisting in the development of a staff educational inservice about depression. Which of the following factors should the nurse identify as a primary risk factor for depression?

A nurse is caring for a client who asks why she is being prescribed aspirin 325 mg daily following a myocardial infarction. The nurse should instruct the client that aspirin is prescribed for clients who have coronary artery disease for which of the following effects?

The nurse reviews the lab test results of a patient who has heart failure (HF). Which test result would be most important for the nurse to report to the healthcare provider (HCP)?

The licensed practical nurse is assisting with collecting data on a female patient. Which of the following findings should be reported to the registered nurse as possible atypical symptoms of a myocardial infarction in the absence of chest pain? Select all that apply.

Which tests can be used to assist in diagnosing a patient with coronary artery disease? Select all that apply.

The nurse is reinforcing teaching to the patient about controlling cholesterol with diet. Which of the following dietary actions help reduce cholesterol? Select all that apply.