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."
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Cyclothymic disorder involves periods of hypomanic symptoms, but not continuously for 2 years.
Choice B reason: Cyclothymic disorder is not a one-time event; it involves multiple episodes of hypomanic and depressive symptoms.
Choice C reason: While chronic depression can be a part of cyclothymic disorder, it alone does not define it.
Choice D reason: Cyclothymic disorder is characterized by at least 2 years of numerous periods of hypomanic symptoms and depressive symptoms.
Correct Answer is B
Explanation
Choice A reason: Encouraging adequate nutrition is important as patients with depression may have decreased appetite.
Choice B reason: Assuring the patient that everything will be fine may minimize their feelings and is not a therapeutic communication technique.
Choice C reason: Maintaining a safe milieu is essential for all patients, especially those with depression who may be at risk for self-harm.
Choice D reason: Using active listening skills is a key component of therapeutic communication and is essential in caring for patients with depression.
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