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 C
Explanation
Choice A reason: Determining a target heart rate is not the primary purpose of an exercise stress electrocardiogram; it is more about observing the heart's function under stress³.
Choice B reason: Identifying the need for more exercise is not the direct outcome of this test; it is used to assess cardiovascular response to stress³.
Choice C reason: The test is designed to show how the heart performs during exercise, which can help diagnose conditions like coronary artery disease³.
Choice D reason: Predicting a heart attack is not the purpose of an exercise stress electrocardiogram; rather, it helps to identify heart conditions that may lead to complications if left untreated³.
Correct Answer is D
Explanation
Choice A reason: Cor pulmonale specifically refers to right-sided heart failure. It occurs due to an underlying lung disorder causing pulmonary hypertension (high pressures in the lungs). The right ventricle enlarges and pumps blood less effectively.
Choice B reason:Cor pulmonale does not involve the left side of the heart. It is primarily related to the right ventricle.
Choice C reason: While further testing may be necessary, it does not directly explain cor pulmonale.
Choice D reason:Cor pulmonale results from lung conditions causing pulmonary hypertension.The right ventricle becomes enlarged and less effective due to increased pressure in the pulmonary arteries.
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