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 A

Explanation

Choice A reason: Anger towards a deceased spouse can be a sign of unresolved grief and may indicate complicated grief or depression, requiring further intervention.

Choice B reason: Reestablishing relationships is a positive step in coping with loss and suggests progress in managing grief.

Choice C reason: Although it's difficult, the effort to engage with the community is a positive sign of coping and does not typically indicate a need for further intervention.

Choice D reason: A lack of desire to eat due to the absence of a loved one can be a normal part of grieving, but if persistent, it may require intervention to address potential depression.

A. Potassium 5.5 mEq/L B. Potassium 3.8 mEq/L C. Potassium 4.5 mEq/L D. Potassium 2.9 mEq/L

Correct Answer is D

Explanation

Choice A reason: A high potassium level can increase the risk of digoxin toxicity. The normal range for potassium is typically 3.5 to 5.0 mEq/L, so a level of 5.5 mEq/L should be reported.

Choice B reason: A potassium level of 3.8 mEq/L is within the normal range and would not typically increase the risk of digoxin toxicity.

Choice C reason: A potassium level of 4.5 mEq/L is within the normal range and would not typically increase the risk of digoxin toxicity.

Choice D reason: A low potassium level can also increase the risk of digoxin toxicity, but the question asks for the result that does not increase the risk, making 2.9 mEq/L incorrect in this context.

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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 nurse is evaluating the outcomes for a client who has depression following the death of his wife 3 months ago. Which of the following client statements indicates a need for further intervention?

Correct Answer is A

Explanation

When the nurse is reviewing a patient's daily laboratory test results, which of the following potassium levels should the nurse report to the healthcare provider to reduce the risk of digoxin (Lanoxin) toxicity?

Correct Answer is D

Explanation

A nurse is caring for a client who has a spinal cord injury and is at risk for depression. Which of the following findings should the nurse identify as an indication that the client is developing depression?

The patient is being discharged on furosemide (Lasix). The nurse evaluates the patient as understanding medication teaching if the patient states that which of the following laboratory tests will be monitored as ordered?

The nurse who is assessing a patient with major depression would expect to observe which of the following symptoms?

Which of the following is not true about depression?

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

A nurse is collecting data from a newly-admitted client who has bipolar disorder and is displaying manic behavior. Which of the following findings should the nurse expect? (Select all that apply.)

Which of the following statements by a patient demonstrates to the nurse that the patient understands when to replace prescribed nitroglycerin tablets?