Exam 47: Antidepressants

A patient reports feelings of sadness and hopelessness along with difficulty sleeping and weight loss.The primary care NP learns that the patient's mother died 6 months earlier.The NP should:

A patient has been taking fluoxetine 20 mg every morning for 5 days and calls the primary care NP to report decreased appetite,nausea,and insomnia.The NP should:

The primary care NP sees a 16-year-old patient who reports feeling hopeless and sad.The child's parent reports increased aggression and a decline in school performance.The NP should consider prescribing:

A patient has been taking fluoxetine (Prozac)for depression and comes to the clinic to report nausea and jitteriness.The primary care NP notes tremors and sees that the patient is confused.The patient has a heart rate of 95 beats per minute.The NP should:

The primary care NP has prescribed sertraline (Zoloft)for a patient who initially reported daily symptoms of hopelessness,sadness,insomnia,and weight loss.After several months of therapy,the patient no longer feels hopeless or sad but continues to have difficulty eating and sleeping.The NP should contact the patient's psychiatrist to discuss:

An 80-year-old patient experiences prolonged sadness after the death of a spouse.The patient reports being unable to sleep or eat.The primary care NP should prescribe _____ mg _____ daily.

A patient who has symptoms of depression also reports chronic pain.The primary care NP should begin therapy with:

A 15-year-old patient who is seeing a psychiatrist began taking an antidepressant 1 week before a clinic visit with the primary care NP.The NP should:

A patient reports having feelings of hopelessness and anxiety for the past few months.The primary care nurse practitioner (NP)performs a history and learns that these feelings occur almost daily.The patient also reports having headaches and difficulty concentrating at work along with wanting to sleep all the time.The patient has gained 5 lb in the past 6 months.The NP should:

A patient has been taking paroxetine (Paxil)for major depressive symptoms for 8 months.The patient tells the primary care NP that these symptoms improved after 2 months of therapy.The patient is experiencing weight gain and sexual dysfunction and wants to know if the medication can be discontinued.The NP should: