The Primary Care NP Has Prescribed Sertraline (Zoloft)for a Patient

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:

A) adding mirtazapine (Remeron) .
B) changing to duloxetine (Cymbalta) .
C) adding another selective serotonin reuptake inhibitor (SSRI) antidepressant.
D) an inpatient admission to the hospital.

Correct Answer:

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