A woman's current health complaints are suggestive of a diagnosis of premenstrual dysphoric disorder (PMDD). The nurse should first do which of the following?
A) Assess the patient's understanding of HT.
B) Assess the patient for risk of suicide.
C) Assure the patient that the problem is self-limiting.
D) Suggest the use of St. John's wort.
Ans: B
Feedback:
If the patient has severe symptoms of PMS or PMDD, the nurse assesses her for suicidal, uncontrollable, and violent behavior. The problem can escalate and is not necessarily self-limiting. HT is not a relevant intervention and the nurse should not recommend herbal supplements without input from the primary care provider.
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