What is the primary rationale for the nurse asking a client on antidepressant medication about changes in sexual functioning?
1. Antidepressants used frequently contributes to sexual promiscuity and tragic regrets.
2. A side effect of antidepressants may be sexual dysfunction that contributes to nonadherence.
3. Cultural attitudes about sexual functioning may impact the effectiveness of the antidepressant medication.
4. A lack of libido is a symptom of depression that may interfere with the client's relationships.
2
Rationale: Sexual dysfunctions are frequent side effects of antidepressants and the client may be too embarrassed to initiate this discussion and quit taking the medication. Even though loss of libido may be a symptom of depression, it does not address the issue of the medication side effect. Cultural attitudes about sexual functioning are not directly related to the question. Antidepressants do not frequently contribute to sexual promiscuity when given to a person with a depressive disorder.
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