An older adult started an antidepressant 1 week ago. The client states, "I don't want to take that pill, it's not doing anything." Which of the following responses by the nurse is most appropriate?
A) "That is fine, it is your right to refuse medications."
B) "It is too soon to see effects; positive effects may begin around 3 weeks."
C) "Let's notify the primary health care provider to try another type of medication."
D) "What side effects are you having?"
Ans: B
Immediate improvement will not be evident, but a fair trial must be given to the medication as long as serious adverse effects are not noticed. The fair trial may take as long as 12 weeks, but some positive effects should be noticed within 2 to 4 weeks. If one type of antidepressant is not effective, another type may be effective. The right to refusal is the seventh medication right; however, it is the nurses' responsibility to ensure that the client is informed before accepting the refusal.
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