An adult outpatient diagnosed with major depression has a history of several suicide attempts by overdose. Given this patient's history and diagnosis, which antidepressant medication would the nurse expect to be prescribed?
a. Amitriptyline (Elavil), a sedating tricyclic medication
b. Fluoxetine (Prozac), a selective serotonin reuptake inhibitor
c. Desipramine (Norpramin), a stimulating tricyclic medication
d. Tranylcypromine sulfate (Parnate), a monoamine oxidase inhibitor
ANS: B
Selective serotonin reuptake inhibitor antidepressants are very safe in overdosage situations, which is not true of the other medications listed. Given this patient's history of overdosing, it is important that the medication be as safe as possible in case she takes an overdose of her prescribed medication.
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