A patient diagnosed with major depression asks a nurse if St. John's wort could be added to the drug being prescribed. The nurse's response should be:
a. "I can't prescribe medication for you. You will need to discuss your interest in the herbal supplement with your prescribing doctor.".
b. "Let's speak with your psychiatrist at your next appointment about trying St. John's wort. Your psychiatrist can decide whether you should try it.".
c. "You know that the medicine you are on now appears to be working well for you. You shouldn't add herbal supplements unless you feel more depressed.".
d. "Let's find some information on St. John's wort and how it interacts with the medicines you are now taking; then we can talk about it with your doctor.".
D
Encourage patients to participate in their care, and especially encourage them to continue to learn and investigate ideas that can then be discussed with their health care providers.
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