The spouse of a client who is being treated for chronic pain asks the nurse why an antidepressant has been prescribed and states, "My husband is not depressed." Which response by the nurse is the most appropriate?
1. "I would think having chronic pain would make your husband depressed."
2. "It may be to prevent depression due to physical limitations."
3. "This type of medication can help inhibit painful stimuli."
4. "Your husband is at risk for suicidal thoughts related to the chronic pain."
Correct Answer: 3
Tricyclic antidepressants can inhibit the reuptake of norepinephrine and serotonin. This would assist with the modulation phase of pain response by decreasing the pain stimuli response. This medication is not being used to prevent depression, manage depression, or reduce the incidence of suicidal thoughts.
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