A patient with irritable bowel syndrome asks the nurse, "Why did the doctor order something for depression?" How should the nurse respond?
1. "Didn't the doctor tell you that you are depressed?"
2. "Depression can be caused by irritable bowel syndrome."
3. "Did the doctor not give you an opportunity to ask questions?"
4. "These medications help with the symptoms associated with your bowel problem."
Correct Answer: 4
Antidepressant drugs, including tricyclics and selective serotonin reuptake inhibitors (SSRIs), may help relieve abdominal pain associated with IBS. There is no indication the patient is depressed. Bowel disorders do not usually cause depression. The patient is asking for clarification, and asking whether the doctor provided the opportunity to ask questions does not address the patient's concern.
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