A patient with a diagnosis of depression and suicidal ideation was started on an antidepressant 1 month ago. When the patient comes to the community health clinic for a follow-up appointment he is cheerful and talkative
What priority assessment must the nurse consider for this patient?
a. The medication dose needs to be decreased.
b. Treatment is successful, and medication can be stopped.
c. The patient is ready to return to work.
d. Specific assessment for suicide plan must be evaluated.
ANS: D
Energy levels increase as depression lifts; this may increase the risk of completing a suicide plan. An increase in mood would not indicate a decrease or discontinuation of prescribed medication. The patient may be ready to return to work, but assessment for suicide risk in a patient who has had suicidal ideation is the priority assessment.
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