Which nursing assessment(s) is/are important before the initiation of antidepressant therapy? (Select all that apply.)
a. Compliance with medication therapy within the last 2 months
b. Nonverbal interactions among patient and significant others present
c. Evaluation of the coherency, relevancy, and organization of thoughts in responses
d. Appearance and posture
e. Elimination pattern
ANS: A, B, C, D
Compliancy with prescribed medications over the last 2 months provides the health care provider with information regarding the patient's state of mind and ability to follow through with medication administration independently. Patients with altered thought processes often display inconsistencies between statements of feelings and behavior norms in social settings. Coherency, relevancy, and organization of thoughts are often affected by thought disorders. This assessment also provides information regarding the accuracy of other information that the patient has offered. Note general appearance and appropriateness of attire and posture because these are often affected by mood disorders. Elimination pattern is not a priority premedication assessment.
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