A young adult patient has been taking an antidepressant medication for several weeks and reports having increased thoughts of suicide
in the past. The patient identifies a concrete plan for committing suicide. The nurse will contact the provider to discuss:
a. changing the medication to another drug class.
b. discontinuing the medication immediately.
c. hospitalizing the patient for closer monitoring.
d. requiring more frequent clinic visits for this patient.
ANS: C
Patients with depression often think of suicide, and during treatment with antidepressants, these thoughts often increase for a time. Patients whose risk of suicide is especially high should be hospitalized. All antidepressants carry this risk, so changing medication is not recommended. Discontinuing the medication is not recommended. More frequent clinic visits are recommended for patients with a low to moderate risk of suicide.
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