Question

A client taking antidepressant medication reports a decreased desire for sex, which is causing significant marital stress. Which response by the nurse would be most appropriate? "Doesn't your spouse understand the importance of your medication?" "Don't stop taking the medication." "What are your thoughts on how you should handle this?" "Have you discussed this with your health care provider?"

Answer 1

The nurse's most appropriate response would be to encourage the client to discuss the issue of decreased sexual desire, a common side effect of antidepressants, with their healthcare provider. This prompts the client to seek professional advice and potentially adjust their treatment for depression in a safe and informed manner.

Step-by-step explanation:

When a client taking antidepressant medication reports a decreased desire for sex, which is causing significant marital stress, the most professional and supportive response by the nurse would be, "Have you discussed this with your health care provider?" This open-ended question encourages the client to consider communicating with their doctor about the side effects of antidepressant medications, which is essential because they are experiencing issues that are impacting their quality of life and relationship.

It is important to acknowledge that treatments for depression, which include psychotherapy, medication, and brain stimulation, can have side effects such as loss of sexual desire. Patients should not self-medicate or stop taking antidepressants without medical assistance. It is critical to report any problems with medications to a healthcare provider to adjust treatment plans as necessary. They should be advised to limit alcohol consumption and avoid illicit and scheduled drugs, especially considering the FDA black-box warning for antidepressants in people under 25.