Question

A nurse is caring for a client who has major depressive disorder and was prescribed citalopram 2 weeks ago with a planned dosage increase 1 week ago. The client reports having an improved appetite, but still feels very depressed and is still having trouble sleeping. Which of the following actions should the nurse take?

A. Speak to the provider about adding an MAOI to the current medication regimen.
B. Explain that antidepressants often take several weeks to be fully effective.
C. Tell the client that the provider will need to change citalopram to a different medication.
D. Recommend a sleep study be done on the client.

Answer 1

The nurse should explain to the client that antidepressants often take several weeks to be fully effective.

Step-by-step explanation:

The nurse should explain to the client that antidepressants often take several weeks to be fully effective. Antidepressant medications, such as citalopram, need time to build up in the body and regulate the levels of neurotransmitters in the brain. The client's improved appetite suggests that the medication is having some effect, but it may take longer for the medication to fully alleviate symptoms of depression and sleep problems. It is important for the nurse to provide support and reassurance to the client during this time and encourage them to continue taking the medication as prescribed.