Question

question 65
a patient is seen frequently over a 9 - month period with somatic complaints that are not related to physical disease. the np notes that the patient has had a 15% weight loss in the previous 2 months and the patient reports difficulty sleeping. the patients spouse tells the np that the patient seems tired all the time and is irritable with other family members. what will the np do initially?
○ perform a suicide risk assessment
○ prescribe a selective serotonin reuptake inhibitor
○ refer the patient for psychotherapy
○ suggest cognitive - behavioral therapy

Explanation:

The patient has symptoms like fatigue, irritability, difficulty sleeping, and significant weight loss (which are common in depression). A suicide risk assessment is a crucial initial step as patients with depressive symptoms are at risk of suicide. Prescribing medication (like an SSRI) or referring for therapy would come after assessing immediate risks (including suicide).

Answer:

Perform a suicide risk assessment