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The psychiatric nurse practitioner is treating a 42y/o with history of MDD who started taking escitalopram 10 mg daily one week ago. The patient is calling expressing she has taken the medication daily but is still feeling “down.” The psychiatric nurse practitioner’s patient education includes (a, c are not correct) a. Instruction that antidepressants should be taken for approximately 6 weeks before adequate assessment of therapeutic efficacy can be assessed b. Instruction that an alternative SSRI or SNRI trial is indicated at this time due to lack of efficacy c. Instruction that particular SSRI usually takes a full 4 weeks to achieve therapeutic serum levels and no dose increase is indicated prior to this time prior to this time period d. None of the above
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