SOLVED1926

A 34 year old Caucasian male, with a history of autism and oppositional defiant disorder, presents to psychiatric evaluation, and the patient’s conservator is complaining of increased irritability and aggressive impulses, occurring over the past several months. The patient has been taking 4mg risperidone at bedtime for 5 years, and primary care initiated 20mg fluoxetine 4 months ago for anxiety. Other medications include Depakote 500mg BID for epilepsy. A priority concern for the PMHNP assessing this patient’s increased irritability is: a. Possible activating effects of fluoxetine b. Evidence of efficacy for fluoxetine in treating stereotyped behaviors in autism c. Subtherapeutic dose of Depakote, as 500mg BID is not recommended in patients with documented history of oppositional defiant disorder and comorbid autism d. Risk of gynecomastia associated with risperidone
SCIENCE
HEALTH SCIENCE
NURSING

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