A patient taking an antidepressant for several weeks develops unusually little need for sleep, rapid speech, grandiose plans, and risky spending. Which nursing action is the priority?
Correct answer: B. Assess for mania and notify the prescriber promptly
- A. Document the behaviour as expected sadness
- B. Assess for mania and notify the prescriber promptly
- C. Suggest vigorous exercise before the next dose
- D. Tell the patient to stop all medicines immediately
Explanation
Reduced need for sleep, pressured speech, grandiosity, and risky behaviour suggest a manic switch or an underlying bipolar disorder. The nurse should assess safety and promptly notify the prescriber; abrupt medication changes can also be unsafe.
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About Psychopharmacology
Psychopharmacology covers the actions, uses, adverse effects, and nursing responsibilities associated with antipsychotics, antidepressants, mood stabilizers, anxiolytics, sedatives, and stimulants. It includes extrapyramidal symptoms, tardive dyskinesia, neuroleptic malignant syndrome, serotonin syndrome, lithium toxicity, medication adherence, and monitoring of therapeutic response.
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