Registered Practical Nurse (RPN) Practice Test

What is an essential risk factor the nurse should assess for in a client diagnosed with a depressive disorder before prescribing tricyclic antidepressants?

1. Substance abuse

2. Suicide

3. Recent hospitalization

4. Poverty

The correct answer is: Suicide

In the context of managing a client diagnosed with a depressive disorder, assessing for suicide risk is crucial before prescribing tricyclic antidepressants. This type of medication can sometimes increase suicidal ideation, particularly in certain populations, such as adolescents and young adults. Patients with depressive disorders may have underlying suicidal thoughts or plans, which necessitate thorough evaluation. A clear understanding of the client’s mental health status allows the nurse to implement proper safety measures, including close monitoring and possibly involving mental health professionals if the client is at high risk. Additionally, establishing a trusting therapeutic relationship helps in openly discussing any suicidal thoughts the client might have, thus ensuring their safety before commencing treatment with tricyclic antidepressants. While factors like substance abuse, previous hospitalization, and poverty can certainly impact mental health and treatment effectiveness, the immediate and critical concern for those diagnosed with depression is the potential for self-harm or suicide, making this assessment imperative prior to initiating medication.