An older adult patient with depression is being treated with ...

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An older adult patient with depression is being treated with sertraline (Zoloft). This medication is often chosen for older adult patients because it:
 
  a. has a high degree of sedation.
  b. is effective when given in smaller doses.
  c. has few adverse interactions with other drugs.
  d. is less affected by changes associated with aging.

Question 2

An SSRI is prescribed for an older adult patient with depression. Nursing assessment should include careful collection of information regarding:
 
  a. use of other prescribed medications and over-the-counter products.
  b. evidence of pseudoparkinsonism or tardive dyskinesia.
  c. history of psoriasis and any other skin disorders.
  d. history of diarrhea and electrolyte imbalances.

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Answer to Question 1

ANS: D
Older adults are particularly susceptible to side effects, so selecting a drug with a low side-effect profile is desirable. The pharmacokinetics of sertraline are less affected by changes associated with aging. The incorrect options are either incorrect or of lesser relevance.

Answer to Question 2

ANS: A
Drug interactions, with both prescription and over-the-counter products, can be problematic for the geriatric patient taking an SSRI. Careful collection of information is important. The incorrect options do not pose problems with SSRIs.

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Excellent

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Gracias!