The client has been taking fluvoxamine (Luvox) for years, has ...

[Brittanyd9008]

The client has been taking fluvoxamine (Luvox) for years, has been symptom-free for one year, and is now considering taking a drug holiday. What nursing teaching is necessary?
 
  1. The client should be symptom-free for at least two years before trying to go off the medication
  2. The client should let the prescriber make these decisions and should not suggest this
  3. A drug holiday should be avoided due to discontinuation symptoms
  4. This is worth trying since the client has been symptom-free for a year

Question 2

The nurse instructs the client about addiction. The nurse determines that the client understands the instructions given when the client says:
 
  1. Addiction is a biopsychosocial problem.
  2. Addiction is an emotional attachment.
  3. Addiction is a behavioral habit.
  4. Addiction is a moral disease.

[Zack0mack0101@yahoo.com]

Answer to Question 1

3
Rationale: Fluvoxamine should be gradually tapered to avoid discontinuation symptoms. The client should discuss the drug holiday with the prescriber.

Answer to Question 2

1
Rationale: The biopsychosocial explanation of addiction is supported by current research and takes a more holistic view of the problem. The view of addiction as a moral disease is non-therapeutic. Viewing addiction as only a behavioral or emotional problem oversimplifies a complex issue.