Registered Psychiatric Nurses of Canada Examination (RPNCE) Practice test

What is the most appropriate response from the RPN regarding Mrs. Ryan's report of low libido after starting fluoxetine for depression?

1. Teach about the connection between mood and libido

2. Advocate for a change in medications

3. Inquire about her relationship with her husband

4. Explore how long she has experienced low libido

The correct answer is: Explore how long she has experienced low libido

The most appropriate response involves exploring how long Mrs. Ryan has experienced low libido. This approach is crucial because it allows the Registered Psychiatric Nurse to gather important information that can help assess whether the low libido is a new side effect of the fluoxetine or if it is a long-standing concern that may or may not be related to the medication. Understanding the duration of the issue is a fundamental step in aiding treatment decisions and discussing potential implications for her mental health and well-being. Inquiring about how long the low libido has been occurring also opens a dialogue for Mrs. Ryan, making her feel heard and validated in her experience. This information can guide further discussions about medication effects, personal factors affecting libido, and any underlying issues that may need to be addressed in her treatment plan. Other responses might provide valuable insights; however, they do not address the immediate need to assess and understand the patient’s experience fully before recommending changes or making assumptions about the relationship dynamics.