Registered Psychiatric Nurses of Canada Examination (RPNCE) Practice test

What side effect should the RPN prioritize discussing with Amelia, who has a history of cutting and is prescribed an SSRI?

1. Sedation

2. Suicidal ideation

3. Sexual dysfunction

4. Serotonin syndrome

The correct answer is: Suicidal ideation

The side effect that should be prioritized for discussion in Amelia's case is suicidal ideation. This concern is particularly important given her history of self-harm. SSRIs, while commonly used for treating depression and anxiety, can have the paradoxical effect of increasing suicidal thoughts and behaviors in certain populations, especially during the initial phase of treatment or when doses are adjusted. It is crucial for healthcare providers, including Registered Psychiatric Nurses, to assess and monitor patients closely for any worsening of mood or emergence of suicidal thoughts when starting or changing dosage on these medications. The awareness and open discussion around this potential side effect can help in developing a safety plan and in ensuring that Amelia feels supported and safe throughout her treatment process. While sedation, sexual dysfunction, and serotonin syndrome are legitimate concerns associated with SSRIs, they are generally not as immediately critical to address in Amelia's context as the risk of suicidal ideation, which can lead to more severe outcomes. Addressing suicidal ideation shows sensitivity to her background and the complexities surrounding her mental health challenges.