Ms. Rachel Coxilean, a 32-year-old woman, visits

Ms. Rachel Coxilean, a 32-year-old woman, visits her healthcare provider and explains that lately, she has been experiencing frequent headaches, disinterest in eating (except for chocolate) and sex, and difficulty focusing. She has been taking OTC meds for the past two years to help her sleep. She missed work twice within the past year because of extreme fatigue. Ms. Coxilean does not drink alcohol and admits, “The stress is almost overwhelming sometimes.” Ms. Coxilean has been diagnosed with major depressive disorder. 1. During the planning process, it was determined that she would not be treated with mood stabilizers. What evidence provided above would support that determination? 2. After considering her symptoms and noting that her lab values were within normal limits, the nurse would expect that she would be started on phenelzine (Nardil), an MAOI. What would she need to be informed of regarding taking an MAOI? Think holistically! 3. An SSRI was prescribed for Ms. Coxilean. Which SSRI would you suspect she would be treated with and why? Describe the therapeutic actions of the drug. SCIENCE HEALTH SCIENCE NURSING POLS 126

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