A client suffering from depression presents to the healthcare setting for pharmacologic treatment. Which of the following medications would be considered the first-line treatment for depression?
risperidone (Risperdal)
haloperidol (Haldol)
paroxetine (Paxil)
clozapine (Clozaril)
The Correct Answer is C
A. Risperidone is an atypical antipsychotic primarily used to treat schizophrenia and bipolar disorder, not first-line treatment for depression.
B. Haloperidol is a typical antipsychotic used mainly for acute psychosis and agitation, not for treating depression.
C. Paroxetine is a selective serotonin reuptake inhibitor (SSRI) that is widely recognized as a first-line treatment for depression due to its efficacy and relatively favorable side effect profile.
D. Clozapine is an atypical antipsychotic reserved for treatment-resistant schizophrenia and is not indicated for the treatment of depression.
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Correct Answer is D
Explanation
A. Prophylactic therapy is used to prevent infection in at-risk individuals, not to treat suspected infections before confirming lab results.
B. Palliative therapy is intended for symptom relief, often in cases where curing the disease is not the goal.
C. Maintenance therapy is designed to maintain health stability rather than to treat suspected infections without lab confirmation.
D. Empiric therapy involves starting treatment based on clinical judgment before lab results are available. This approach is useful to manage infections promptly when waiting for cultures could delay necessary care.
Correct Answer is C
Explanation
A. A BMI greater than 30 is a consideration, but it is not an absolute contraindication for the use of POPs.
B. Ginger does not interact adversely with progestin-only pills and is not a contraindication.
C. A history of hypertension can increase the risk of cardiovascular events, and while POPs are generally safer than combined hormonal contraceptives for women with hypertension, it should still be monitored and reported to the healthcare provider.
D. Having no intention of conceiving is not a contraindication; in fact, it is a common reason for using contraceptive methods like POPs.