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    Mental Health Northern Kentucky University Proctored Exam 7

    A 28-year-old woman presents to the psychiatric-mental health nurse practitioner for evaluation of depression and anxiety. She states that her older sister and her mother have been on antidepressants "for years." She has avoided coming to the "crazy doctor" for "a long time." She is nervous about taking medication because she is worried about side effects. She asks about getting a genetic test to see which medication would work best for her. What is the PMHNP's most appropriate response?

    Explanation & Rationale

    Choice A reason: Waiting to perform a genetic test until after multiple medication failures unnecessarily delays personalized care and may contribute to patient anxiety. Choice B reason: Offering a genetic test respects the patient’s interest in pharmacogenomics, supports shared decision-making, and can guide individualized treatment to minimize side effects and improve outcomes. Choice C reason: Knowing family medication history is helpful but does not directly address the patient’s request for genetic testing or guide immediate personalized care. Choice D reason: Initiating treatment based on family history before obtaining test results may compromise the principle of individualized care and ignores the patient’s expressed interest in genetic testing.

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