A nurse is caring for a client who has major depressive disorder and was prescribed citalopram 2 weeks ago with a planned dosage increase 1 week ago. The client reports having an improved appetite, but still feels very depressed and is still having trouble sleeping. Which of the following actions should the nurse take first?
- Speak to the provider about adding an MAOI to the current medication regimen
- Explain that antidepressants often take several weeks to be fully effective
- Tell the client that the provider will need to change citalopram to a different medication
- Recommend a sleep study be done on the client
