Risk factors for the development of depression include genetic predisposition, a first-degree relative with MDD or dysthymia, or being female. Depression may be associated with life changes like stressors or incarceration, however, these are more peripheral risk factors.

Tricyclic antidepressants can cause changes in the ECG, including a widened QRS complex. This is due to the effect of tricyclic antidepressants on the heart's electrical conduction system. The widened QRS complex can increase the risk of dysrhythmias, and the nurse should monitor the client for any signs of cardiac distress.
The nurse should also educate the client on the potential ECG changes associated with tricyclic antidepressant use and advise them to report any symptoms of dysrhythmias to their healthcare provider.

Paxil is an SSRI and is FDA-approved for the treatment of PTSD. Another SSRI medication that is FDA-approved and often used in the treatment of PTSD is Zoloft (sertraline).
Haldol is a first-generation antipsychotic and is not recommended for the treatment of PTSD. Lithium is a mood stabilizer and the gold standard for the treatment of bipolar I disorder; it is not FDA-approved for the treatment of PTSD. Ativan is not FDA-approved and not recommended for the treatment of PTSD.

The primary care physician is the consultee. The consultee requests consultations from the consultant. This is established the standards of practice.

Clarifying involves the summarization of what the patient said and seeking clarification for accuracy. It is an expanded psychiatric interview technique.
Silence and reflection are facilitating techniques. "Why" questions are considered an obstructive intervention.