Clinical Practice SWES Practice Exam

What potential side effect of SSRIs could explain a client’s decision to discontinue medication?

1. Sexual dysfunction

2. Tardive dyskinesia

3. Shutting down all affect

4. Never covered by health insurance

The correct answer is: Sexual dysfunction

Sexual dysfunction is a well-documented potential side effect of selective serotonin reuptake inhibitors (SSRIs), which can significantly impact a client's quality of life and their willingness to continue treatment. Many individuals may experience difficulties such as reduced libido, delayed orgasm, or erectile dysfunction. This issue can create stress and frustration, leading clients to feel that the benefits of the medication do not outweigh these negative effects. For some, the concern over sexual health can be a pivotal factor in their decision to discontinue SSRIs, as they seek to regain their sexual well-being. In contrast, other options, while they may relate to medication side effects or healthcare issues, are less directly linked to the common patient experience with SSRIs. Tardive dyskinesia is more commonly associated with long-term use of antipsychotic medications rather than SSRIs. "Shutting down all affect" could describe a potential side effect, but it is less frequently reported and might not be recognized by all clients as a central reason for discontinuation. Finally, concerns about health insurance coverage are valid but are more related to access and affordability rather than a specific side effect of the medication that could lead to discontinuation.