A 76 year old female patient's behavior changed after her husband died she had been unable to leave the house without checking numerous times to see if the door was lock when she did leave she returned within minutes to check again her daughter accompanied her to the first visit to the clinic and said we went shopping 2 days ago I hadn't been driving for 5 minutes when mom said that she needed to check to see whether she locked the door I saw her lock it myself so I told her I wasn't turning back my mother became tearful, angry and attempted to get out of the moving car " the patient was seen by her primary health care provider last week who prescribed fluoxetine how should the nurse determine if the patient is benefiting from her anti-anxiety medication?

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