A client who has been taking fluoxetine (Prozac) 60 mg daily for the past 6 months tells the nurse ...

A client who has been taking fluoxetine (Prozac) 60 mg daily for the past 6 months tells the nurse at
  the medication follow-up clinic that he is considering stopping pharmacotherapy.
 
  He states his mood
  is fine, and now that he is living normally his wife is concerned that he has no sexual drive. The
  nurse's response should be predicated on knowledge that
  a. sexual dysfunction is an expected side effect to which the client must adjust.
  b. morning dosing will alleviate the problem and foster late evening sexual activity.
  c. the problem is usually relationship-oriented and requires couples therapy.
  d. switching to mirtazapine (Remeron) may restore sexual function.