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    Nur 215 Mental Health Proctored Exam ( Montgomery Community College)

    A client asks the nurse why they have to go to therapy and cannot just take the prescribed antidepressant medication. Which would be the most therapeutic response by the nurse?

    Explanation & Rationale

    Choice A reason: Recommending both treatments due to insurance coverage is not therapeutic, as it does not address the clinical rationale. Antidepressants and therapy target different aspects of depression (neurochemical and behavioral), and this response fails to explain their complementary roles effectively. Choice B reason: Antidepressants correct neurotransmitter imbalances (e.g., serotonin) to alleviate depressive symptoms, while therapy (e.g., CBT) addresses maladaptive thought patterns and behaviors, promoting long-term coping skills. This combination enhances recovery, making this the most therapeutic explanation for the client’s treatment plan. Choice C reason: Suggesting medications are temporary implies the client will stop treatment, which may not be true for chronic depression. This undermines the importance of ongoing management and therapy’s role in behavioral change, making it less therapeutic and potentially discouraging. Choice D reason: Asking about reservations may encourage dialogue but does not directly explain the need for therapy alongside medication. It sidesteps the clinical rationale for combined treatment, which is critical for understanding the comprehensive approach to depression management.

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