In the continuation phase of treatment for major depressive disorder, what should a nurse emphasize to the client?

Choice A reason: While increasing social interactions is a helpful component of the recovery process to combat isolation, it is not the primary clinical objective of the continuation phase. Socialization is a behavioral goal that follows the stabilization of mood through more foundational biological and psychological interventions. Choice B reason: Electroconvulsive therapy is typically reserved for treatment-resistant depression or patients in an acute crisis who require a rapid response. It is not a standard emphasis for the continuation phase, which focuses on maintaining the remission achieved during the acute phase of treatment. Choice C reason: Hospitalization is an intervention for the acute phase of major depressive disorder, especially when there is a risk of self-harm. The continuation phase occurs after the client has been stabilized, usually in an outpatient setting, making hospitalization an inappropriate focus for this stage of care. Choice D reason: The continuation phase lasts 4 to 9 months after symptoms have subsided. The primary goal is to prevent relapse. Therefore, the nurse must emphasize strict adherence to the prescribed pharmacological regimen and consistent attendance at psychotherapy sessions to ensure the brain’s neurochemical balance remains stable.