A depressed client states, I have a chemical imbalance in my brain. I have no control over my behavior. Medications are my only hope to feel normal again. Which nursing response is appropriate?

Question

A depressed client states, I have a chemical imbalance in my brain. I have no control over my behavior. Medications are my only hope to feel normal again. Which nursing response is appropriate??  
A. Medications are one way to address chemical imbalances. Environmental and interpersonal factors can also have an impact on biological factors.  
B. . Because biological factors are the sole cause of depression, medications will improve your mood.  
C. Environmental factors have been shown to exert the most influence in the development of depression.  
D. Researchers have been unable to demonstrate a link between nature (biology and genetics) and nurture (environment).

NursesPath · Accepted Answer

Correct Answer: (A)Medications are one way to address chemical imbalances. Environmental and interpersonal factors can also have an impact on biological factors.. 
Rationale: The interpretation supported by the scenario is Medications are one way to address chemical imbalances. Environmental and interpersonal factors can also have an impact on biological factors..A. Medications are one way to address chemical imbalances. Environmental and interpersonal factors can also have an impact on biological factors.This matches the stem because The nurse should advise the client that medications are one treatment approach to address biological factors, but there are other factors that affect mood. The nurse should educate the client on environmental and interpersonal factors that can lead to depression and the potential for psychological treatments to have a positive impact on biological factors. Need: Health Promotion and Maintenance The underlying principle in the stem is best addressed by choosing the response that is both specific to the cue provided and consistent with evidence-informed psychiatric nursing practice. From a nursing standpoint, this selection guides assessment and interventions toward what is most clinically meaningful in the moment—risk reduction, safety, accurate appraisal, and support for adaptive coping.B. Because biological factors are the sole cause of depression, medications will improve your mood.This would apply in a different scenario where the idea in “Because biological factors are the sole cause of depression, medications will improve your mood.” addresses a different mechanism or priority than the one emphasized by the stem The wording does not track the stem’s main cue, so selecting it would shift the nurse away from the most precise interpretation or priority.C. Environmental factors have been shown to exert the most influence in the development of depression.This reflects a related idea, but it fits best when the idea in “Environmental factors have been shown to exert the most influence in the development of depression.” addresses a different mechanism or priority than the one emphasized by the stem The wording does not track the stem’s main cue, so selecting it would shift the nurse away from the most precise interpretation or priority.D. Researchers have been unable to demonstrate a link between nature (biology and genetics) and nurture (environment).This reflects a related idea, but it fits best when the idea in “Researchers have been unable to demonstrate a link between nature (biology and genetics) and nurture (environment).” addresses a different mechanism or priority than the one emphasized by the stem The wording does not track the stem’s main cue, so selecting it would shift the nurse away from the most precise interpretation or priority.ConclusionThe scenario is best handled by identifying what the nurse must interpret or prioritize first and then choosing the statement that fits that requirement with the least distortion. The distractors have surface appeal, but they do not align as tightly with the clinical cue embedded in the stem.

A depressed client states, I have a chemical imbalance in my brain. I have no control over my behavior. Medications are my only hope to feel normal again. Which nursing response is appropriate?

The interpretation supported by the scenario is Medications are one way to address chemical imbalances. Environmental and interpersonal factors can also have an impact on biological factors..

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