A client was hospitalized for 1 week with major depression with suicidal ideation. He is taking venlafaxine (Effexor), 75 mg three times a day, and is planning to return to work. The nurse asks the client if he is experiencing thoughts of self-harm. The client responds, "I hardly think about it anymore and wouldn't do anything to hurt myself." The nurse should make which judgment about the client?
a) The client is decompensating and in need of being readmitted to the hospital.
b) The client needs an adjustment or increase in his dose of antidepressant.
c) The depression is improving and the suicidal ideation is lessening.
d) The presence of suicidal ideation warrants a telephone call to the client's primary care provider.
Answer: c) The depression is improving and the suicidal ideation is lessening.
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