A patient who lost a grandchild over a year ago recently stopped taking her anti-depressant medication. When assessing the patient, which finding would suggest a relapse of the patient's depression?
1. Changes in the patient's sleep patterns
2. Increased patient talk about her grandchild
3. Continuing patient participation in a grief support group
4. Patient involvement in creating a memorial scholarship fund
Answer: 1
Explanation: Early signs of relapse of depression may include sleep difficulties that recur after a period of improvement. Talking about a loved one can be an effective strategy for coping with loss. Participating in creating an appropriate memorial can also support healing. Ongoing participation in treatment is an indication of effective involvement, not of relapse.
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