When communicating with a client who has major depressive disorder, the nurse should avoid being:
1. Warm and patient.
2. Gently encouraging.
3. Cheerful and outgoing.
4. Slow and empathic.
3
Rationale: A cheerful and outgoing attitude does not make the client feel better. It may be more comfortable for the nurse to avoid dealing with the client's feelings, but it may lead the client to feel worse, because their feelings seem less important. Warmth and patience are beneficial. Clients with depression may have trouble when others talk too quickly or do not seem to understand, so communication that is slow and empathic would be beneficial. Clients with depression do not want to do things like get out of bed, shower, and put on clothes. They must be encouraged to do so.
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