A client is at the clinic for follow-up after cardiothoracic surgery and tells the nurse, "I don't know what is wrong with me. I don't want to eat, and I feel depressed." What is the best response by the nurse to this statement?
A) "I think we need to get you in to see a psychiatrist."
B) "There should be no reason for you to be depressed. You came through the surgery fine."
C) "It may take several weeks for your appetite to return, and the depression is normal and temporary."
D) "You need to tell the physician because this could be serious."
C
Feedback:
Discharge instruction should be given prior to the client leaving the hospital about it taking several weeks for a normal appetite to return and that depression is normal and temporary. The client does not need psychiatric help at this point but may benefit from a support group with other clients that have had cardiothoracic surgery. Informing a client that he has no reason for being depressed is nontherapeutic and demeans the client's feelings. Informing the physician because the depression could be serious could cause alarm.
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