A fifteen-year-old client was depressed due to the loss of the client's mother and was placed on venlaxafine (Effexor). Two weeks later the client returns to the clinic and says, "I am feeling worse and have no hope." What nursing action is a priority?

Question

Quizplus · Accepted Answer

Assessing for suicidality is the priority in this situation as the client is expressing feelings of hopelessness and the medication change may not be effective. It is important to determine if the client is at immediate risk for self-harm or suicide and take appropriate actions to ensure their safety. The other options can also be addressed, but assessing for suicidality is the priority.

A Fifteen-Year-Old Client Was Depressed Due to the Loss of the Client's