What additional information would be helpful to the nurse as related to clients presentation?

Communication: Depression

After three months of treatment, Shanda and her mother visit the health clinic. Shanda is recovering well, she began a new semester, and she has a full time job to help cover her medical expenses. She and her mother moved into a smaller single bedroom apartment closer to her school. She has adhered to her prescribed regimen and has been getting plenty of rest. Shanda reports that her energy level and appetite are back to normal.

Shanda is worried about her mom. Her mom is homesick and does not like being alone when Shanda is gone. She does not speak English well, and has only met a few people since she has been living with Shanda. Coupled with not feeling herself has caused a change in the mother's behavior.

The nurse notes that the mother is quiet and only interacts with the nurse minimally. The nurse notes that the mother's energy level is still low and she lacks enthusiasm to participate in any activities. When the nurse asks how she is doing, the mother states, "This is a terrible feeling. I don't know if I want to go on like this."

25. What is the best initial response by the nurse?
A. "Most people taking interferon feel depressed."
B. "A positive attitude is an important part of healing."
C. "It sounds like you may need an antidepressant."
D. "You seem very discouraged right now."