A nurse is teaching a newly licensed nurse about contributing factors that can lead to the development of conduct disorder. Which of the following factors related to family dynamics should the nurse include in the teaching?

The correct answer is Choice d. "Tell me the reasons you think your mother is depressed."

Rationale for Choice a. "Everyone gets depressed from time to time."

• This response is dismissive and minimizes the daughter's concerns. It suggests that depression is not a serious condition and does not warrant professional attention.
• It fails to acknowledge the daughter's feelings of worry and anxiety.
• It does not gather any information about the mother's symptoms or the reasons for the daughter's concern.

Rationale for Choice b. "Older adults are usually diagnosed with depressive disorder as they age."

• While it is true that depression is more common in older adults, this response does not address the daughter's concerns about her mother's specific symptoms.
• It may unnecessarily alarm the daughter by suggesting that depression is an inevitable part of aging.
• It does not encourage the daughter to share her observations and concerns.

Rationale for Choice c. "You shouldn't worry about this, because depressive disorder is easily treated."

• This response is premature and potentially misleading. It offers reassurance without first gathering enough information to determine whether the mother is actually depressed.
• It may discourage the daughter from sharing important details about her mother's condition.
• It implies that treatment for depression is always simple and straightforward, which is not always the case.

Rationale for Choice d. "Tell me the reasons you think your mother is depressed."

• This response is the most appropriate because it encourages the daughter to share her observations and concerns.
• It demonstrates that the nurse is taking the daughter's concerns seriously.
• It allows the nurse to gather more information about the mother's symptoms and the potential reasons for her depression.
• It opens the door to further assessment and discussion, which are essential for accurate diagnosis and treatment planning.

The correct answer is c. Recent head injury.

Rationale for choice c:

• Bupropion lowers the seizure threshold.
• Individuals with a history of head injury have an increased risk of seizures.
• Administration of bupropion to a client with a recent head injury could significantly elevate the risk of seizure activity.
• It's crucial for the provider to be aware of this risk and make an informed decision about whether to prescribe bupropion or consider alternative smoking cessation therapies.

Rationale for choice a:

• Hepatitis B infection does not generally contraindicate the use of bupropion.
• However,it's important to inform the provider of any underlying medical conditions for comprehensive assessment and management.

Rationale for choice b:

• Knee arthroplasty 1 month ago is not a contraindication for bupropion use.
• While pain management following surgery might be a consideration,bupropion is not known to interact with common analgesics used post-operatively.

Rationale for choice d:

• Hypothyroidism also does not contraindicate bupropion use.
• However,thyroid hormone levels should be monitored as bupropion may potentially impact thyroid function in some individuals.