The nurse is evaluating teaching for a client diagnosed with depression who is prescribed bupropion (Wellbutrin). Which of the following statements made by the client indicates that the teaching was effective?

Choice A reason:
Regular exercise is generally not considered a predisposing factor for the development of anxiety disorders. In fact, regular physical activity is often recommended as a part of the treatment plan for anxiety because it can help reduce symptoms. Exercise can improve mental health by reducing levels of the body's stress hormones, such as adrenaline and cortisol. It also stimulates the production of endorphins, chemicals in the brain that are the body's natural painkillers and mood elevators.

Choice B reason:
A family history of anxiety disorders can be a predisposing factor. Anxiety disorders can run in families, suggesting that a combination of genes and environmental stresses can produce the disorders. If a close family member has an anxiety disorder, it may increase the likelihood that an individual will develop one as well.

Choice C reason:
Regular meditation practice is typically not a predisposing factor for anxiety disorders; rather, it is often used as a coping mechanism to manage anxiety. Meditation can help reduce stress levels and improve emotional health, which may decrease the risk of developing an anxiety disorder.

Choice D reason:
Being a perfectionist can sometimes be a predisposing factor for anxiety disorders. Perfectionism is often associated with fear of failure, fear of making mistakes, and a tendency to experience high levels of stress and pressure, which can contribute to the development of anxiety disorders.

Choice E reason:
Excessive caffeine consumption can be a predisposing factor for anxiety disorders. Caffeine is a stimulant that can mimic the symptoms of anxiety, such as increased heart rate and nervousness. People who consume large amounts of caffeine may have an increased risk of developing anxiety disorders.

Choice F reason:
Chronic physical illness can be a predisposing factor for anxiety disorders. Living with a chronic illness can cause significant stress and may lead to the development of anxiety disorders. The constant worry about health, treatments, and the future can be overwhelming and may trigger or worsen anxiety symptoms.

Choice A reason:
A necklace can pose a risk for clients with suicidal tendencies as it can be used to inflict self-harm. In an acute mental health unit, it is crucial to remove any items that could potentially be used in another suicide attempt. The nurse should ensure that the environment is safe and free from objects that could be used for hanging or strangulation.

Choice B reason:
Lace-up tennis shoes have laces that can be removed and used by the client to harm themselves. It is a standard safety precaution in mental health units to remove any items with strings or laces, such as belts, drawstrings, or shoe laces, to prevent their use in self-harm or suicide attempts.

Choice C reason:
Nylon ankle socks are generally considered safe and do not typically need to be removed. They do not pose a significant risk for self-harm. Therefore, the client can keep these for personal comfort and hygiene.

Choice D reason:
Cotton underwear is a basic necessity and does not present a risk for self-harm. It is important for the client's dignity and hygiene to have access to personal undergarments while in the mental health unit.

Choice E reason:
A glass-framed picture, while sentimental, poses a risk due to the glass, which can be broken and used to inflict self-harm. For safety reasons, any items made of glass or other breakable materials should be removed from the client's access in a mental health unit.