A nurse is reinforcing teaching with a client about naltrexone. Which of the following statements by the client indicates an understanding of the teaching?

Choice A reason: Systematic desensitization is a technique primarily used for anxiety disorders and phobias, rather than for preventing relapse in depression. This method involves gradually exposing a person to anxiety-provoking stimuli while teaching them relaxation techniques to cope with the anxiety. While it is an effective therapeutic tool, it is not specifically aimed at preventing relapse in depression. Instead, it is more suitable for conditions where anxiety and avoidance behaviors are predominant issues.

Choice B reason: Antidepressant medications typically take several weeks to begin showing their full therapeutic effects, not just a few days. Telling a client that they will feel better in a few days can lead to unrealistic expectations and potential disappointment if the medication does not work immediately. Clients should be informed that it might take a few weeks to notice significant improvements and that they should continue taking the medication as prescribed and follow up with their healthcare provider.

Choice C reason: Identifying how one reacts to stressful events is crucial in managing depression and preventing relapse. Stressful events can trigger or exacerbate depressive episodes. By understanding their responses to stress, clients can develop coping strategies and seek appropriate support when needed. This proactive approach helps in recognizing early signs of relapse and implementing measures to mitigate the impact of stress on their mental health. Therefore, this advice is practical and directly applicable to preventing depression relapse.

Choice D reason: Snapping a rubber band on the wrist as a way to interrupt depressive thoughts is a behavioral technique that might work for some individuals in the short term. However, it is not a comprehensive strategy for preventing depression relapse. This method is more of a distraction technique and does not address the underlying issues or equip the client with long-term coping strategies. Effective relapse prevention in depression involves a more holistic approach, including cognitive-behavioral techniques, medication adherence, and lifestyle changes.

Choice A reason: This statement is incorrect because individuals with bulimia nervosa can engage in other purging behaviors, such as the use of laxatives or excessive exercise, even if they do not vomit after eating. Therefore, the absence of vomiting does not rule out the diagnosis of bulimia nervosa.

Choice B reason: While individuals with bulimia nervosa may experience fluctuations in blood sugar levels due to their disordered eating behaviors, they are not specifically at a higher risk for developing diabetes mellitus compared to the general population. The primary health risks associated with bulimia nervosa are related to electrolyte imbalances, gastrointestinal issues, and cardiovascular complications.

Choice C reason: Bulimia nervosa can be difficult to detect because individuals with this disorder often maintain a weight that is within the average or ideal range. This can make it challenging for others to recognize the presence of an eating disorder, as the physical appearance may not immediately suggest a problem.

Choice D reason: This statement is incorrect because individuals with bulimia nervosa typically engage in binge eating episodes, during which they consume a large amount of food in a short period of time. These binge eating episodes are a key characteristic of the disorder and distinguish it from other eating disorders.