(Select all that apply): A client with MDD is prescribed an atypical antidepressant. Which statements are true about atypical antidepressants? (Select three).

Choice A rationale:

Correct Choice Responding with empathy and reflecting the client's feelings is important in therapeutic communication. In this scenario, the client is exhibiting grandiose beliefs and a heightened sense of self-importance. The response acknowledges the client's feelings without necessarily agreeing or disagreeing, maintaining a nonjudgmental stance.

Choice B rationale:

While offering to listen and talk more is a good approach, the phrasing of this option, "I'm sorry you're feeling this way," could be perceived as dismissive or patronizing. It's important to provide a more empathetic and open response to the client's feelings.

Choice C rationale:

Responding with a contradictory statement might escalate the situation and potentially lead to a power struggle with the client. Challenging the client's beliefs directly could be counterproductive to building a therapeutic relationship.

Choice D rationale:

This response could be interpreted as confrontational and potentially distressing to the client. It's important to maintain a supportive and nonjudgmental stance when communicating with individuals experiencing manic or hypomanic episodes.

Choice A rationale:

This statement is not accurate for a depressive episode. Excessive involvement in risky activities is more characteristic of a manic episode in bipolar disorder, not a depressive one. Manic episodes are marked by increased energy levels and impulsivity.

Choice B rationale:

An increase in goal-directed activity is not a typical symptom of a depressive episode. Depressive episodes are associated with a decrease in energy, motivation, and interest in previously enjoyed activities, leading to reduced activity levels.

Choice C rationale:

A decreased need for sleep is more commonly associated with manic episodes, where individuals experience a reduced need for sleep due to heightened energy levels. In depressive episodes, sleep disturbances such as insomnia are more prevalent.

Choice D rationale:

Significant weight loss or gain without intentional effort is a possible symptom. Changes in appetite and weight are hallmark features of a depressive episode. Clients may experience a loss of interest in food and subsequently lose weight, or they might engage in "comfort eating," leading to weight gain.