What should a nurse do when a patient with major depressive disorder shows a sudden improvement in mood?

When a patient with major depressive disorder shows a sudden improvement in mood, questioning the patient about their mood is crucial. This sudden change may indicate a potential shift in their mental health status, which could be positive but also concerning. In some cases, a dramatic improvement in mood can signal that the patient has made a decision to engage in self-harm or has access to a means of self-harm. By asking about their mood, the nurse can assess whether this change is genuine and consider any underlying factors that might be influencing the patient's mental state.

Understanding the patient's experience and motivations behind the mood change contributes to a comprehensive evaluation of their overall mental health. Open communication fosters trust and encourages the patient to express any thoughts or feelings they may be experiencing related to their depression and treatment. Recognizing the nuances of mood changes enables the nurse to provide appropriate interventions and support.

The importance of this approach is underscored by considering the other options. While encouraging treatment continuity is beneficial, it must be paired with understanding the patient's current mental state. Ignoring the behavior change would risk missing essential warning signs. Finally, arranging an immediate discharge based solely on a temporary improvement could lead to a neglect of necessary care and support, potentially compromising the patient's well-being.