A client taking mirtazapine is disheartened about a 20 lb (9 kg) weight gain over the past 3 months. The client tells the nurse, “I stopped taking my mirtazapine 15 days ago. I don't want to get...

A client taking mirtazapine is disheartened about a 20 lb (9 kg) weight gain over the past 3 months. The client tells the nurse, “I stopped taking my mirtazapine 15 days ago. I don't want to get depressed again, but I feel awful about my weight.” Which response by the nurse is most appropriate?

1. “Focusing on diet and exercise alone should control your weight.”

2. “Your depression is much better now, so your medication is helping you.”

3. “Look at all the positive things that have happened to you since you started mirtazapine.”

4. “I hear how difficult this is for you and will help you approach the doctor about it.”