The nurse is meeting weekly with an adolescent recently diagnosed with depression to monitor progress with therapy and antidepressant medication. The nurse should be most concerned when the client reports which of the following?
1. An acquaintance hung herself 2 days ago.
2. She is experiencing intermittent headaches as a side effect of taking the antidepressant.
3. She received a low score on her last history test.
4. Her younger brother has been starting fights with her for the last week.
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