Mary Jane
The nurse reviews Mary's medical record and identifies that the client was given an Axis Il diagnosis of borderline personality disorder last year. In review of family history, the nurse notes that Mary's mom has had a history of major depressive disorder for the past 20 years.
The nurse continues interactions with Mary. The nurse asks about any recent life events or family history that may have contributed to her depression. Mary reports recently being fired from her job.
Mary states, "We were in a bad car crash when I was 12 and my younger brother was killed. I was sitting right next to him when it happened." Mary blames herself and reports that she has had so much guilt about it and just cannot get over it.
Which of the following factors from the client's history should the nurse identify as a risk factor for depression? (Select all that apply.)
_ Recent life event
Childhood experience
Maternal history
Axis Il diagnosis
Birth order