Which statement by a client taking trazodone (Desyrel) indicates a need for further teaching?

The statement indicating a need for further teaching is the one expressing an expectation that depression will resolve in about 5 to 7 days after starting trazodone. This is important to address because the client's belief does not align with the typical timeframe for antidepressant medications, including trazodone, to exert their full therapeutic effects.

Trazodone, while it can help with sleep and has a relatively quick onset for its sedative effects, generally requires several weeks for its antidepressant properties to become fully effective. Patients should be informed that it may take 2 to 4 weeks, if not longer, for mood improvements to be noticeable. This understanding helps manage expectations and promotes adherence to the medication regimen.

The other statements made by the client reflect appropriate behavioral practices related to the use of trazodone. Taking the medication after a light snack is acceptable, as it can help reduce gastrointestinal side effects. Mentioning that taking the medication at night will aid in sleep aligns with the common use of trazodone for insomnia due to its sedating properties. Furthermore, the acknowledgment of avoiding alcohol is vital, as drinking alcohol can exacerbate side effects and reduce the effectiveness of the medication.