A 21-year-old college student is admitted to an outpatient m…

A 21-year-old college student is admitted to an outpatient mental health clinic with diagnoses of major depressive disorder, generalized anxiety disorder, and problematic social media use. The client reports “I spend 8-10 hours every day looking at other people’s posts. Everyone seems successful except me. I started taking my roommate’s ADHD medication because it helps me stay awake and study longer.” During the assessment, the nurse notes the following: Sleeping 3 hours per night 8-lb weight loss over the past month Increased irritability Client states, “Sometimes I think everyone would be better off without me.” Which action should the nurse take first?

A psychiatric nurse is caring for a 35-year-old incarcerated…

A psychiatric nurse is caring for a 35-year-old incarcerated client with a history of antisocial personality disorder and alcohol use disorder. The client was admitted to the mental health unit after becoming increasingly agitated. The nurse notes: Pacing continuously in the room Tremors and sweating Reporting, “I see insects crawling on the wall.” Becoming verbally threatening toward other inmates Which action should the nurse take first?