A psychiatric nurse is reviewing three client cases during s…

A psychiatric nurse is reviewing three client cases during shift report: Client A: A 32-year-old was admitted after being found walking naked in a shopping mall, claiming to be “chosen by God.” History reveals periods of severe depression with multiple suicide attempts. Current presentation includes no sleep for 4 days and states “I don’t even feel tired”, increased energy, pressured speech, and aggressive behavior requiring security presence. BP 158/98, HR 122, RR 24. Client B: A 28-year-old presents with persistent low mood for 8 months following job loss. Reports sleeping 12 hours daily, gained 11 kg in last month, and experiences constant fatigue. No history of elevated mood or increased energy. PHQ-9 score is 24. BP 124/82, HR 72, RR 18. Client C: A 45-year-old presents with severe depression, being bedbound for 6 weeks, with passive suicidal ideation. History includes brief periods of increased productivity and decreased need for sleep (4-5 hours/night) lasting 3-4 days,. During these times, the client reports they completed “so many home building projects and excelled at meeting work deadlines”. No hospitalizations for elevated mood. BP 118/72, HR 68, RR 16. PHQ-9 score is 25. Select the correct diagnosis for each client presentation.

A male client, is currently participating in outpatient ther…

A male client, is currently participating in outpatient therapy. The client has a history of major depressive disorder. The client has a history of suicidal ideation and a previous suicide attempt five years ago. The client recently completed the Columbia Suicide Severity Rating Scale (C-SSRS) during his therapy session. He reported experiencing occasional thoughts of wanting to die but denied any specific plans and intent. He reports no access to lethal means. Which assessment finding from the client’s Columbia Suicide Severity Rating Scale (C-SSRS) indicates the need for further evaluation and intervention?