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A 41-year-old taking sertraline (Zoloft) reports improved mood but persistent fatigue and decreased libido causing strain in his relationship. What is the best next step?

A 22-year-old college student avoids speaking in class and has dropped a course requiring presentations. She reports palpitations, sweating, and fear of embarrassment when called on. Symptoms have affected her grades. What is the best treatment?

A 35-year-old reports drinking 3–4 alcoholic beverages nightly to cope with stress. He denies withdrawal symptoms but reports difficulty cutting back and occasional missed work due to fatigue. What is the best next step?

A 45-year-old presents with moderate depression affecting work performance and relationships, including withdrawal from social activities and declining job performance. He prefers to avoid medication if possible. What is the best next step?

A 42-year-old presents with worsening depression, stating he plans to overdose tonight using medications he has already gathered at home. He appears tearful, withdrawn, and expresses hopelessness about the future. What is the best next step?

A 40-year-old with bipolar I disorder stable on lithium (Lithobid) for 2 years reports feeling well and wants to stop medication. He previously required hospitalization for mania. What is the best next step?

A 55-year-old with bipolar disorder treated with lithium (Lithobid) presents with worsening tremor, nausea, and new confusion over the past 2 days. He reports recently starting a thiazide diuretic for hypertension. His symptoms are interfering with daily functioning. What is the best next step?

A 29-year-old reports recurrent panic attacks with palpitations and dyspnea, leading to avoidance of crowded stores and public transport. Cardiac evaluation is negative. Symptoms are worsening and limiting daily activities. What is the best next step?

A nurse is caring for a client with a suspected small bowel obstruction.  Which assessment finding is most concerning and requires immediate provider notification?

What information does the nurse include when planning an educational offering to young women on reducing the risk of getting a UTI? (Select all that apply.)