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 nurse is preparing a safety plan with a client diagnosed with Major Depressive Disorder who is being discharged following hospitalization for suicidal ideation. The client’s PHQ-9 score has improved from 24 to 16, and they have been compliant with medications (sertraline 100mg daily and trazodone 50mg at bedtime). The client lives alone but has supportive family nearby. Which FOUR components are essential to include in the discharge safety plan?

T-Group is a method of behavioral change through unstructured group interaction, focusing on emotions and process to improve interpersonal relationships and reduce conflict.

Which of the following is evidence that a chemical change may have occurred? Check all that apply.

If you wrote your calculations on paper instead of typing them in the boxes provided, please upload a clear, legible image of that work here. All work should be in a single file.

Round 4.7989 to three significant figures.

What is the difference between deforestation and forest degradation?

When multiplying 4.73 cm by 2.2 cm by 2.293 cm, how many significant figures should there be in the answer?

If your clothing catches fire in the laboratory, what is the FIRST action you should take?

What is commodity-driven deforestation?   Give a practical example of when this occurs.