The nurse on the mental health unit received report on 4 clients. Which client should the nurse see first?

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Post-traumatic stress disorder (PTSD) may occur in people who have seen or experienced a terrifying, traumatic event (eg, war, tornado, rape, plane crash). Symptoms of PTSD include re-experiencing the traumatic event via flashbacks, nightmares, and feelings of distress in reaction to reminders; avoiding reminders of the trauma (eg, places, activities, thoughts, other triggers); and increased anxiety and emotional arousal (eg, insomnia, hypervigilance, outbursts of rage, irritability). Clients with an anxiety level of 8/10 and pacing behavior are demonstrating distress and require immediate attention as they might harm themselves or others. (Option A) Clients with major depressive disorder frequently demonstrate loss of appetite, weight loss, and insomnia (typical depression). Some with atypical depression will experience increased appetite, weight gain, and hypersomnia. This client's lack of appetite needs to be addressed but is not the priority at this time. (Option C) Clients experiencing acute mania have a decreased need for sleep and boundless energy; they often do not sleep for days. This is an expected behavior in a client newly admitted with a manic episode. As the client's manic episode is resolved via medications and therapy, sleep patterns will improve. (Option D) Clients with obsessive-compulsive disorder perform compulsive behaviors (rituals) to decrease their level of anxiety. When newly admitted, the client should be given time to perform the rituals to avoid causing panic anxiety. Treatment will focus on assisting the client to develop better coping behaviors and gradually reduce the time spent on the ritualistic behavior. Educational objective: Clients with post-traumatic stress disorder have periods of extreme anxiety and emotional arousal during which they can be a danger to themselves or others.

The Nurse on the Mental Health Unit Received Report on 4