A nurse is assessing a client who has been receiving electroconvulsive therapy. Which of the following findings indicates the treatment is effective?

A. A client who reports that he enjoys smoking marijuana on weekends:
This situation involves an individual admitting to recreational drug use. While marijuana use might be illegal in some jurisdictions, it is generally not a reportable offense by itself unless it involves a minor. However, the nurse should educate the client about the potential risks associated with drug use.

B. A client who reports that she took $20 from the cash register where she works:
This scenario involves a confession of theft. While stealing is a legal offense, it does not fall under the category of mandatory reporting unless it involves abuse or neglect of a vulnerable population (such as elderly individuals in a care facility). The appropriate action here would be for the nurse to address the issue within the facility's protocols, but it does not require reporting to an external agency.

C. A client who reports lying to his provider about having suicidal ideation:
This situation involves dishonesty with a healthcare provider. While it is concerning behavior, it does not typically fall under the category of mandatory reporting. Instead, it highlights the importance of addressing trust issues and ensuring open communication between the client and healthcare providers.

D. A client who reports that her partner ties their child to a bed as punishment:
This scenario involves a report of child abuse. Tying a child to a bed as punishment can be considered a form of physical abuse and a violation of the child's safety and well-being. Healthcare professionals, including nurses, are mandated reporters of suspected child abuse or neglect. They are required by law to report such incidents to the appropriate child protective services agency to ensure the safety of the child involved.

A. "My partner and I recently had our fourth child."
Having a strong support system, such as a partner and family, especially during significant life events like the birth of a child, can be a protective factor against suicide. Supportive relationships are important for mental well-being.

B. "My family has a history of suicide."
A family history of suicide is a risk factor, not a protective factor. It indicates a higher risk for suicidal thoughts or behaviors.

C. “I have Crohn's disease, but it's well-controlled."
Having a chronic illness, even if well-controlled, can be a stressor, potentially increasing the risk of suicidal thoughts. It's not a protective factor.

D. “I just received my license to practice medicine."
Achieving a significant milestone, such as getting a medical license, can enhance self-esteem, provide a sense of purpose, and increase social support, making it a protective factor against suicide.