A nurse is speaking with a client who called the provider's office to report chest pain and requests clarification about how to take their sublingual nitroglycerin. Which of the following statements should the nurse make?

A. Depression: Massage therapy has been shown to reduce cortisol levels and increase serotonin and dopamine activity, which are neurotransmitters involved in mood regulation. Through tactile stimulation and relaxation, massage can decrease stress, anxiety, and depressive symptoms. It is commonly used as a complementary therapy alongside standard treatments such as psychotherapy and pharmacologic management.

B. Bipolar disorder: Bipolar disorder involves alternating episodes of mania and depression that require careful pharmacologic stabilization. Massage therapy does not address the underlying neurochemical dysregulation associated with mood cycling. During manic phases, increased stimulation may even exacerbate agitation or restlessness.

C. Schizophrenia: Schizophrenia is a chronic psychotic disorder characterized by hallucinations, delusions, and impaired thought processes. Treatment centers on antipsychotic medications and psychosocial interventions. Massage therapy does not target the core psychotic symptoms and may increase discomfort or paranoia in some clients.

D. Obsessive compulsive disorder: Obsessive compulsive disorder is driven by intrusive thoughts and repetitive behaviors related to anxiety. Treatments include cognitive behavioral therapy with exposure and response prevention and pharmacologic therapy. Massage therapy may provide relaxation but does not directly address compulsive or obsessive symptom patterns.

A. Cottage cheese: Cottage cheese is a dairy product that contains all nine essential amino acids, classifying it as a complete protein. It supports tissue repair and overall protein needs, making it suitable for a high-protein diet.

B. Whole wheat bread: Whole wheat bread is primarily a plant-based protein source and is considered an incomplete protein because it lacks one or more essential amino acids. It must be combined with other plant proteins to achieve completeness.

C. Salmon: Salmon is an animal-based protein that contains all essential amino acids, making it a complete protein. It also provides healthy omega-3 fatty acids, supporting cardiovascular health and anti-inflammatory benefits.

D. Hard-boiled eggs: Eggs are a classic source of complete protein, offering all essential amino acids in optimal proportions. They are highly digestible and ideal for meeting high-protein dietary requirements.

E. Steamed spinach: Spinach is a plant-based protein and considered incomplete because it does not provide all essential amino acids in adequate amounts. While nutritious, it cannot alone meet complete protein requirements.