What are some potential side effects of mood stabilizers?

A. Skin breakdown: This is a medical problem or symptom, but it is not a structured nursing diagnosis.

B. Elevated blood pressure: This is a clinical finding rather than a nursing diagnosis.

C. Anxiety: While anxiety is a medical condition, a complete nursing diagnosis should describe the specific effects on the patient, such as "Anxiety related to hospitalization as evidenced by restlessness and increased heart rate."

D. Ineffective breathing pattern: This is a standardized nursing diagnosis as defined by NANDA (North American Nursing Diagnosis Association). It refers to altered respiratory function that nurses can assess and manage.

A. Allow the client time alone to self-reflect.: Suicidal clients should not be left alone. They require immediate assessment and intervention.

B. Reassure the client that everything is going to work out.: Offering false reassurance can invalidate the client’s feelings and may discourage further discussion of their distress.

C. Ask the client about the lethality of their plan.: The nurse should assess the specifics of the client’s plan to determine the level of risk. A detailed, lethal plan indicates a higher suicide risk and requires immediate intervention.

D. Encourage the client to focus on the positive aspects of life.: While positive reinforcement is helpful, it does not address the immediate risk of suicide. The nurse should prioritize risk assessment and safety.