A charge nurse on a mental health unit is receiving change of shift report for a group of clients. The charge nurse is working with an RN, an LPN, and assistive personnel (AP) from 0700 to 1900 and is reviewing client care assignments. Complete the following sentence by using the lists of options.

The charge nurse should first assess the client who has a 7-year history of major depressive disorder, whose friend reports the client has stopped taking their medication, and who is flat, withdrawn, cries all the time, sleeps all the time, and has extremely slowed movements, due to the risk of Select.

Choice A reason: A physical therapist is not the most appropriate member of the interprofessional health care team to consult for a child who has oppositional defiant disorder. A physical therapist helps clients with physical impairments or disabilities to improve their mobility, function, and quality of life. A child who has oppositional defiant disorder may not have any physical problems that require a physical therapist's intervention.

Choice B reason: A speech pathologist is not the most appropriate member of the interprofessional health care team to consult for a child who has oppositional defiant disorder. A speech pathologist helps clients with communication disorders, such as speech, language, voice, or swallowing problems. A child who has oppositional defiant disorder may not have any communication problems that require a speech pathologist's intervention.

Choice C reason: An occupational therapist is not the most appropriate member of the interprofessional health care team to consult for a child who has oppositional defiant disorder. An occupational therapist helps clients with physical, mental, or developmental challenges to perform daily activities, such as self-care, work, or leisure. A child who has oppositional defiant disorder may not have any occupational problems that require an occupational therapist's intervention.

Choice D reason: A social worker is the most appropriate member of the interprofessional health care team to consult for a child who has oppositional defiant disorder. A social worker helps clients with psychosocial issues, such as family conflicts, behavioral problems, or emotional distress. A child who has oppositional defiant disorder may benefit from a social worker's services, such as counseling, case management, or referral to community resources.

Choice A reason: Evaluating the outcomes is not the first step in the evidence-based practice process, but the last one. The nurse should evaluate the outcomes after implementing the findings and comparing them with the expected results.

Choice B reason: Implementing the findings is not the first step in the evidence-based practice process, but the fourth one. The nurse should implement the findings after searching for evidence, appraising the quality and relevance of the evidence, and synthesizing the evidence.

Choice C reason: Formulating a question is the first step in the evidence-based practice process, as it helps to define the problem, the population, the intervention, the comparison, and the outcome. The nurse should formulate a question that is clear, specific, and answerable.

Choice D reason: Searching for evidence is not the first step in the evidence-based practice process, but the second one. The nurse should search for evidence after formulating a question, using appropriate sources, keywords, and strategies.