A nurse in an inpatient mental health facility sees a client who is talking while walking alone. The client tells the nurse, "This guy in my head says I am to blame for my own illness." Which of the following responses should the nurse make?

A. Insert a tongue blade in the client's mouth: Forcing any object into a client’s mouth during a seizure is dangerous and can cause oral trauma or airway obstruction. It is not recommended and can worsen the situation.

B. Restrain the client's arms and legs: Restraining a client during a seizure can lead to musculoskeletal injuries. Instead, the nurse should allow spontaneous movement and focus on protecting the client from harm.

C. Place the client on her side: Turning the client to the side helps maintain a patent airway and allows saliva or vomit to drain, reducing the risk of aspiration. It is a priority action during seizure management.

D. Raise the client's bed to the high position: Raising the bed increases the risk of injury from falls or uncoordinated movements during or after the seizure. The bed should be in a low position with padded side rails if necessary.

A. Schedule a visit to a nurse-led support group within four days: While support groups are beneficial for breastfeeding mothers, they are optional and not a substitute for timely medical evaluation of the newborn. Support groups provide peer support not clinical assessment.

B. Schedule a nurse's home visit in one week: A home visit can be helpful, but waiting a full week may delay important assessments like weight monitoring, hydration status, and jaundice evaluation. Earlier follow-up is recommended, especially for breastfed newborns.

C. Schedule a lactation consultation in two weeks: Lactation consultants provide valuable support, but two weeks is too long to wait if issues with latch or milk supply are present. Early problems can lead to complications like dehydration or poor weight gain.

D. Schedule an appointment at a pediatrician's office within three days: Early pediatric follow-up is essential for breastfed newborns to assess feeding adequacy, weight, and overall well-being. This aligns with guidelines recommending evaluation within 3–5 days of birth.