A nurse is assisting in the care of a client on an acute care mental health unit. Select words from the choices to fill in each blank in the following sentence. The nurse should immediately follow up on the client's _____ and _____

Rationale for correct choices • Mood: A sudden improvement in mood after days of depression can indicate the client has developed the energy or resolve to act on suicidal thoughts. This shift requires immediate follow‑up to reassess suicide risk and ensure safety precautions remain appropriate. • Energy level: An increase in energy during early recovery from severe depression may enable a client to carry out self‑harm plans formed earlier. Asking to jog and planning future tasks can signal rising activation, which requires prompt reassessment of suicide intent and safety needs. Rationale for incorrect choices • Substance use history: While relevant to overall care, the client’s substance use history is unchanged in this scenario and does not account for the acute risk shift. It does not require immediate follow‑up in response to the new presentation. • Cognitive orientation: Orientation remained intact on both days and does not indicate a change in risk level. There is no evidence of worsening confusion or impaired cognition that would necessitate urgent reassessment. • Family history: Maternal anxiety history is background information and does not influence the immediate safety concern. It does not require urgent follow‑up compared to the significant changes in mood and energy.