A nurse is caring for a client who is inquiring about the use of herbal remedies in treating manifestations of mental illness. Which of the following topics should the nurse prepare to discuss with the client?

A. Discouraging all herbal remedies is not evidence-based, as some may provide symptom relief if used appropriately. B. Certain herbal remedies, such as St. John’s Wort, can interact with prescription medications (e.g., SSRIs) and potentially lead to serotonin syndrome, a serious condition characterized by agitation, confusion, tachycardia, and hypertension. Discussing this risk ensures the client uses herbal treatments safely in conjunction with conventional therapy. C. Some herbal remedies may be effective for mild symptoms of depression or anxiety; blanket statements about ineffectiveness are inaccurate. D. Herbal remedies can interact with prescription medications, sometimes seriously affecting their metabolism or effectiveness, so assuming no interactions is unsafe.