Read scenario and select all that apply Using clinical judgment, select the nursing actions you would prioritize in responding to this client's emotional state. (Select All that Apply.)

A. Schedule follow-up visits to monitor for signs of worsening emotional distress: Regular follow-up allows the nurse to assess for any progression from normal emotional adjustment to clinical depression or anxiety. Ongoing monitoring promotes early detection and timely intervention if the client’s emotional state deteriorates. B. Refer the client immediately to mental health services for evaluation and treatment: Immediate referral is not necessary at this stage since the client denies depression and shows typical adjustment reactions. Supportive counseling and education are appropriate unless symptoms intensify or functional impairment develops. C. Educate the client that ambivalence is common during early pregnancy and reassure her this is a normal part of adjustment: Providing education normalizes her feelings, reduces guilt, and promotes psychological adaptation. Understanding that mixed emotions are typical helps the client adjust to her new role with less anxiety. D. Recommend journaling or other reflective activities to help the client process her emotions: Journaling or reflection encourages emotional expression and self-awareness. These activities can help the client clarify her thoughts, reduce stress, and enhance emotional coping during early pregnancy. E. Advise the client to avoid discussing her concerns to reduce anxiety and focus on physical health: Discouraging emotional expression can heighten anxiety and lead to emotional suppression. Open communication is essential for psychological well-being and trust in the therapeutic relationship. F. Provide a supportive, nonjudgmental environment that encourages the client to express her feelings openly: Establishing a safe and empathetic environment fosters trust and allows the client to share her experiences freely. Active listening and emotional validation are key to supporting healthy maternal adjustment.