The PMHNP is treating a 33-year-old female with a diagnosis of Major Depressive Disorder. She presents to medication follow up on 50mg daily Zoloft, which has been efficacious for 2 months. The patient is adherent to regimen. Substance abuse screening is negative. She presents with pressured speech and labile affect, saying she has recently invested in a real estate business, bought a first-class ticket to Spain and will be leaving in 2 days. The PMHNP prioritizes which of the following in treating this patient? a. Assesses sleep patterns, monitoring for recent changes from baseline b. Lowering the dose of Zoloft and implementing patient teaching regarding adjunct psychotherapy for impulsivity. c. Increase the dose to address increased anxiety d. Order a urine pregnancy test