What indicates that Mrs. Jacobson may require close monitoring during her treatment?

The indication that Mrs. Jacobson may require close monitoring during her treatment is her increasing anxiety and vivid nightmares. These symptoms are often associated with underlying conditions that could escalate if not addressed appropriately. Increasing anxiety can lead to further complications, such as exacerbation of mental health conditions, difficulty in coping with daily activities, or increased risk of self-harm. Vivid nightmares can disrupt sleep and may point to trauma-related issues or worsening anxiety, both of which necessitate careful observation and possibly intervention to ensure safety and effective management.

In contrast, stable blood pressure readings suggest that her physiological health is stable and does not require immediate concern. A refusal to communicate might suggest a need for support, but it does not necessarily indicate an urgent need for monitoring unless it complicates the treatment plan significantly. A positive outlook on treatment is generally a good sign and does not warrant increased monitoring, as it typically reflects engagement and motivation to participate in her care.