You are the PMHNP performing consults in the emergency depar…
You are the PMHNP performing consults in the emergency department. You get a call to see an emergency department patient who was brought in by the police when he was found wandering around the neighborhood at 2 am without any clothes on in winter. His toxicology screen is positive for fentanyl and cocaine, negative for alcohol and other substances. By the time you get to the emergency department, you are told that the patient has eloped after telling staff that he doesn’t need any help with his drug use and that it’s not a problem. What stage of change is this patient exhibiting (per the Transtheoretical Model of Change)?
Read DetailsThe PMHNP has been working with a 31 year old male patient f…
The PMHNP has been working with a 31 year old male patient for about six months. Today, the patient endorses suicidal ideation without intent or plan, and shares that these feelings have been present for about a year and they come and go. He cannot identify any particular stressor associated with the feelings. This patient denies past suicide attempts. The PMHNP completes the Columbia-Suicide Severity Rating Scale, and the patient rates as low risk. What is the most likely next step based on this information?
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