A 42-year-old female patient with a history of depression an…

A 42-year-old female patient with a history of depression and chronic pain disorder presents with fatigue, low energy, and difficulty concentrating. She reports feeling guilty about being a burden to her family. She denies suicidal ideation but states, “I wouldn’t mind if I didn’t wake up tomorrow.” As a PMHNP, what is the most appropriate next step?

A 50-year-old male presents with complaints of poor sleep, w…

A 50-year-old male presents with complaints of poor sleep, weight loss, and lack of interest in activities for the past three months. During the assessment, he speaks in a monotone voice, avoids eye contact, and has a flat affect. What is the most appropriate next step in assessing his risk for suicide?

Your patient in the outpatient behavioral health center has…

Your patient in the outpatient behavioral health center has come in for his appointment today.  You are running behind and front desk staff notifies the patient that there will be about a 10-minute delay.  The patient begins shouting at the front desk staff that this isn’t fair and kicks over the trash can in the lobby.  He then paces throughout the lobby and loudly declares his indignation.  What are some appropriate initial management strategies?