You are seeing a 14-year-old girl, Mathilda, who was referre…

You are seeing a 14-year-old girl, Mathilda, who was referred by her school counselor for symptoms of depression. During your psychiatric evaluation, Mathilda discloses that she has been thinking about suicide. She reports having occasional thoughts of “wanting it all to end” but denies any current plan, intent, or preparatory behavior. She begs you not to tell her parents, fearing they will “make it worse.” What is the best initial response regarding confidentiality and Mathilda’s disclosure?

A 25 year –old-man comes to the nurse practitioner with a ch…

A 25 year –old-man comes to the nurse practitioner with a chief complaint of depressed mood for most days over a period of 12 months. His mother, to whom he was very close, died 1 year ago, and since that time he has felt sad, detached, and a strong desire to join his mother. He has not sleeping soundly and is frequently tearful. Which of the following diagnoses is most likely?

Your patient in the partial hospitalization program (PHP) ha…

Your patient in the partial hospitalization program (PHP) 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.  Then he picks up an object from the trash and proceeds to throw it toward the administrative staff and is threatening harm to the staff.   The chart indicates no allergies.  What is the most important intervention at this point?