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Emergency Department Nurse Question & Answer Guide (With Explanation)

Understanding this question requires applying core subject principles.

What This Question Is About

This question relates to emergency department nurse and requires a structured academic response.

How to Approach This Question

Break the problem into smaller parts and analyze each logically.

Key Explanation

This topic involves emergency department nurse. A strong answer should include explanation, application, and examples.

Original Question

An emergency department nurse calls to report that your psychiatric patient, a 14-year-old boy, is currently receiving sutures on his wrist for a self-inflicted laceration. The nurse reports that the physician plans to discharge him since his diagnosis is borderline personality disorder and he appears to have accidentally cut too deep without meaning to this time. He’s refusing to say whether he has any plans to harm himself further, which has been his typical presentation in the past as well. He has been to the emergency department multiple times over the last year for nonsuicidal self-injurious behaviors, and the emergency department staff have expressed some frustration that psychiatry is not managing the issues well. The nurse reports that this is just a courtesy call to inform you about your patient. You are concerned that he seemed unusually sad at the last visit and had also lost some weight recently. Which of the following is the best course of action to pursue? Agree with emergency department plan and see the patient as scheduled in 4 weeks Call in fluoxetine 20 mg per day and schedule a follow-up visit with you in 2 weeks Place the patient in your schedule for the next available appointment which is in 4 days Recommend a psychiatric consult before being discharged from the emergency department

 
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