A father tells the nurse that his adolescent son spends lots of time in his room, his grades are falling, and he has given away a few of his most favorite compact disks. Which of the following is the most appropriate action for the nurse?
1. Give the father the telephone number for the local crisis hotline.
2. Have the father take the adolescent to the nearest mental health outpatient facility now.
3. Make a same-day appointment for the adolescent with his usual health care provider.
4. Obtain more history information from the distraught father before making a decision.
These behaviors suggest that the adolescent is thinking of suicide. Because of these behaviors, it is imperative for the adolescent to see his health care professional as soon as possible to determine whether he has suicidal thoughts. After the nurse makes the appointment, then obtaining more information would be appropriate. Giving the father the telephone number for the local crisis hotline is appropriate after the appointment is made, to ensure that the father has additional support should the adolescent’s behavior escalate and an emergency arises. Taking the adolescent to the nearest mental health outpatient facility now is not warranted unless the adolescent’s behavior escalates. CN: Psychosocial adaptation; CL: Synthesize