b’Scenario for Week 7 Case:You are a PMHNP working in a large intercity hospital. You receive a call from the answering service informing you that a xc2x93statxc2x94 consult has been ordered by one of the hos’
b’nScenario for Week 7 Case:You are a PMHNP working in a large intercity hospital. You receive a call from the answering service informing you that a xe2x80x9cstatxe2x80x9d consult has been ordered by one of the hospitalists in the ICU. Upon arriving in the ICU, you learn that your consult is a 14 year old male who overdosed on approximately 50 Benadryl (diphenhydramine hydrochloride) tablets in an apparent suicide attempt. At the scene, a suicide note was found indicating that he wanted to die because his girlfriendxe2x80x99s parents felt that their daughter was too young to be xe2x80x9cdating.xe2x80x9d The client stated in the suicide note that he could not xe2x80x9clive without herxe2x80x9d and decided to take his own life. Although he has been medically stabilized and admitted to the ICU, he has been refusing to talk with the doctors or nurses. The hospital staff was finally able to get in touch with the clients parents (using contact information retrieved from the 14 year oldxe2x80x99s cell phone). Unbeknown to the hospital staff, the parents are divorced, and both showed up at the hospital at approximately the same time, each offering their own perspectives on what ought to be done. The clientxe2x80x99s father is demanding that the client be hospitalized because of the suicide, but his mother points out that he does not have xe2x80x9cphysical custodyxe2x80x9d of the child. The clientxe2x80x99s mother demands that the client be discharged to home with her stating that her sonxe2x80x99s actions were nothing more than a xe2x80x9cstuntxe2x80x9d and xe2x80x9can attempt at manipulating the situation that he didnxe2x80x99t like.xe2x80x9d The clientxe2x80x99s mother then becomes xe2x80x9cnastyxe2x80x9d and informs you that she works as a member of the clerical staff for the state board of nursing, and if you fail to discharge her child xe2x80x9cright nowxe2x80x9d she will make you xe2x80x9csorry.xe2x80x9d How would you proceed?To Prepare for this Practicum:Review the Learning Resources concerning voluntary and involuntary commitment. Read the Week 7 Scenario in your Learning Resources. Research your statexe2x80x99s laws concerning voluntary and involuntary commitment.The Assignment (2xe2x80x933 pages):Based on the scenario, would you recommend that the client be voluntarily committed? Why or why not? Based on the laws in your state, would the client be eligible for involuntary commitment? Explain why or why not. Did understanding the state laws confirm or challenge your initial recommendation regarding involuntarily committing the client? Explain. If the client were not eligible for involuntary commitment, explain what actions you may be able to take to support the parents for or against voluntary commitment. If the client were not eligible for involuntary commitment, explain what initial actions you may be able to take to begin treating the client. ‘
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