Brandy is an 18-year-old being treated in the Community Mental Health Clinic for an adjustment disorder after receiving news of her parents' impending divorce
While talking about her feelings she becomes angry and starts shouting and crying. She screams, "I wish they would both die!" Which of these is the most appropriate response by the nurse at this point?
A. Contact the parents and the police to report that Brandy is expressing homicidal ideation.
B. Encourage Brandy to talk more about her anger.
C. Instruct Brandy that it's okay to cry but that it is not acceptable to talk that way about her parents.
D. Assess Brandy for suicidal ideation.
ANS: B
It is important in treating patients with adjustment disorders to allow them to express anger. Item C discourages the patient from expressing anger. Items A and D would be premature, since there is inadequate evidence to warrant those responses.
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