When a 14-year-old child reports feeling "like I just want to blow that person's head off," the school nurse's initial reaction is to:
a. report the statement to parents, police, and school authorities.
b. say to the child, "Tell me what you mean when you say that.".
c. restate, "You're feeling really angry with this person right now, aren't you?"
d. confer with other staff by asking, "What do you think the child meant by that?"
B
The first step is to perform a complete lethality assessment. The nurse begins by clarifying, asking the child to elaborate on his or her statement. The nurse may need to report the homicidal ideation but not until the lethality level is determined.
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