SOLVED1565

James, a 20-year-old male was brought into the emergency department on a Form 2 due to family concerns regarding his mental status. James’ family have recently noticed increased energy levels, lack of sleep, irritability and spending money in excessive quantities. Upon assessment, James’ eye contact is poor and downcast, he is withdrawn and guarded. James appears disheveled and is malodorous of alcohol. When James does speak, his voice is slow. He has an apathetic and depressed affect; he will not respond when asked about mood. The next morning, James confides in you about how he has been feeling. “I felt so great last week. Today I just feel so down, I have spent so much money, my credit cards are maxed out and I missed paying last month’s rent. I don’t know why I did what I did. I feel so embarrassed about everything; I’ve been posted about all over social media, everything I did. I’m the problem, it’s me. I just want it all to end.” how can the nurse help?
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