Mohamed, 43 years old, brings himself to your community mental health center for the first time. He says he "feels like killing himself" and recently bought a gun. He states,

My mother talked me into coming

here?" Mohamed's wife recently left him, taking their two children with her, Since then, he has been depressed and has been using drugs. He says he also

*used a little khat (which is similar to amphetamines) yesterday!' He denies long-term substance abuse. He

"I don't know what to do. I feel hopeless. I can't even work. I'm afraid my boss is going to fire me.

Nothing like this has ever happened to me before"

1. Describe your initial nursing actions on meeting Mohamed. Make a list of pertinent factors to consider when his nursing care plan is developed.
2. How does Mohamed's case differ from a case of chronic, severe depression, lasting about 10 years or more?
3. How would you rate the severity and lethality of his suicidal ideation? What precautions are likely for him in the mental health unit?