The PMHNP is called to consult on a patient in the emergency department who has been admitted following a traumatic motor vehicle/pedestrian accident. He was walking across the street when a speeding driver crashed into him at high speed. The patient remarkably does not have serious injuries, the staff noted that he seemed a bit “odd” and decided to call for a mental health consult.  The patient lives alone, has no close friends or family members to call, and appears disinterested in any discussion of interpersonal relationships. 

The PMHNP recognizes that the most appropriate approach to this patient requires which of the following? 

A. A warm, straightforward approach with particular attention to being non-judgmental.

B. A firm, professional approach with firm limit setting at the beginning of the encounter.

C. Particular attention to the need for insight-oriented therapy  with the goal od increasing independence.

D. Referral to dialectical behavior therapy as a mechanism for promoting acceptance and change. 

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