intermediateHIPAAconfidentialitypsychiatric emergencydisclosure exceptionsminimum necessary standard
A PMHNP receives a phone call from her patient's spouse, who reports that the patient — a 45-year-old man with bipolar I disorder — stopped taking lithium two weeks ago, hasn't slept in days, has been making large purchases, and is now threatening to drive across the country. The PMHNP has no signed release of information on file for the spouse. Which of the following best guides the PMHNP's response?