Activate the emergency protocol. Keep the patient engaged while initiating emergency services. This requires having the patient's physical address on file. Assess lethality. Do not end the session until emergency services arrive.
This is the correct and comprehensive response. Telehealth practice requires pre-established emergency protocols that include verification of the patient's physical location at each session. The PMHNP should simultaneously keep the patient engaged and talking (maintaining therapeutic connection and monitoring safety), activate emergency services using the patient's confirmed address, conduct a lethality assessment to inform emergency responders, and remain on the session until emergency services physically arrive. This approach addresses the unique challenge of remote crisis management.