The referral question and helping him overcome his feelings questions are certainly related. As a nurse, you could certainly address his physical symptoms of not being able to sleep well and his chest pain. They’re related to his anxiety and restlessness and feeling like a failure. What have you learned so far about ways to reduce stress and anxiety and improve mood? What suggestions could you make to him about how to do that? Spend 2-4 paragraphs discussing that, and then the referral paragraph could be about who you’d refer him to and why in order to address the things you may not be qualified to address.
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