A 26-year-old patient with a history of schizophrenia is brought to the hospital by ambulance after they intentionally

A 26-year-old patient with a history of schizophrenia is brought to the hospital by ambulance after they intentionally overdosed on their antipsychotic medication at a shelter for people experiencing homelessness. They were found with an empty bottle in the bathroom and were vomiting. During the interview, the patient tells the nurse practitioner they were raped at the shelter 2 months ago and are pregnant. They did not report the rape, will not disclose the assailant, and do not want the nurse practitioner to report it. The patient stopped taking their prescribed antipsychotic medication 2 weeks ago. They are refusing recommended medical and psychiatric care. They say they are not suicidal and took the medication because the voices told them it would cause them to miscarry. They started vomiting, and the staff called an ambulance. They are internally preoccupied and minimally engaged in the assessment. They ask the nurse practitioner to give them medication to end the pregnancy. What is the nurse practitioner’s next step with this patient? Assess the patient for decision-making capacity Call the police to report the sexual assault Discharge the patient to the shelter Prescribe medication to end the pregnancy