A hospitalized client, who is paranoid, believes that all food served in the hospital is poisoned.

What would be an appropriate intervention by the nurse?

Choice B rationale:
Involuntary commitment typically occurs when a person's mental illness makes them a danger to themselves or others. It is essential for the nurse to communicate this crucial information to the client's family to help them understand the necessity of treatment.
Choice A rationale:
While a psychiatrist may be involved in the decision to commit a client involuntarily, simply stating that the client's behavior is irrational does not provide sufficient information about the reasons for commitment (no reference).
Choice C rationale:
The inability to manage daily life affairs may be a factor in considering involuntary commitment, but it is not the primary reason for such a decision (no reference).
Choice D rationale:
Accusation of a legal offense is not directly related to involuntary commitment for psychiatric treatment, which focuses on the client's mental health and potential risk to self or others (no reference).

Choice A rationale
Leaving the client alone to eat might not address the client’s paranoid belief that the food is poisoned. It could potentially exacerbate the client’s anxiety and paranoia.
Choice B rationale
Asking the client’s family to bring in favorite foods might not be feasible in all situations. Moreover, the client might still harbor paranoid beliefs about the food being poisoned.
Choice C rationale
Allowing the client to observe other clients eating the same food can help alleviate the client’s paranoid belief that the food is poisoned. Seeing others safely consuming the same food can provide reassurance.
Choice D rationale
Giving the client an “anti-poison” placebo prior to meals is not an ethical practice. It can potentially undermine the trust in the therapeutic relationship.