A nurse is assessing a client who has multiple injuries from a motor vehicle crash as a result of driving while under the influence of alcohol. The client tells the nurse," I had a few drinks after my boss fired me, but it's okay. Everything will work out somehow next week." Which of the following defense mechanisms is the client demonstrating?

Involuntary commitment is a legal process where an individual is admitted to a psychiatric facility against their will due to a perceived risk of harm to themselves or others. The primary concern in involuntary commitment is the safety and well-being of the individual and those around them.

Therefore, it is important for the nurse to inform the client's family about the reason for the involuntary commitment, emphasizing that the client's behavior poses a threat to themselves or others.

incorrect:

A. "A psychiatrist determines that the client's behavior is irrational." This statement focuses on the client's behavior being irrational, which is not the primary criteria for involuntary commitment. It is more important to emphasize the potential harm the client may cause to themselves or others.

B. "The client is unable to manage the affairs necessary for daily life." While this may be a factor contributing to the need for psychiatric treatment, it is not the specific reason for involuntary commitment. The main concern is the risk of harm associated with the client's behavior.

D. "The client has been accused of breaking the law." Involuntary commitment is not based on accusations of breaking the law. It is primarily focused on the safety and well-being of the individual and the potential risk they pose to themselves or others.

This response reflects active listening and demonstrates empathy towards the client's feelings. It acknowledges the client's distress and encourages them to express their concerns and thoughts. By actively listening and showing genuine interest, the nurse can gather more information to assess the client's needs and determine the appropriate course of action.

Let's discuss why the other options are incorrect:

A. "Everything will be okay until morning. You can speak with your provider then." This response may dismiss or invalidate the client's current distress and fails to address their immediate concerns. It suggests waiting until morning without exploring the reasons behind the client's urgency.

C. "Go back to your room, and I'll try to get in touch with your provider in the morning." While the intention may be to offer assistance, this response does not address the client's emotional state or explore the reasons for their demand to see the provider. It may also not address the client's immediate needs and concerns.

D. "Why don't you wait until the morning? The provider will be available then." This response may come across as dismissive and may not acknowledge the client's current distress. It does not encourage the client to express their concerns or provide an opportunity for open communication.