Which of the following should a nurse utilize to assist in preventing liability from occurring? (Select all that apply.)

The nurse’s action of placing the client in the seclusion room until he admits responsibility for the fight in the day room could be viewed as false imprisonment. False imprisonment is the unlawful restraint of a person against their will. In this case, the nurse is using the seclusion room to restrain the client against their will and is conditioning their release on admitting responsibility for the fight, which could be considered unlawful.

Displacement is a defense mechanism in which an individual redirects their negative feelings or impulses from an object or person that is causing discomfort to a substitute object or person that is less threatening. In this scenario, the client is experiencing negative emotions due to losing their job but instead of dealing with the situation directly, they have redirected their anger towards the car windshield by throwing a rock. This behavior is maladaptive because it does not resolve the root cause of the negative emotions and instead causes harm to others.

Sublimation is a defense mechanism in which an individual channels their negative impulses or energy into socially acceptable behaviors or activities. Repression involves pushing unwanted thoughts or memories into the unconscious mind. Denial involves refusing to acknowledge the reality of a situation. None of these defense mechanisms are applicable to the scenario described.