Let’s imagine a scenario. You are the head nurse in an ER or a psych ward. A man comes onto the unit escorted by police in handcuffs. He had been arrested for brandishing a samurai sword at a bus stop and threatening passersby. The police disarmed him, put him in shackles and brought him to your psych ward for evaluation.
Momentarily, the cops are going to transfer custody of this still clearly agitated man to the psych nurses who work under you. The man shows every sign of becoming physically aggressive the moment the cuffs come off. His narrowed eyes are casting furtively to the left and right and he is muttering incessantly to himself about people who have it coming to them and how he is going to finally give them what they deserve.
He is not responding directly to questions but just acting out in a paranoid yet threatening manner. You have no idea how long it’s going to take for this guy to come down from this psychotic state on his own. He needs to be dealt with, handled, right now. He poses an immediate danger to everyone’s safety, including yours. You can’t allow other people to be harmed by this guy no matter what his problem is. You have to ensure the safety of staff and patients alike.
But you’ve read about how people who have been restrained and injected with antipsychotics against their will deeply resent that treatment and were left with psychological scars from having that happen to them. In addition, a mandate has recently come down from the government banning coercive treatments like forced drugging and electroschock.
Oh and don’t forget, he is the not the only person on the ward. Other patients need to be tended to, and there is always the potential of another person coming to the ward right after this guy. You simply can’t allow this man to carry on his show and dominate limited staff resources all shift long. So what do you do in thirty seconds when the cuffs come off that guy?