Touchy subject. I agree with your thoughts in most part. The only thing I would question is if these are psych patients do they hold the mental capacity to make decisions for themselves? Is adult protective services involved? I am by no means a psych nurse but I can see why some feel the need to push the issue. There won't be any improvement without treatment right? However punishing a patient..absolutely not. That would cause more issues I would think. These people need strong individuals to guide them, not more people who shun them. Are there other options available for them? 1 on 1 therapy, videos..something they can do on their own to help them open up. I view this similar to elderly who refuse to take pills, eat, shower..they absolutely have the right to refuse But when it causes them more harm to refuse things one must push harder for their corporation. They don't refuse because they want to die, they refuse because of their mental capacity to make appropriate decisions for themselves is poor. In such case we as nurses won't just stand back and allow them to starve to death. Different view to look at things but essentially the same type of situation. There are many ways to address these type of people and as a nurse it's our responsibility to find what works for each individual patient to ensure they receive the treatment the are entitled to, we wouldn't be doing our job if we didn't.