Observations and comments are summarized by noting that in many nursing schools the priority focus is the medical condition. While medical stabilization is crucial, in the psychiatric setting, assessment and intervention must encompass the whole problem, if safety is to be maintained (Delaney and Johnson,2008;McCoy and Johnson,2011). In this particular case, assessment begins with identifying the mechanism of injury, thinking through the ongoing danger of the contraband (weapon), and considering the possibility of other-directed aggression by a patient experiencing psychosis and/or delusions even as treatment efforts are initiated.