The Emergency Department Nurse Cares for a Client Whose College

The emergency department nurse cares for a client whose college roommate reports recent changes in the client's behavior.  Which behaviors and clinical data meet the criteria for involuntary admission to the mental health unit?  Select all that apply.

A) Client has been sleeping on the floor in the den rather than the bed
B) Client has refused food and water for 4 days and has poor skin turgor
C) Client repeatedly mumbles, "I must kill them before they get me"
D) Marijuana was found in the client's personal belongings
E) The health care provider makes a diagnosis of schizophrenia