You're a security guard at the all-female psych ward. There's been another incident with Patient Q. She was admitted after repeated public incidents involving grandiose claims of rank, attempts to command strangers and staff, and volatile reactions when “disrespected.” In the ward, here delusion organizes everything through hierarchy. This is not a hospital to her. It is a compromised court: understaffed, poorly run, beneath her standards,and one she is increasingly striving to assess, correct, and control.