A nurse in an acute care mental health facility is sitting with a client who has schizophrenia. The client whispers to the nurse, "I'm being kept in this prison against my will. Please try to get me out." Which of the following responses should the nurse make?

Choice A reason: Reflecting the patient’s feelings can be therapeutic in some cases, but here it could reinforce the delusion of being imprisoned rather than provide reassurance and grounding. Choice B reason: This response provides reality orientation, reassurance, and therapeutic communication. It acknowledges the client’s concern while reinforcing the purpose of hospitalization, which is treatment and safety. Choice C reason: Encouraging deep breathing addresses anxiety but does not respond to the client’s delusional thought. It avoids the core issue and may make the client feel dismissed. Choice D reason: Asking “why” questions can feel confrontational and may heighten paranoia or mistrust. It does not provide therapeutic reassurance.