A nurse who works in a psychiatric unit is caring for a client who has bipolar disorder. The client comes to the nurse’s station at 0300 demanding that the nurse call the provider immediately. Which of the following responses by the nurse is appropriate?

Choice A reason: Telling the client that the nurse cannot call the doctor unless it is an emergency is dismissive and invalidates the client’s concerns. This response may escalate agitation and damage therapeutic rapport. Choice B reason: Telling the client to go back to their room while promising to try to contact the doctor is not therapeutic. It avoids addressing the client’s emotional state and may be perceived as insincere or dismissive. Choice C reason: Calling the client unreasonable is judgmental and confrontational. This type of response increases hostility and undermines trust. It is not appropriate therapeutic communication. Choice D reason: Acknowledging that the client must be upset is the most therapeutic response. It validates the client’s feelings without judgment, demonstrates empathy, and opens the door for further discussion. This approach helps de-escalate agitation and maintains a supportive nurse-client relationship.