On admission to the mental health unit, a client diagnosed with schizophrenia tells the nurse, "I am the son of God." Based on this statement, which intervention should the nurse include in this client's plan of care?

A. Confront the client's delusion as not consistent with reality: Directly challenging a delusion can increase the client’s anxiety, reinforce mistrust, and potentially escalate agitation or hostility. Clients with schizophrenia often have fixed false beliefs, and confrontation is not an effective initial strategy in the plan of care. Therapeutic approaches focus on safety and coping. B. Lead the client by the arm to the seclusion room: Physical restraint or seclusion is only indicated if the client poses an imminent risk of harm to self or others. A delusional statement such as “I am the son of God” alone does not constitute dangerous behavior. Unnecessary seclusion could violate the client’s rights and increase distress. C. Ensure the client's environment is safe: Maintaining a safe environment is a primary nursing responsibility for all clients with schizophrenia, particularly during acute psychotic episodes. Safety measures include removing potential hazards, monitoring for agitation or aggression, and providing a structured, calm environment. D. Schedule activity therapy twice weekly: Activity therapy can promote socialization, skill-building, and structured engagement, but it is not the immediate priority when the client is experiencing delusions. Ensuring safety and monitoring mental status take precedence over scheduled interventions in the initial care plan.