What is the nurse's initial therapeutic response when a client with schizophrenia refuses to get out of bed and becomes upset?

The nurse's initial therapeutic response of staying at the bedside until the client calms down is appropriate as it demonstrates a commitment to providing support and establishing a calming presence for the client. This action helps create a safe environment, which is crucial for clients with schizophrenia who may experience heightened emotions, distress, or confusion.

By remaining at the bedside, the nurse can offer reassurance and help the client process their feelings. Building rapport and trust is essential in therapeutic relationships, particularly with individuals experiencing psychotic disorders. Remaining present allows the nurse to assess the client more effectively and identify any immediate needs or concerns that may contribute to their distress. This approach fosters a sense of security for the client, which can help facilitate eventual engagement in further therapeutic activities, such as getting out of bed when they feel ready.

Other responses may not provide the necessary support for the client at that moment. For example, encouraging the client to get up immediately could be perceived as pressure, which may increase anxiety or feelings of being overwhelmed. Leaving the room could exacerbate feelings of isolation for the client when they may need support the most. Calling for a doctor's intervention may be appropriate in certain situations but does not address the immediate emotional needs of the client in distress. Thus, the initial therapeutic response should