A 22-year-old female client with bipolar disorder is late for her medication follow-up appointment with the PMHNP. She calls the office and reports she is lost, although she has been to the office many times. When she arrives, she is manic. She expresses psychotic delusions that people are "out to get" her, and she says she will shoot if she "has to." She does not want to be hospitalized. She states, "I am more clear-headed than I have ever been." What should be the nurse practitioner's next steps?