A nurse is caring for an adult client newly admitted to the inpatient psychiatric unit who is experiencing active auditory hallucinations related to schizophrenia. The client states, "The voices are telling me that the nurses here want to harm me." Which therapeutic responses should the nurse use? Select all that apply.

Acknowledge the client's distress and present reality without arguing with or reinforcing the hallucination (Choice 5). Ask what the voices are saying and assess specifically for commands to harm self or others because these findings change the immediate safety plan (Choice 6). Reduce stimulation and offer a focused coping activity or supportive staff presence (Choice 3). Directly insisting that the voices are not real can damage trust (Choice 1). Encouraging the client to converse with the voices reinforces the hallucination (Choice 2). Group therapy is not the first intervention during acute psychosis before an individual safety assessment and stabilization (Choice 4).