A nurse is caring for a client who has schizophrenia and is hearing voices. Which of the following actions should the nurse take?

Rationale: A. Listening to music is an appropriate nonpharmacologic intervention for auditory hallucinations. It helps redirect attention away from the voices, reduces anxiety, and provides a reality-based sensory input that can decrease the intensity of hallucinations. Other grounding or distraction techniques may also be used, but music is a commonly effective strategy. B. Fluoxetine is an SSRI antidepressant, not a first-line medication for hallucinations or schizophrenia. Psychotic symptoms are typically managed with antipsychotic medications (e.g., risperidone, haloperidol), not antidepressants. C. The nurse should maintain appropriate eye contact to demonstrate presence, engagement, and therapeutic communication. Avoiding eye contact may be perceived as avoidance or rejection and can increase paranoia or isolation in clients with schizophrenia. D. While reducing environmental stimulation can sometimes be helpful, isolating the client is not the priority intervention. The nurse should first use therapeutic communication and distraction techniques rather than seclusion-like strategies unless the client is severely agitated or unsafe.