Final answer:
The nurse should ask the client what the voices are saying to gather important information about their mental state and establish a therapeutic relationship. Telling the client that the voices aren't real or touching them may not be helpful and could harm the nurse-client rapport.
Step-by-step explanation:
When admitting a client who reports auditory hallucinations such as hearing voices, it is vital for the nurse to take an approach that is empathetic and non-judgmental to establish trust and provide a safe environment for the client. Asking the client what the voices are saying is an appropriate step as it allows the nurse to gather more information about the client's experience and can assist in assessing the client's mental state and any potential risks. It's important to understand the content of the hallucinations to determine if they are commanding in nature and if they might lead to harm to the client or others. Moreover, this action shows the client that the nurse is taking their experiences seriously. This can build a therapeutic nurse-client relationship critical in mental health care.
It is not advisable to tell the client that the voices do not exist as this invalidates their experience and can diminish trust. Physical touch should be used cautiously, preferably only with the client's permission, as it may increase anxiety or be misinterpreted by an anxious client. Instructing the client to go to a quiet room is a potential intervention, but it should be introduced sensitively and as part of a broader treatment plan that addresses the client's specific needs and coping mechanisms.