A young woman is brought from the emergency department (ED) to the psychiatric unit. ED staff report that she is not answering questions and has been sitting in the same position in the wheelchair for...

A young woman is brought from the emergency department (ED) to the psychiatric unit. ED staff report that she is not answering questions and has been sitting in the same position in the wheelchair for 45 minutes. When her arm was extended to draw blood, she did not move her arm back to a natural position. The client's brother says he found her this way yesterday and couldn't get her to move on her own. Which nursing interventions have a high priority in this case? Select all that apply.

1. Ask her to describe her stressors.

2. Monitor her body positions to prevent injury.

3. Offer her nutritional shakes every 3 hours.

4. Encourage her to talk about her feelings.

5. Assist her to the bathroom every 2 hours.

6. Protect her from intrusions by other clients.