A nurse is discussing schizophrenia spectrum disorders with a client. The client states, “My friend says that before I started hearing voices, I stopped hanging out with them. Why is that?” Which of the following responses should the nurse make?

“That is very interesting. We are not sure why people start to isolate themselves.”

“Before symptoms of schizophrenia begin, people often isolate themselves. This is an early warning.”

“Do you think of yourself as more of an introvert? That makes a difference with how you socialize.”

“Were you avoiding your friend so that you could hear the voices more clearly?”