The nurse walks onto the psych unit for morning report and sees a 23-year-old male with schizophrenia in the kitchen making a sandwich. The patient usually isolates himself and avoids any social interaction. Upon further observation, the nurse notes the patient has placed ketchup, six baseball cards, four unopened packets of sugar, and four purple crayons between two pieces of bread and is headed to the breakfast table to eat his prepared "meal." Which of the following actions is most appropriate?
Notify the charge nurse.
Take the sandwich away from the patient.
Document the observation.
Request additional staff.
Ask the patient why he is planning to eat these items.
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