A client is admitted to the hospital with a tentative diagnosis of urinary retention related to benign prostatic hyperplasia. The primary healthcare provider notes a secondary diagnosis of delirium related to urosepsis and prescribes the insertion of an indwelling urinary retention catheter. Which nursing action is mostimportant at this time?1. Secure a prescription for wrist restraints.2. Orient the client to time, place, and person.3. Involve family members in the client’s care.4. Determine whether any unsafe behavior patterns exist.