A client with paranoia is admitted to the mental health unit and immediately goes to the corner of the room and sits quietly without communicating. In approaching the client, what intervention should the practical nurse (PN) implement first?

A. Explain daily schedule of unit activities: Introducing the unit’s schedule too early may overwhelm a paranoid client who is already fearful and withdrawn. The client first needs to establish a sense of safety and trust before being able to process details about daily routines. B. Offer the client an as needed (PRN) medication: Administering medication without assessing the client’s readiness to communicate or identifying signs of distress is premature. PRN medications should only be offered when clinically indicated and after therapeutic approaches have been attempted. C. Describe functions of the practical nurse (PN): Explaining the PN’s role is the best initial action because it reduces the client’s anxiety and suspicion. Paranoid clients often feel threatened by unfamiliar individuals, so calmly explaining your role helps establish trust, clarify intent, and promote engagement in care. D. Review client rights of hospitalization: Although reviewing client rights is important, it is not the priority when first approaching a paranoid client. Discussing rights before rapport is established may be perceived as intimidating or confusing, further increasing the client’s withdrawal or fear.