A nurse is beginning a therapeutic relationship with a client who has paranoid personality disorder. Which of the following strategies should the nurse plan to use?

Choice A rationale Demonstrating a neutral demeanor helps build trust with a client who has a paranoid personality disorder. This approach is non-threatening and avoids triggering the client's suspicious tendencies. Choice B rationale Using an overly friendly approach can increase the client's suspicion and anxiety, making them feel manipulated or deceived. Choice C rationale Asking the client why they are suspicious can be perceived as confrontational and may cause the client to become defensive and less cooperative. Choice D rationale Being vague when answering the client's questions can increase their paranoia and mistrust, as it may seem like the nurse is hiding something.