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?

A. Be vague when answering the client's questions about instructions: Vagueness can increase suspicion and mistrust in a client with paranoid personality disorder. Clear, consistent communication is necessary to establish trust and reduce anxiety. B. Ask the client why they are suspicious of others: Directly challenging or questioning the client’s suspicions may provoke defensiveness or hostility. Exploration of suspicious thoughts should be approached cautiously and only after trust is established. C. Demonstrate a neutral demeanor: Maintaining a neutral, calm, and consistent demeanor helps the client feel safe and reduces the likelihood of triggering paranoia. This approach supports the development of a therapeutic relationship without escalating mistrust. D. Use an overly friendly approach: Excessive friendliness or flattery can be perceived as manipulative or insincere, increasing the client’s suspicion. A professional, measured approach is more effective in building rapport.