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    HESI RN Psychiatric and Mental Health Proctored Exam

    The nurse is assessing a client with paranoia. Which behavior can this client be expected to exhibit?

    Explanation & Rationale

    Choice A reason: Controlling the unit reflects grandiosity or mania, not paranoia. Paranoid clients are more likely to exhibit hostility due to perceived threats. This behavior is less typical of paranoia’s suspicious nature, making it incorrect for expected behavior in a paranoid client.Choice B reason: Open hostility for no apparent reason is common in paranoia, as clients misinterpret others’ actions as threatening due to delusional beliefs. This aligns with psychiatric descriptions of paranoid behavior, making it the most expected behavior for a client with paranoia during assessment.Choice C reason: Repeated suicide attempts are associated with depression or borderline personality disorder, not primarily paranoia. Hostility from perceived threats is more characteristic of paranoia, making suicide attempts less expected and incorrect for the typical behavior in this client.Choice D reason: Talking to voices suggests hallucinations, more common in schizophrenia with auditory hallucinations than in paranoia alone. Hostility from suspicion is a more direct paranoid behavior, making this incorrect, as hallucinations are not the primary expected feature of paranoia.

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