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

A. Repeatedly tries to commit suicide: Suicidal behavior is most strongly associated with major depressive disorder, bipolar disorder during depressive episodes, and certain personality disorders. While individuals with paranoid features may experience distress, recurrent suicide attempts are not a defining behavioral characteristic of paranoia. B. Is openly hostile to others for no apparent reason: Paranoia involves persistent and unjustified distrust of others, often accompanied by beliefs that others intend harm. This hypervigilance and misinterpretation of neutral interactions as threatening can lead to guardedness and hostility. The client may respond defensively or aggressively due to perceived persecution, even when no objective threat exists. C. Talks to voices only the client can hear: Auditory hallucinations are characteristic of psychotic disorders such as schizophrenia. While paranoia can occur within schizophrenia, talking to voices reflects perceptual disturbances rather than the core feature of suspicious mistrust. Paranoia itself centers on delusional beliefs of persecution rather than hallucinations. D. Tries to run the unit, telling everyone what to do and when to do it: Controlling and domineering behavior is more commonly associated with manic episodes or certain personality disorders, such as narcissistic or obsessive-compulsive personality traits. Paranoid clients are typically guarded and suspicious rather than overtly directive or grandiose in their behavior.