Which response from a nurse helps a client feel secure when displaying signs of paranoia during a manic episode?

The response "I am here to protect you" is particularly effective in helping a client who is experiencing paranoia during a manic episode feel secure. When a person is showing signs of paranoia, they often feel threatened and may become anxious about their safety and trust in those around them. By asserting the nurse's role as a protector, the client can experience reassurance and a sense of safety, which is crucial during such a distressing time.

This supportive statement can help to create a therapeutic alliance, as it directly addresses the client's need for safety and support without dismissing their feelings. It can also help to mitigate feelings of isolation that often accompany paranoia, reassuring the client that they are not alone in their experience and that there is someone who understands their anxiety.

In contrast, the other responses do not effectively validate the client's feelings or provide the necessary reassurance. Telling the client that they should not feel that way can invalidate their experience and potentially escalate their paranoia. Suggesting that it is normal to have those feelings may minimize their distress without offering concrete support. Lastly, attributing the symptoms to mood swings may dismiss the seriousness of the client's experience and fail to provide the needed reassurance and protective stance.