It is a recipe for disaster when some patients on the ward have paranoid delusions and others are... well... psych patients. If you think about it, paranoid people see malicious patterns where it doesn't exist. For example, when strangers do something innocuous like making eye contact, the paranoid person interprets this as a sign the person is spying on them or otherwise means them harm.
On a psych ward, there are a lot of odd behaviors going on. People talking to people who aren't there, doing repetitive movements, silently watching a room for hours at a time, etc. Therefore it's super easy for a paranoid person to find abnormal behaviors to interpret as signs of hidden meaning. Unsurprisingly, it can be rather difficult to maintain patients' freedom to move around and keep symptomatic paranoid people happy and delusion-free.
TIL: Though dreams and nightmares occur during REM sleep, night terrors (a disorder where children wake up in extreme fear) happen during stage 3-4, aka delta wave, sleep.
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