A nurse in an acute care facility is planning care for a client with a history of alcohol use disorder who is admitted while intoxicated. Which of the following interventions should the nurse implement?

Choice A reason:
Placing the client in a reclining chair is not a recommended intervention for managing wandering behavior. While it might seem like a way to keep the client stationary, it does not address the underlying issue of wandering and can lead to discomfort or pressure sores if the client remains in the chair for extended periods.

Choice B reason:
Installing sensor devices on outside doors is an effective intervention. These devices can alert caregivers when the client attempts to leave the house, thereby preventing wandering and potential falls. This measure enhances safety by providing immediate notification of the client's movements.

Choice C reason:
Positioning the mattress on the floor can help prevent injuries from falls. If the client rolls out of bed, the risk of injury is minimized because the fall distance is significantly reduced. This is a practical solution for clients who are prone to falling out of bed.

Choice D reason:
Encouraging physical activity prior to bedtime can be beneficial for overall health but may not be the best strategy for managing nighttime wandering. Physical activity should be balanced and not too close to bedtime, as it can sometimes lead to increased alertness rather than promoting sleep.

Choice E reason:
Putting locks at the top of doors is a useful safety measure. Clients with Alzheimer's disease may not notice or be able to reach locks placed higher up, which can prevent them from wandering outside unsupervised. This intervention helps ensure the client's safety by restricting access to potentially dangerous areas.

Choice A reason:
Avoiding discussion of maladaptive behaviors with the client is not a therapeutic intervention. It is important for the nurse to address these behaviors as part of the treatment plan, providing guidance on healthier coping mechanisms and ways to improve social interactions.

Choice B reason:
Exploring feelings of abandonment can be a part of the therapeutic process for clients with borderline personality disorder, as these feelings are often a core issue. However, this intervention alone does not directly assist with improving social interactions with others.

Choice C reason:
Encouraging dependent behaviors is counterproductive in the treatment of borderline personality disorder. The goal is to help the client develop independence and healthy relationships, not to foster dependency.

Choice D reason:
Assigning the same staff members daily to provide care for the client can help create a sense of stability and trust, which is crucial for individuals with borderline personality disorder. Consistency in caregivers can reduce anxiety and help the client develop more stable and positive interactions.