A nurse is caring for a client who has borderline personality disorder.
Which of the following actions should the nurse take?

Provide consistent boundaries for the client.

Encourage the use of countertransference for the client.

Maintain consistency in assigning healthcare staff for the client.

Demonstrate a sympathetic attitude toward the client when providing care.

Answer and Explanation

The Correct Answer is A

Choice A rationale:

Individuals with borderline personality disorder often have difficulty establishing and maintaining boundaries. Providing consistent and clear boundaries helps in promoting a structured and safe environment for the client.

Choice B rationale:

Encouraging the use of countertransference is not appropriate. Countertransference refers to the therapist or nurse's emotional reactions to the client, and it is generally not encouraged as a therapeutic approach.

Choice C rationale:

Maintaining consistency in assigning healthcare staff for the client is essential in promoting stability and reducing anxiety. This is a crucial aspect of care for clients with borderline personality disorder.

Choice D rationale:

Demonstrating a sympathetic attitude is important in providing compassionate care, but it should be balanced with maintaining professional boundaries and not allowing manipulation by the client. Sympathy alone may not be sufficient in effectively managing the client's condition.

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Correct Answer is A

Explanation

Choice A rationale:

"Identify and schedule alternative group activities for the client.”. This is the most appropriate response as it focuses on engaging the client in alternative group activities. Social isolation is a common issue in individuals with major depressive disorder, and offering alternative group activities can help the client to socialize and find enjoyment in different ways, potentially improving their mood.

Choice B rationale:

"Discourage the client from expressing feelings of anger.”. This choice is not suitable because it discourages the client from expressing feelings of anger. While it's essential to guide the client in managing their anger appropriately, discouraging the expression of emotions can be counterproductive and may lead to emotional suppression, which is not recommended.

Choice C rationale:

"Keep a bright light on in the client's room at night.”. This option is not directly related to managing major depressive disorder. While light therapy can be beneficial for certain conditions like seasonal affective disorder, it may not be the most appropriate intervention for every client with major depressive disorder.

Choice D rationale:

"Encourage physical activity for the client during the day.”. This is a valid intervention for managing major depressive disorder. Regular physical activity has been shown to have a positive impact on mood and can be an effective part of a treatment plan for individuals with depression. However, choice A is more specific to addressing social isolation, which is a common concern in major depressive disorder.

A. Dialectical behavior treatment group. B. Co-dependents support group. C. Dual diagnosis treatment group. D. Desensitization therapy.

Correct Answer is A

Explanation

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A nurse is caring for a client who has borderline personality disorder.Which of the following actions should the nurse take?

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A nurse is caring for a client who has borderline personality disorder.
Which of the following actions should the nurse take?