A nurse is caring for a client who has borderline personality disorder and has been engaging in self-mutilation.
The nurse should encourage the client to participate in which of the following groups?

Choice A rationale:

The statement, "I might need to be hospitalized to stabilize my physical condition," indicates a good understanding of the severity of the eating disorder. Hospitalization may be necessary in cases of severe malnutrition or other medical complications associated with eating disorders.

Choice B rationale:

The statement, "Psychotherapy and medication can help address the psychological aspects of my disorder," demonstrates an accurate understanding of the treatment options for eating disorders. Psychotherapy and medication are often important components of treatment.

Choice C rationale:

The statement, "Relapse prevention strategies are not necessary once I have recovered," indicates a need for further teaching. Relapse prevention strategies are crucial in maintaining recovery and preventing a recurrence of disordered eating behaviors. It is important to educate the patient about the long-term strategies required for sustained recovery.

Choice D rationale:

The statement, "Social support, such as family involvement or peer support, can be helpful in maintaining recovery," is correct. Social support is an essential part of recovery from eating disorders. It can provide emotional support and help in maintaining progress.

Choice A rationale:

The nurse should not offer advice about various treatment choices to the client who has just received a terminal cancer diagnosis. At this point, the client should be provided with information about available treatment options by the healthcare provider. The nurse's role is to offer support, empathy, and help facilitate communication between the client and the provider. Offering advice about treatment choices is beyond the scope of the nurse's role in this situation.

Choice B rationale:

Discouraging the client from forming new relationships is not appropriate. The client's emotional and psychosocial needs are important, and it's essential to encourage meaningful connections and relationships, especially in a difficult time like receiving a terminal diagnosis. Isolation can have negative effects on the client's emotional well-being, so the nurse should support the client in maintaining relationships.

Choice D rationale:

Changing the subject when the client becomes upset is not an appropriate action. It's important for the nurse to provide emotional support and a listening ear to the client during this challenging time. Changing the subject may come across as dismissive or uncaring, and it does not address the client's emotional needs.