A nurse is discussing stress management techniques with a group of clients. Which of the following actions discussed by a client should the nurse recognize as the least effective'’

DBT is a type of psychotherapy that was originally developed to treat individuals with borderline personality disorder (BPD) but has since been used to treat a variety of mental health conditions. One of the core components of DBT is teaching clients skills to manage intense emotions and tolerate distressing situations.

These skills include mindfulness, emotion regulation, distress tolerance, and interpersonal effectiveness. By learning and practicing these skills, individuals can better manage their emotions and cope with difficult situations without resorting to harmful behaviors.

Behavior therapy is a type of therapy that focuses on modifying behavior through reinforcement and conditioning techniques. Milieu therapy involves using the environment to promote positive behavior and social interaction. Cognitive therapy focuses on identifying and changing negative thought patterns. While these therapies may address emotions and distress, they do not have the same specific focus on emotion modulation and distress tolerance as DBT.

A. Sharing personal information with a client is a boundary violation, as it blurs the professional relationship and creates a risk for the client to become involved in the nurse's personal issues.

B. Making plans to have lunch with a client after discharge is also a boundary violation, as it can be interpreted as crossing the professional boundary and compromising the nurse's objectivity and impartiality.

C. Agreeing to keep a secret from a client can also be a boundary violation, as it may interfere with the nurse's professional judgment and duty to protect the client's safety and well-being.

D. Allowing a client to hold the nurse's hand before chemotherapy is not necessarily a boundary violation, as this can be a form of emotional support that is appropriate in some circumstances.

E. Reading a 'get-well' card to a client is not a boundary violation, as it is a form of emotional support that is appropriate and professional.