A nurse is interviewing a client who has borderline personality disorder. The nurse and client have agreed on an interview time, but the client resists discussing her feelings until 5 min prior to the end of the session and then asks for additional time. Which of the following actions should the nurse take?
Set an extra meeting time to discuss the client's feelings.
End at the scheduled time, telling the client that she can continue at the next scheduled session.
Arrange for another nurse to continue the interview.
Extend the scheduled time, as the client is finally able to discuss important feelings.
The Correct Answer is B
Choice A reason: Setting an extra meeting time may reinforce manipulative behavior patterns common in borderline personality disorder.
Choice B reason: Ending at the scheduled time maintains boundaries and consistency, which are crucial in managing borderline personality disorder. It teaches respect for limits and prevents manipulation.
Choice C reason: Arranging for another nurse undermines continuity of care and does not address the boundary issue.
Choice D reason: Extending the time reinforces manipulative behavior and undermines therapeutic boundaries.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Telling the client to go back to their room is dismissive and does not address their emotional state.
Choice B reason: This response acknowledges the client’s feelings and invites them to express themselves. It is therapeutic, empathetic, and supportive, making it the best choice.
Choice C reason: Asking “Why” questions can sound judgmental and does not encourage open communication.
Choice D reason: Reassuring without addressing the client’s distress minimizes their feelings and is non-therapeutic.
Correct Answer is A
Explanation
Choice A reason: Clients with borderline personality disorder are at high risk for self-harm and suicidal behavior. Protecting the client from self-injury is the priority intervention to ensure safety.
Choice B reason: Redirecting violent behavior is important but secondary to preventing self-harm. Violence may occur, but self-injury is more immediate and life-threatening.
Choice C reason: Encouraging expression of feelings is therapeutic but not the priority when safety is at risk. Emotional exploration can occur after stabilization.
Choice D reason: Exploring reasons for behavior is useful for long-term therapy but is not the immediate priority in acute care.
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