A nurse is providing teaching to a client who is postpartum and interested in information about contraception. Which of the following instructions should the nurse include?

Choice A reason: Raising the head of the bed during transfer does not prioritize ergonomic principles. It may strain the nurse’s back or misalign the client, increasing injury risk. Ergonomics focuses on neutral spine alignment and mechanical aids to reduce physical strain during client transfers.
Choice B reason: Placing pillows under the head is a comfort measure, not an ergonomic principle. Ergonomics emphasizes reducing musculoskeletal strain through proper mechanics or devices. Pillows do not directly prevent nurse injuries, unlike transfer devices that minimize physical effort during client movement.
Choice C reason: Using a lateral transfer device, like a slide board, aligns with ergonomic principles by reducing manual lifting and spinal strain. It prevents back injuries, ensuring safe client transfer. This evidence-based practice supports occupational health guidelines, minimizing musculoskeletal risks for nurses during patient handling.
Choice D reason: Standing close during ambulation ensures client stability but is not a primary ergonomic principle. Ergonomics focuses on equipment and mechanics to reduce strain, not proximity, which addresses patient safety more than nurse injury prevention during transfers or repositioning tasks.

Choice A reason: Clients with borderline personality disorder (BPD) typically exhibit an unstable sense of self and tumultuous relationships, not stability. Their identity disturbances and fear of abandonment lead to chaotic interpersonal dynamics, making this statement incorrect as it misrepresents core BPD characteristics.
Choice B reason: Self-harming behaviors, such as cutting or suicidal gestures, are common in BPD due to emotional dysregulation and impulsivity. These actions serve as maladaptive coping mechanisms for intense emotions, aligning with DSM-5 criteria for BPD, making this the correct information to include.
Choice C reason: While group therapy can be beneficial, dialectical behavior therapy (DBT), an individual and skills-based approach, is the primary evidence-based treatment for BPD. Group therapy alone is not the standard, as it may not address individual emotional regulation needs, making this statement inaccurate.
Choice D reason: Clients with BPD frequently experience mood swings and emotional instability, a hallmark of the disorder due to affective dysregulation. This contradicts the statement, as BPD involves rapid mood shifts, not stability, making this information incorrect for describing BPD characteristics.