The mental health status examination includes (select all that apply):

Choice A reason: Conversion typically refers to the expression of psychological distress through physical symptoms, which is not the case here.

Choice B reason: Undoing is a defense mechanism where a person tries to 'undo' an unhealthy thought or behavior with a healthier one, which does not apply to Michael's situation.

Choice C reason: Compensation is a defense mechanism where a person overachieves in one area to make up for deficiencies in another, which describes Michael's actions.

Choice D reason: Sublimation involves channeling unacceptable impulses into socially acceptable activities, which is not explicitly indicated in this scenario.

Choice A: "I’m sorry if I upset you. I just wanted to make sure you’re aware of the day’s schedule."

This response may seem empathetic, but it could potentially reinforce the client's aggressive behavior. The nurse is apologizing, which might give the impression that the client's rude behavior is acceptable¹.

Choice B: "Well, if you can read it yourself, then why don’t you?"

This response is confrontational and could escalate the situation. It's important for the nurse to maintain a neutral and respectful manner.

Choice C: "You don’t have to be so rude. I’m just doing my job."

This response is defensive and could provoke further aggression from the client. It's not recommended to respond defensively to clients with borderline personality disorder¹.

Choice D: "I didn’t mean to offend you. I’ll leave the schedule here for you to review."

This is the most appropriate response. The nurse acknowledges the client's feelings without reinforcing the aggressive behavior. The nurse also respects the client's autonomy by leaving the schedule for the client to review¹.