lish consequences for self-mutilation.
The nurse should respond to self-mutilation with a neutral affect and encourage the client
to write down feelings that occurred leading up to the incident.
c. Maintain close observation of the client.
Clients who have borderline personality disorder are at...
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, 1. A nurse is planning care for a client who has borderline personality disorder who self-
mutilates. Which of the following test approaches should the nurse plan to take?
a. Restrict participation in group therapy sessions.
The nurse should encourage the client who has borderline personality disorder to
participate in group therapy sessions to encourage appropriate interaction with other
clients.
b. Establish consequences for self-mutilation.
The nurse should respond to self-mutilation with a neutral affect and encourage the client
to write down feelings that occurred leading up to the incident.
c. Maintain close observation of the client.
Clients who have borderline personality disorder are at risk for self-harm during
times of increased anxiety. Maintaining close observation reduces the client's risk of
injury.
d. Provide an unstructured environment.
Providing an unstructured environment for a client who has borderline personality
disorder is not an effective treatment approach because it does not provide a safe
environment to protect the client from impulsive and self-injurious behavior.
2. A nurse is assessing a client who has Stage 4 Alzheimer's disease. Which of the following
findings should the nurse expect?
a. The client requires assistance with eating.
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