Difficulty: Medium
Average Score: 78%
Simulated
A client with borderline personality disorder reported to the nurse in the clinic that they feel empty and anxious and wants to cut their arms. The nurse should:
Correct answer
C
Rationale
The correct answer is C: assist the client to identify the trigger situation and choose a coping strategy. For a client with borderline personality disorder experiencing emptiness, anxiety, and self-harm ideation, it is crucial to address the underlying triggers and develop healthy coping mechanisms. This approach promotes long-term emotional regulation and self-management skills. Advising an anxiolytic (A) may only provide temporary relief and not address the root cause. Restraint (B) is inappropriate and can worsen the client's distress. Encouraging self-harm behaviors (D) reinforces maladaptive coping strategies and poses serious risks.