Difficulty: Medium
Average Score: 85%
Simulated
A nurse is admitting a client who has borderline personality disorder and is at risk for self-mutilation. Which of the following interventions should the nurse incorporate in the plan of care?
Correct answer
C
Rationale
The correct answer is C: Obtain a verbal contract from the client. This intervention involves the client agreeing to refrain from self-harm and seeking help when feeling overwhelmed. It promotes client accountability and self-awareness. Option A could reinforce maladaptive behaviors. Option B is a restrictive measure that should be used as a last resort. Option D could limit the client's support system.