Difficulty: Medium
Average Score: 85%
Simulated
A nurse is planning overall strategies to address problems for a client who has borderline personality disorder. Which of the following strategies is the priority for the nurse to incorporate in the plan of care?
Correct answer
B
Rationale
The correct answer is B. Implementing measures to prevent intentional self-inflicted injury is the priority for a client with borderline personality disorder as it addresses the immediate safety concern. Self-harm is common in this population, so ensuring the client's safety is paramount. Encouraging the client to attend support group meetings (Choice A) may be beneficial but does not address the immediate safety issue. Assisting the client to maintain awareness of thoughts and feelings (Choice C) and discussing assertive behavior (Choice D) are important but addressing safety comes first.