NCLEX Question of the Day
Psychosocial Integrity QID 259
The nurse is providing care for a client with borderline personality disorder. The client suddenly becomes verbally aggressive towards the staff. What is the most appropriate response by the nurse?
Explanation
Clients with borderline personality disorder often exhibit intense emotional responses and may struggle with interpersonal relationships. The nurse should remain calm and set clear, consistent limits on the client's behavior to manage the situation effectively and safely.
Retaliating with firm verbal boundaries in an authoritative tone may escalate the situation and is not therapeutic. Ignoring the behavior can be interpreted as neglectful and may also escalate the behavior. Isolating the client may increase feelings of abandonment and is not appropriate unless the client is a risk to themselves or others, in which case environmental modification could be a short-term measure.
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