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 chents.

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.