A nurse is contributing to the plan of care for a client who has borderline

personality disorder and exhibits manipulative behaviors. Which of the

following interventions should the nurse include in the plan to address limit

setting?

Establish and explain consequences for the client's behavior

Teach the client to use reaction formation for Behavior control

Recommend that the client attend assertiveness training

Encourage the client to increase socialization

(Ans- Establish and explain consequences for the client's behavior.

The nurse should communicate desired behavior and expectations as well

as detailed consequences for not meeting those expectations to a client

who has borderline personality disorder. These expectations and

consequences should be included in the plan of care when addressing limit

setting with the client.

A nurse is assisting with screening a group of clients for major depressive

disorder (MDD). The nurse should identify that which of the following clients

is at an increased risk for the development of MDD?

A client who is newly employed

A client who abstains from alcohol

A client who just gave birth