Practice Question
As part of the plan of care for a client with borderline personality disorder, the nurse reviews the day's schedule with him each morning. While doing so, the client states. "Why don't you shut up already! I can read it myself, you know!" Which of the following is an appropriate nursing response?
Answer Choices:
Correct Answer:
“I expect you to speak to me in a civil tone of voice."
Rationale:
🟣 Clients with borderline personality disorder (BPD) often display impulsivity, intense emotional reactions, and difficulty regulating anger, which may lead to verbal outbursts.
🟣 This response uses clear limit-setting, a key therapeutic strategy for clients with BPD, by calmly stating behavioral expectations without engaging in confrontation or criticism.
🟣 The nurse maintains professional boundaries while modeling respectful communication, which helps build consistency and structure, crucial for clients with BPD.
🟣 Responding with neutral firmness helps avoid reinforcing manipulative or aggressive behaviors and preserves the therapeutic relationship.
🟣 This approach also promotes self-awareness and accountability, encouraging the client to reflect on their behavior in a non-threatening way.
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This question is from LPN Custom Mental Health which contains 43 questions.
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Question Details
- Category: LPN Nursing Exam(s)
- Subcategory: LPN ATI Exams
- Domain: Mental Health
- Answer Choices: 4