Answer to Question 1
A
Answer to Question 2
D
Firm but empathetic limit setting is required in this situation. The patient is splitting, and the nurse needs to set limits and support the consequence that has been administered. By reflecting the patient's psychic distress and providing clear instructions about the behavior that is expected (along with a time limit for that behavior), the nurse is assisting the patient in problem solving more adaptively. In addition, the nurse provides a reward or positive regard when offering a specific time to meet with the patient that occurs after the consequence has been accepted. Although the remaining options also provide similar feedback, they do not provide specific times that the patient can concretely conceptualize. Mutuality and respect for all patients are required from the therapeutic professional nurse, especially for those patients with impulse-control problems; they may try to enter into a regressive struggle with the nurse, who is trying to set limits on behavior.
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