From a behavioral perspective, which nursing intervention is ...

[tuffie]

From a behavioral perspective, which nursing intervention is appropriate when caring for a client diagnosed with borderline personality disorder?
 
  1. Seclude the client when inappropriate behaviors are exhibited.
  2. Contract with the client to reinforce positive behaviors with unit privileges.
  3. Teach the purpose of anti-anxiety medications to improve medication compliance.
  4. Encourage the client to journal feelings to improve awareness of abandonment issues.

Question 2

Which nursing diagnosis should be prioritized when providing nursing care to a client diagnosed with paranoid personality disorder?
 
  1. Risk for violence: directed toward others R/T paranoid thinking
  2. Risk for suicide R/T altered thought
  3. Altered sensory perception R/T increased levels of anxiety
  4. Social isolation R/T inability to relate to others

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Answer to Question 1

2
Rationale: The most appropriate nursing intervention from a behavioral perspective is to contract with the client to reinforce positive behaviors with unit privileges. Behavioral strategies offer reinforcement for positive change.

Answer to Question 2

1
Rationale: The priority nursing diagnosis for a client diagnosed with paranoid personality disorder should be risk for violence: directed toward others R/T paranoid thinking. Clients diagnosed with paranoid personality disorder have a pervasive distrust and suspiciousness of others that result in a constant threat readiness. They are often tense and irritable, which increases the likelihood of violent behavior.