Author Question: Using a behavioral approach, which nursing intervention is most appropriate when caring for a client ... (Read 19 times)

Tazate · **on:** Jul 19, 2018

Using a behavioral approach, which nursing intervention is most appropriate when caring for a client diagnosed with borderline personality disorder?

A. Seclude the client when inappropriate behaviors are exhibited.
B. Contract with the client to reinforce positive behaviors with unit privileges.
C. Teach the purpose of antianxiety medications to improve medication compliance.
D. Encourage the client to journal feelings to improve awareness of abandonment issues.

Question 2

Which nursing diagnosis should be prioritized when providing care to a client diagnosed with paranoid personality disorder?

A. Risk for violence: directed toward others R/T suspicious thoughts
B. Risk for suicide R/T altered thought
C. Altered sensory perception R/T increased levels of anxiety
D. Social isolation R/T inability to relate to others

amit · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

B
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

A
The priority nursing diagnosis for a client diagnosed with paranoid personality disorder should be risk for violence: directed toward others R/T suspicious thoughts. Clients diagnosed with paranoid personality disorder have a pervasive distrust and suspiciousness of others that may result in hostile actions to protect self. They are often tense and irritable, which increases the likelihood of violent behavior.