A client with borderline personality disorder has difficulty maintaining boundaries of the professional relationship. Which of the following would be most effective for the nurse to do? Select all that apply.
A) Punish the client with seclusion for violating established boundaries.
B) Respond to the client's arrogance in a neutral, nonconfrontational manner.
C) Discuss the purpose of the limits in the therapeutic relationship.
D) State the parameters of the limits and boundaries clearly.
E) Ensure that any established limits are maintained consistently.
Question 2
Patsy is a 7-year-old girl who has been repeatedly hospitalized for symptoms of GI upset, chronic diarrhea, and electrolyte imbalance. The medical staff have not been able to determine the cause of her symptoms.
Her mother always demands that additional lab work be run to determine what is wrong with her daughter. A nurse on the pediatric unit has noticed that Patsy seems to get better when her mother is not allowed to visit. The nurse suspects that Patsy may:
A) Be a victim of factitious disorder by proxy.
B) Be a victim of psychological abuse.
C) Be at risk for developing psychosomatic illnesses as an adult.
D) Be experiencing secondary gain from her hospitalizations.
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