A client who was admitted for treatment of a personality disorder is observed pulling another client's hair and pushing clients out of their chairs. What is the priority nursing intervention for this client?

Question

Quizplus · Accepted Answer

A)Priorities of care for a client with a personality disorder include safety, managing crisis, setting limits, and improving socialization. Because of the nature of personality disorders, it may be difficult to form a therapeutic nurse-client relationship, so this should not be the nurse's main focus at this time. The nurse should not confront the client by asking what purpose is served by disrupting others. Placing the client in a jacket restraint is not indicated in response to this behavior. The best intervention would be for the nurse to remove the disruptive client from the room and address the behavior privately.
B)Priorities of care for a client with a personality disorder include safety, managing crisis, setting limits, and improving socialization. Because of the nature of personality disorders, it may be difficult to form a therapeutic nurse-client relationship, so this should not be the nurse's main focus at this time. The nurse should not confront the client by asking what purpose is served by disrupting others. Placing the client in a jacket restraint is not indicated in response to this behavior. The best intervention would be for the nurse to remove the disruptive client from the room and address the behavior privately.
C)Priorities of care for a client with a personality disorder include safety, managing crisis, setting limits, and improving socialization. Because of the nature of personality disorders, it may be difficult to form a therapeutic nurse-client relationship, so this should not be the nurse's main focus at this time. The nurse should not confront the client by asking what purpose is served by disrupting others. Placing the client in a jacket restraint is not indicated in response to this behavior. The best intervention would be for the nurse to remove the disruptive client from the room and address the behavior privately.
D)Priorities of care for a client with a personality disorder include safety, managing crisis, setting limits, and improving socialization. Because of the nature of personality disorders, it may be difficult to form a therapeutic nurse-client relationship, so this should not be the nurse's main focus at this time. The nurse should not confront the client by asking what purpose is served by disrupting others. Placing the client in a jacket restraint is not indicated in response to this behavior. The best intervention would be for the nurse to remove the disruptive client from the room and address the behavior privately.

A Client Who Was Admitted for Treatment of a Personality