A client diagnosed with borderline personality disorder brings up a conflict with the staff in a community meeting and develops a following of clients who unreasonably demand modification of unit rules. How can the nursing staff best handle this situation?

Question

Quizplus · Accepted Answer

Maintaining consistency of care and open communication with the clients, while avoiding staff manipulation, is important in this situation. Allowing clients with personality disorders to dictate unit rules is not appropriate and could disrupt the therapeutic environment. While it may be helpful to listen to the client's concerns during a staff meeting, allowing the client spokesman to dominate the meeting is not recommended. Similarly, autocratic leadership may lead to feelings of resentment and may not be in line with the therapeutic goals of the unit.

A Client Diagnosed with Borderline Personality Disorder Brings Up a Conflict