Priority nursing interventions for a client with borderline personality disorder who has a history of self-mutilation and is currently angry, irritable, and impulsive would be:
1. Establishing a contract for safety with the client
2. Teaching the client ways to manage anger
3. Helping the client tolerate feelings
4. Implementing behavioral modification
ANS: 1
The priority intervention is the prevention of self-harm via a contract with the client. Options 2 and 3 will be accomplished over a longer time. Option 4 is too nonspecific to be evaluated for appropriateness in this situation.
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