When a client on an acute care psychiatric unit demonstrates behaviors and verbalizations indicating a lack of guilt feelings, which nursing intervention would help the client to meet desired outcomes?
A. Provide external limits on client behavior.
B. Foster discussions of rationales for behavioral change.
C. Implement interventions consistently by only one staff member.
D. Encourage the client to involve self in care.
A
Because the client, due to a lack of guilt, cannot or will not impose personal limits on maladaptive behaviors, these limits must be delineated and enforced by staff.
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True False