A client with borderline personality disorder has difficulty maintaining boundaries of the therapeutic 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, non-confrontational 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.
Ans: B, C, D, E
When setting limits to maintain boundaries, the nurse must clearly state the limits and consequences for violating them, and ensure that they are consistently maintained. In addition, the nurse must respond to a client's arrogance in a neutral manner that avoids confrontation and a power struggle. The nurse also should discuss the purpose of the limits in the therapeutic relationship and confront violations in a nonpunitive way.
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