A client diagnosed with borderline personality disorder tells the nurse that she "frequently spaces out." Which response by the nurse would be most appropriate?

A) "Do you feel stressed most of the time?"
B) "Does this frighten you when it happens?"
C) "What's happening around you when this occurs?"
D) "Do you feel as if you are out of your body?"


Ans: C
To determine a pattern for the client's coping skills, it is important to ask the client what is happening in the environment when dissociation occurs. In addition, this is the only question that is open ended; therefore, it will elicit more information than a closed-ended question would.

Nursing

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