A client who self-mutilates is confined in the forensic psychiatric facility. The client has lately become very secretive about acts of cutting and hides them from nurses and other staff
The nurse accidentally finds out that more cutting is occurring and brings the escalation of the client's behaviors for consideration to the interdisciplinary team. Another team member makes this remark about the client, "I say we restrict her privileges, we taught her all sorts of alternatives to stop the behaviors and it has not worked.". What should the nurse reply? A) "We can restrict her privileges and increase our teaching about non-harmful coping strategies.".
B) "Right, everything we have tried has not worked and our primary goal must be to keep her from injuring
herself.".
C) "We should do more than restrict her privileges; we should put her on one-to-one because she might
accidentally kill herself.".
D) "The answer is not punishment; we must get her to trust us again, reduce her shame, and find ways to
make her feel more self-confident.".
D
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