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A nurse is caring for a client who has borderline personality disorder. Which of the following goals is the priority when planning care for this client?

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Final answer:

The priority when planning care for a client with borderline personality disorder is ensuring safety and stabilization of emotions and behaviors. The establishment of an emotional support network and development of skills to manage relationships and stress are critical in care plans.

Step-by-step explanation:

The question pertains to the priority goals when planning care for a client with borderline personality disorder (BPD). The primary goal in managing clients with BPD typically involves ensuring the safety of the client and others, due to the potential for impulsive and sometimes harmful behaviors associated with BPD. Establishing a safe environment is critical before addressing other psychosocial needs.

Beyond safety, another important goal is stabilizing emotions and behaviors. This can be achieved through the development of an emotional support network that can provide the client with consistent, structured interactions and framework for care-giving. Such networks are vital in managing the condition, offering the necessary support, reducing feelings of abandonment and volatility in relationships, and facilitating better coping strategies.

It's also beneficial to focus on the psychosocial needs of BPD clients by helping them build skills for managing relationships, emotions, and stress. Structured therapeutic models like dialectical behavior therapy (DBT) are often employed to address these aspects. Enhancing these capacities allows for a more adaptive exchange of information on matters of mutual interest and concern.

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