Question

The nurse is caring for clients diagnosed with personality disorders. Which of these therapies best describes an intervention to deal with the behaviors of such clients?

A. Point out inconsistencies in speech patterns to correct thought disorders
B. Accept the client and the client's behavior unconditionally
C. Encourage dependency in order to develop ego controls
D. Set consistent limits to be enforced around-the-clock

Answer 1

Setting consistent limits and enforcing them around-the-clock is an effective intervention for managing behaviors in clients with personality disorders, aligning with cognitive-behavioral therapeutic practices.

Step-by-step explanation:

When caring for clients diagnosed with personality disorders, cognitive-behavioral therapy (CBT) is often used because it considers both cognitive processes and behaviors. The approach of setting consistent limits and enforcing them around-the-clock is a practice that aligns with behavior modification, an element of CBT. By setting consistent limits, the therapist can help the client establish a sense of predictability and structure, which can be beneficial for those who struggle with the erratic behavior often associated with personality disorders.

This therapeutic intervention not only helps manage the behaviors but also aids in the development of better ego controls by providing a clear framework within which the client can operate. This may help in reducing the impulsivity and inconsistencies in behaviors that are characteristic of personality disorders. Integrating aspects of client-centered therapy, such as showing empathy and striving to understand the client's perspective, can also play an important role in building a therapeutic alliance.