HESI Registered Nurse EXIT Practice Exam

What nursing intervention is most effective in managing behaviors of clients with personality disorders?

1. Pointing out inconsistencies in speech patterns to correct thought disorders

2. Accepting the client and their behavior unconditionally

3. Encouraging dependency to develop ego controls

4. Consistent limit-setting enforced 24 hours per day

The correct answer is: Consistent limit-setting enforced 24 hours per day

Consistent limit-setting enforced 24 hours per day is crucial in managing behaviors of clients with personality disorders. Individuals with these disorders often exhibit impulsive, manipulative, or challenging behaviors, and without clear boundaries, they may struggle to understand the impact of their actions on themselves and others. By establishing consistent limits, nurses provide a structured environment where the client can learn about acceptable behavior and the consequences of their actions. This approach helps to create predictability and safety for both the client and the healthcare professionals involved in their care. It encourages accountability and helps clients develop more adaptive coping strategies over time. Furthermore, consistent limit-setting fosters a therapeutic alliance, as clients begin to understand that these limits are in place for their benefit and for the welfare of others. Through this process, clients can gradually gain insight into their behavioral patterns and work towards healthier interactions and relationships.