6. A 23-year-old patient with borderline personality disorder reports a frequent desire to cut him- or herself and insists that only a specific psychiatric and mental health nurse can help the patient. The nursing care plan for the patient includes: A
In this scenario, the patient is expressing self-harm urges and has a strong attachment to a specific nurse. The priorities for care should include ensuring the safety of the patient, which is critical given the suicidal ideation.
Given the choices:
A. Decreasing the patient's stimuli - While this may help some patients, it does not address the immediate risk of self-harm.
B. Providing one-to-one suicide precautions - This is important for ensuring the patient's safety and preventing self-harm.
C. Allowing the patient to choose the nurse assigned to him or her - While fostering a therapeutic relationship is important, this may not be feasible or safe considering the current situation.
D. Holding frequent, interdisciplinary staff meetings to provide consistent care - While helpful for overall care, it doesn't directly address the immediate needs of the patient.
The best option here to prioritize the patient’s safety would be:
**B. providing one-to-one suicide precautions.**
This intervention directly addresses the serious nature of the patient's self-harming thoughts and ensures close monitoring and support.


