During a private conversation, a client with borderline personality disorder asks the nurse to "keep my secret" and then displays multiple self-inflicted, superficial lacerations on the forearms. What is the nurse’s best response
A. "This type of behavior requires you to be on suicide precautions. "
B. "I’m going to tell your physician. Do you want to tell me why you did that"
C. "Tell me what type of instrument you used. I’m concerned about infection. "
D. "Whenever something important occurs in treatment, the team needs to know about it. I’ll have to tell the others, but let’s talk about it first. "
参考答案：D
解析：This response informs the client of the nurse’s planned actions and allows time to discuss the client’s actions. The first two responses put the client in a defensive position and may set up a power struggle. The third response ignores the psychological implications of the client’s actions.