A nurse is admitting a client who has borderline personality disorder and is at risk for self-mutilation. Which of the following interventions should the nurse incorporate in the plan of care?

A. Provide additional attention to the client: Giving extra attention may unintentionally reinforce maladaptive behaviors like self-harm, as clients with borderline personality disorder may use such behaviors to seek emotional responses from others. B. Apply mechanical restraints before administering medication: Restraints are used only as a last resort when the client poses an immediate danger to themselves or others, and not as a preventive measure. The priority is to use less restrictive interventions, such as verbal contracts or observation, first. C. Obtain a verbal contract from the client: Establishing a verbal or written “no self-harm” contract helps promote client accountability and trust. It encourages the client to communicate feelings of distress before resorting to self-injury and fosters a collaborative therapeutic relationship. D. Limit staff members who work with the client: Consistency among staff is important, but excessively limiting staff exposure is unnecessary. A consistent team approach with clear communication and boundaries is more effective in managing impulsive or self-harming behaviors.