A nurse is caring for a client who has borderline personality disorder (BPD). As part of the client’s plan of care, the nurse reviews the day’s schedule with the client each morning. As the nurse begins to review the schedule, the client says, "Why don’t you shut up already? I can read it myself, you know!" Which of the following responses should the nurse give the client?

Choice A reason: Asking why the client is angry is confrontational and may escalate hostility. Clients with borderline personality disorder often react strongly to perceived criticism. This response does not set boundaries or model appropriate communication. Choice B reason: Handing over the schedule and expecting compliance is dismissive. It avoids addressing the inappropriate behavior and misses the opportunity to reinforce therapeutic boundaries. Choice C reason: Stating "I don’t like it when you address me with that tone of voice" is the correct response. It sets a clear boundary, models respectful communication, and avoids escalating the situation. This approach is therapeutic because it acknowledges the client’s autonomy while addressing inappropriate behavior in a calm, assertive manner. Choice D reason: Responding with "I know you can, but are you going to read it or not?" is sarcastic and confrontational. It challenges the client and risks worsening the interaction. This is not therapeutic communication.