A nurse is teaching a client with borderline personality disorder to reshape thinking patterns. What is an example of a cognitive restructuring technique that would be helpful for this client?

Choice A reason: Using “I” statements is an assertiveness training technique, which helps communication but is not specifically cognitive restructuring. Choice B reason: Cognitive restructuring involves challenging distorted thinking and reframing situations realistically. Teaching the client to avoid catastrophic thinking and view situations more rationally is a direct example of cognitive restructuring. Choice C reason: Saying “stop” to negative thoughts is a thought-stopping technique, which is related but not the same as restructuring. It interrupts thoughts but does not replace them with realistic alternatives. Choice D reason: Replacing negative thoughts with positive ones is closer to positive self-talk. While helpful, it does not fully address the restructuring process of evaluating and reframing distorted cognitions.