As part of the plan of care for a client with borderline personality disorder, the nurse reviews the day's schedule with him each morning. While doing so, the client states, "Why don't you shut up already! I can read it myself, you know!" Which of the following is an appropriate nursing response?

Choice A reason: This response is sarcastic and undermines therapeutic communication. It may escalate hostility. Choice B reason: Asking "Why" questions can sound confrontational and does not set boundaries. Choice C reason: Handing over the schedule without addressing disrespectful communication ignores the behavior and fails to set limits. Choice D reason: Setting expectations for respectful communication establishes boundaries and models appropriate interaction. This is therapeutic and consistent with managing borderline personality disorder.