A 22-year-old client with suspected borderline personality d…

A 22-yeаr-оld client with suspected bоrderline persоnаlity disorder (BPD) is аdmitted after superficial self-inflicted lacerations. During the first week of hospitalization, the client tells peers, "My nurse is the only one here who really understands me," while criticizing other staff as "cold and useless." Two days later, after being denied an unscheduled pass, the client angrily accuses the same nurse of "abandoning" and "betraying" them. The treatment team begins to experience tension, with some staff feeling protective of the nurse and others feeling frustrated with the client.Which assessment and nursing process principles are appropriate when evaluating this client?Select all that apply.