During a routine medication pass at an outpatient recovery clinic, a client receiving treatment for severe opioid use disorder becomes tearful. The client states, 'I cannot handle the intense guilt of what I put my family through while I was using. Sometimes I think it would be easier to just go back to the drugs.' Which response by the practical nurse is the most appropriate?
- It sounds like you are feeling overwhelmed by the guilt of how your substance use affected your family.Answer
- BWhy do you feel that returning to illicit drugs is the only way to cope with your guilt?
- CI need to conduct a comprehensive psychiatric evaluation right now to modify your clinical care plan.
- DI will leave a detailed voicemail on your emergency contact's phone asking them to come provide emotional support.
Answer
The most appropriate response is to use reflection to validate the client's feelings by stating that it sounds like they are feeling overwhelmed by guilt.
The correct response utilizes reflection and validation, which are highly effective therapeutic communication techniques. By restating the client's feelings without offering false reassurance or unsolicited advice, the practical nurse encourages further open dialogue and helps the client process the complex emotions associated with recovery and relapse triggers.
Step-by-Step Solution
Key Concept
Therapeutic Communication in Substance Use Disorders