A client undergoing inpatient rehabilitation for a substance use disorder tells the nurse, "I wouldn't need to use drugs if my boss didn't put so much pressure on me at work." Which of the following is the most appropriate therapeutic response by the nurse?
- It sounds like you are attributing your substance use to the stress you experience at work.Answer
- BWhy do you let your boss have so much control over your personal choices?
- CYou should probably start looking for a new job if this one is causing you to use drugs.
- DEverything will get easier to manage once you successfully complete this rehabilitation program.
Answer
The most appropriate therapeutic response is to restate and reflect the client's statement, noting that they are attributing their substance use to work stress.
Restating or reflecting the client's message is a highly effective therapeutic communication technique. In substance use disorder treatment, clients frequently use defense mechanisms like projection or rationalization to avoid taking responsibility for their addiction. By neutrally reflecting the client's statement, the nurse acts as a mirror, encouraging the client to examine their own coping mechanisms and begin taking ownership of their choices without causing immediate defensiveness.
Step-by-Step Solution
Key Concept
Therapeutic Communication in Substance Use Disorders