Question

Difficulty: EasyMental Health Concepts

During an intake assessment at a community behavioral health clinic, a client seeking treatment for alcohol dependence states, "I do not understand why everyone is making such a big deal. I can stop drinking whenever I choose." Which response by the nurse is most appropriate?

  1. You feel that you have full control over your alcohol consumption.Answer
  2. B
    Why did you agree to come to the clinic today if you do not have a problem?
  3. C
    Many people feel that way initially, but you will eventually realize how alcohol is affecting your life.
  4. D
    You must admit that you have a severe addiction before any of our treatments can be successful.

Answer

The most appropriate response is to restate the client's feelings by acknowledging they feel they have full control over their alcohol consumption.
The correct response utilizes restating (or reflection), a fundamental therapeutic communication technique. By repeating the main idea expressed by the client, the nurse demonstrates active listening and respect. This approach gently prompts the client to explore their own statement further without the nurse arguing against their denial or passing judgment.

Step-by-Step Solution

1
Analyze the client's statement to determine their current psychosocial state.
The client is exhibiting denial regarding their dependence on alcohol by claiming they can stop at any time.
Recognizing the client's defense mechanism helps the nurse select a communication technique that maintains rapport without reinforcing the denial.
2
Evaluate the response choices based on principles of therapeutic communication.
The response that neutrally reflects the client's statement back to them is the only therapeutic option.
Non-judgmental restatement encourages the client to elaborate on their thoughts and feelings without feeling attacked or defensive.

Key Concept

Therapeutic Communication
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