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Zorluk: OrtaChemical and Other Dependencies / Substance Use Disorders

A client attending a community-based addiction recovery program states to the nurse, "I know I slipped up and used cocaine this weekend, but my partner has been arguing with me constantly, and I just could not handle the stress." Which response by the nurse is the most therapeutic?

  1. A
    Why did you choose to use cocaine instead of utilizing the coping skills we practiced?
  2. It sounds like you are saying your partner's arguing is the reason you decided to use cocaine.Cevap
  3. C
    Relapse is a common part of the recovery journey, so try not to be too hard on yourself.
  4. D
    You need to stop blaming your partner and take accountability for your own choices.

Cevap

The most therapeutic response is to reflect the client's statement back to them, indicating that they are attributing their substance use to their partner's actions.
The correct answer uses the therapeutic technique of reflection. By restating the client's rationalization in a non-judgmental manner, the nurse encourages the client to examine their own statement and begin taking accountability for their relapse without feeling attacked or judged.

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1
Identify the client's underlying behavior or defense mechanism.
The client is using rationalization and projection (blaming the partner and stress) to excuse the relapse.
Understanding the psychological mechanism helps the nurse choose the most effective communication strategy.
2
Evaluate the given responses against therapeutic communication principles.
Asking 'why', giving advice, judging, and offering false reassurance are non-therapeutic approaches.
These responses block open communication and prevent the client from exploring their own feelings and behaviors.
3
Select the response that encourages self-reflection without judgment.
The reflective statement allows the client to hear their own rationalization objectively.
Reflection promotes self-awareness and accountability while maintaining a supportive therapeutic environment.

Anahtar Kavram

Therapeutic Communication in Substance Use Disorders
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Konular

Chemical and Other Dependencies / Substance Use Disorders

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