Substance Abuse, Eating Disorders, Impulse Control Disorders no. 5003

Substance Abuse, Eating Disorders, Impulse Control Disorders no. 5003

QUESTION: After completing chemical detoxification and a 12-step program to treat crack addiction, a client is being prepared for discharge. Which remark by the client indicates a realistic view of the future?

✘O a.) "I'm never going to use crack again."
✘O b.) "I know what I have to do. I have to limit my crack use."
✓O c.) "I'm going to take 1 day at a time. I'm not making any promises."
✘O d.) "I can't touch crack again, but I sure could use a drink. I've earned it."

RATIONALE

RATIONALE: Twelve-step programs focus on recovery 1 day at a time. Such programs discourage people from claiming that they will never again use a substance because relapse is common. The belief that one may use a limited amount of an abused substance indicates denial. Substituting one abused substance for another predisposes the client to cross-addiction.
NURSING PROCESS STEP: Evaluation
CLIENT NEEDS CATEGORY: Psychosocial integrity
CLIENT NEEDS SUBCATEGORY: None
COGNITIVE LEVEL: Comprehension