The nurse in the outpatient treatment facility evaluates the plan of care for a client with alcohol use disorder. Which of the following client statements indicate positive progress toward recovery? Select all that apply.

Question

Quizplus · Accepted Answer

Alcohol use disorder, or alcoholism, occurs when alcohol is consumed in excess over time until dependence develops, causing withdrawal to occur when alcohol is not consumed. Alcohol consumption can become the client's sole focus, which negatively impacts the social, familial, and occupational aspects of the client's life. After the detoxification period, the plan of care includes a goal-setting process to progress the client toward total abstinence from alcohol. Goals for client recovery include: Expressing accountability for previous behavior, including how abusing alcohol has impacted personal life (Option A) Using insight to face reality and overcome rationalization and projection Using coping skills (eg, support groups, relaxation techniques) to improve reactions to stressful situations (Option E) Setting goals for personal growth and self-worth development and using nonchemical alternatives (eg, fitness training) for stress relief (Option D) Maintaining abstinence from alcohol consumption (Option B) This statement represents denial, a common maladaptive defense mechanism in which substance misuse or addiction is minimized and/or clients deny having a problem with substance use. (Option C) This statement represents rationalization, a common maladaptive defense mechanism in which the client makes excuses (eg, divorce) to justify substance use. Educational objective: Clients recovering from alcohol use disorder should demonstrate accountability for past behavior and identify the consequences, use insight to face reality, and use coping skills and nonchemical alternatives. The client should also be encouraged to set goals for personal growth.

The Nurse in the Outpatient Treatment Facility Evaluates the Plan