During the third week of treatment, the spouse of a patient in a rehabilitation program for substance abuse says, "After this treatment program, I think everything will be all right." Which remark by the nurse will be most helpful to the spouse?
a. "While sobriety solves some problems, new ones may emerge as one adjusts to living without drugs and alcohol."
b. "It will be important for you to structure life to avoid as much stress as you can and provide social protection."
c. "Addiction is a lifelong disease of self-destruction. You will need to observe your spouse's behavior carefully."
d. "It is good that you are supportive of your spouse's sobriety and want to help maintain it."
ANS: A
During recovery, patients identify and use alternative coping mechanisms to reduce reliance on substances. Physical adaptations must occur. Emotional responses were previously dulled by alcohol but are now fully experienced and may cause considerable anxiety. These changes inevitably have an effect on the spouse and children, who need anticipatory guidance and accurate information.
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