A client with alcoholism is receiving court-ordered care in a residential treatment facility. After alcohol is discovered in the client's room, the client states, "It is not mine." Which responses by the nurse are appropriate in this situation?
Select all that apply.
A) "You will lose your day pass privileges for this Sunday."
B) "We have a video of you accepting the alcohol from your brother."
C) "What do you think about sharing this at AA tonight?"
D) "You won't be allowed to go to dinner tonight."
E) "You have violated our behavior contract."
Answer: A, B, C, E
Used with care and a calm attitude, confrontation interferes with the client's ability to use denial or rationalization. Losing privileges is a consequence of violating the behavior contract. Participation in AA will provide peer feedback. Withholding food is inappropriate, particularly for a client with potential nutritional deficits.
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