The nurse in an addictions clinic is working with a patient on priority setting before the patient's discharge from residential treatment. Which goal is a priority at this time?
a. Identifying local self-help groups before being discharged from the program
b. Stating a plan to never be tempted by illicit substances after discharge
c. Staying away from all triggers that cause substance abuse
d. Recognizing personal areas of weakness to grow stronger
Ans: a. Identifying local self-help groups before being discharged from the program
Explanation: Look for strengths in both the individual and the family, and provide resources and education to turn limitations into strengths, such as local self-help groups. It is not realistic to avoid ALL triggers that can result in addictive behaviors. It is unrealistic to believe that the patient will never be tempted because temptation can arise from multiple sources. On the other hand, an appropriate priority would be to recognize that triggers will arise and that the patient should learn how to handle being confronted in the post-discharge setting. Having a person talk about weaknesses without recognizing a person's strengths could be a trigger to return to an addictive lifestyle, so this would not be the most appropriate priority.
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