The nurse is counseling a group of clients recovering from substance abuse about the nature of denial. Which of the following interventions should the nurse teach the clients to use to help them gain insight into their denial?

A) Teach them to question whether they feel threatened
B) Teach them meditation techniques
C) Teach them alternative coping strategies
D) Teach them to have realistic expectations about themselves


Ans: A
Feedback:
The nurse encourages clients to try consciously to have an open mind about the feedback that staff and others provide about the client's denial and to ask themselves the following questions when they challenge counselors or loved ones about their condition: Am I feeling defensive? What is it that is threatening to me? What will I lose if I accept their viewpoint? Why is this important to me? Have other people I trust said this to me? Is it possible that what they have said is true? The nurse then encourages the client to speak openly about the answers to these questions. Speaking openly with others helps expose the maladaptive thinking patterns and illogic that accompany addictive thinking.

Nursing

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