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13 March, 08:51

A heroin-addicted client who is taking methadone hydrochloride (Dolophine) discontinues the methadone without consulting the health care provider. The client says tothe nurse, "I thought I didn't need the methadone after 1 year. I had a job and was even saving money. I can't believe I ruined everything." Which statement by the nurse is therapeutic?

1. "It sounds as if everything you do is either all-or-none.

"2. "Your counselor called and asked for you, so it would seem that everything isn't ruined yet.

"3. "The methadone program is now refusing you, and your boss fired you, so you're at square one, so to speak.

"4. "It does sound as if you need to work on repair, but now you will need to be more alert to your signs of being vulnerable to slipping off your treatment program."

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  1. 13 March, 09:05
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    Option 2, Your counselor called and asked for you, so it would seem that everything isn't ruined yet.

    Explanation:

    Therapeutic statements are generally used by counselor or other people in this profession in order to heal the mental state of the patient first. Usually when a patient reaches a doctor, he is terrified, broken, full of guilt and hopeless. In order to cure the main disease, it is very important for a doctor to heal the inner feelings of the patient first so that he/she could gain confidence of battling with the main disease or problem.

    In this question, nurse tries to boost the patient morale by saying that not everything is ruined as his doctor wants to see him, in order to make the client hopeful about his condition.

    Hence, option 2 is correct.
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