HESI Registered Nurse EXIT Practice Exam

How should the nurse respond to a client unsure about needing substance abuse treatment?

1. "It's quite common to have mixed feelings, but unmotivated people can't get well."

2. "It's quite common, but I didn't know you were pressured."

3. "Perhaps it would be best to seek outpatient treatment."

4. "Let's discuss the benefits of sobriety for you."

The correct answer is: "Let's discuss the benefits of sobriety for you."

The most appropriate response involves discussing the benefits of sobriety for the client. This approach demonstrates empathy and understanding of the client's feelings while encouraging them to consider the positive outcomes of seeking treatment. By focusing on the benefits, the nurse creates a supportive dialogue that helps the client explore their ambivalence about substance abuse treatment in a non-confrontational manner. This method fosters an open conversation and provides a platform for the client to express their concerns and thoughts. It invites exploration of their motivations, personal goals, and the potential for a healthier life, rather than applying pressure or judgment, which can hinder their willingness to engage in treatment. In contrast, other responses may not effectively address the client's needs. Statements that suggest a lack of hope for those who are unmotivated could be discouraging. Not addressing the client's feelings directly may lead to misunderstandings about their situation and can minimize their experience. Lastly, suggesting outpatient treatment without understanding the client's perspective might feel dismissive rather than supportive.