A nurse is assisting in the admission of a 30-year-old client to an inpatient mental health facility. Exhibits Click to highlight the statements in the nurses’ notes that indicate that the client is progressing as expected. Nurses’ Notes for Highlighting: Day 14, 0800: Client denies that substance use was triggered by any childhood trauma. Client states that they “just got in with the wrong set of friends.” Client has identified several coping mechanisms when they feel tempted to use the substances. Client is not sure where they will live after discharge. Client states that they are looking forward to seeing old friends when they are released from the hospital. Client states that they have a plan to receive their methadone daily following discharge. The client has written a plan for what to do if relapse should occur. Client states that they are willing to participate in outpatient therapy following discharge.

The statements that indicate the client is progressing as expected include: Client has identified several coping mechanisms when they feel tempted to use substances. Client has written a plan for what to do if relapse should occur. Client states that they are willing to participate in outpatient therapy following discharge. Client states that they have a plan to receive their methadone daily following discharge. These statements demonstrate the client’s ability to recognize and implement strategies for managing cravings, their proactive approach to relapse prevention, and their willingness to continue treatment after discharge—all signs of expected progress in recovery. However, uncertainty about post-discharge living arrangements and eagerness to reconnect with old friends could present challenges, as returning to previous environments may increase relapse risk. Continued support and planning are essential for a successful transition.