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    RN Ati Capstone mental health assessment proctored exam

    A nurse is preparing to teach a client who has major depressive disorder and is scheduled to undergo electroconvulsive therapy (ECT). Which of the following statements should the nurse include in the teaching?

    Explanation & Rationale

    A. "I've quit drinking plenty of times before; I don't want to give it up for good.": This statement reflects denial and ambivalence about sobriety. The client is minimizing the severity of the addiction and expressing unwillingness to commit to long-term recovery. B. "I was angry at my friends for putting me in that situation, but I called my sponsor.": The client identifies a high-risk situation, acknowledges emotional triggers, and uses adaptive coping strategies—contacting their sponsor—to maintain sobriety and avoid relapse. C. "I just don't feel like myself and I don't know who this new person is.": This statement indicates the client is experiencing identity confusion, which is common in early recovery. However, it also reflects emotional instability and uncertainty, not adherence to a relapse prevention strategy. D. "I'm not sure I can manage staying sober.": Expressing doubt about maintaining sobriety reveals low self-efficacy and a lack of confidence in recovery. This increases relapse risk and does not indicate progress in following the prevention plan. E. "I can manage it all if I just cut down on the drinking.": The belief that controlled drinking is possible reflects denial and poor insight into the nature of addiction. Successful relapse prevention requires full abstinence, not moderation.

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