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    RN Ati Capstone mental health assessment proctored exam
    Select All That Apply

    A nurse is providing counseling to a client who has substance use disorder. Exhibits The nurse is discussing the client's concerns regarding relapse. Which of the following client statements indicates the client is adhering to the relapse prevention plan? (Select all that apply)

    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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