The nurse is assisting in the care of a client in an inpatient mental health facility. Complete the following sentence by using the lists of options. The nurse should anticipate prescriptions for _____ as well as _____

Rationale for correct choices • Methadone: Methadone is a long-acting opioid agonist used to manage withdrawal symptoms in clients dependent on opioids such as heroin. It reduces cravings and prevents severe withdrawal manifestations, allowing the client to stabilize while engaging in therapy. Methadone therapy is a cornerstone of medication-assisted treatment for opioid use disorder. • Group therapy: Group therapy provides peer support, helps the client share experiences, and reinforces coping strategies for substance use disorder. It complements individual therapy and helps reduce feelings of isolation and anxiety during withdrawal. Participation in group therapy is associated with improved treatment adherence and long-term recovery outcomes. Rationale for incorrect choices • Varenicline: Varenicline is used to aid smoking cessation and is not indicated for opioid or methamphetamine withdrawal. It does not address cravings or withdrawal symptoms from the substances the client is using. • Naloxone: Naloxone is an opioid antagonist used to reverse opioid overdose, not to manage withdrawal. Administering naloxone during opioid dependence can precipitate acute withdrawal and is therefore contraindicated in this setting. • Meditation therapy: While meditation can support stress reduction and relaxation, it is not a primary intervention for managing withdrawal or substance use disorder. It may be used adjunctively but is not prescribed as a structured therapy for withdrawal management. • Aroma therapy: Aromatherapy may provide calming effects but does not address the physiological or psychological needs of clients experiencing opioid and stimulant withdrawal. It is non-essential and not a standard part of withdrawal management protocols.