The nurse is assisting in the care of a client in an inpatient mental health facility. Click to highlight the statements in the nurses' notes that indicate that the client is progressing as expected. To deselect a finding, click on the finding again. Nurses' Notes 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.

Rationale for Correct Answers: “Client has identified several coping mechanisms when they feel tempted to use the substances.” This demonstrates the client is actively engaging in relapse prevention strategies, which is expected progress in substance use disorder treatment. “Client states that they have a plan to receive their methadone daily following discharge.” Indicates the client is prepared to continue medication-assisted treatment, supporting ongoing recovery. “The client has written a plan for what to do if relapse should occur.” Shows proactive planning and problem-solving, reflecting understanding and commitment to recovery. “Client states that they are willing to participate in outpatient therapy following discharge.” This demonstrates motivation to continue treatment after discharge, a positive prognostic indicator. Rationale for Incorrect Answers: Client states that they "just got in with the wrong set of friends": This is an attribution statement, not necessarily indicative of progress in recovery skills. Client is not sure where they will live after discharge: Reflects ongoing uncertainty, not progress. Client states that they are looking forward to seeing old friends when released: While socially oriented, this could pose a risk for relapse if old friends are substance-using peers; it does not indicate recovery progress.