Therapeutic Communication in Substance Use
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Nurse Anne is talking with Ken about substance use and the results of his drug screen. Which of the following statements should Nurse Anne say when discussing this topic with Ken?
"Tell me some of your reasons for using marijuana."
"You really should not use marijuana and other substances."
"Why did you choose to use marijuana instead of cocaine?"
"How come you used marijuana when you knew substances could affect your perception of reality?"
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In this problem, we are looking for the most appropriate therapeutic communication response from Nurse Anne to Ken regarding his substance use. Let's analyze each option.
Therapeutic Communication Analysis
A key principle in mental health nursing is using open-ended statements that are non-judgmental and encourage the client to express their feelings and motivations.
Key Principles:
- Non-judgmental tone
- Open-ended questions
- Encouraging self-expression
Let's evaluate the second option. The statement 'You really should not use marijuana' is judgmental and advisory. It tells the patient what to do, which can shut down communication.
The third option asks Ken to compare two illicit substances. This is not therapeutically productive and could be perceived as focusing on the wrong behavior.
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