Final answer:
The OTR should validate the concerns of the client as the next step.
Step-by-step explanation:
The OTR should validate the concerns of the client as the next step. The client is expressing feelings of confusion, uncertainty, and a desire to make a positive impact after experiencing a spinal cord injury during a hazing incident. By validating the client's concerns, the OTR can create a safe and supportive environment for the client to explore their emotions and aspirations.