Question

Which response by the nurse would best assist the chemically impaired client to deal with issues of guilt?

A) "Addiction usually causes people to feel guilty. Don't worry, it is a typical response
due to your drinking behavior."
B) "What have you done that you feel most guilty about and what steps can you begin to take to help you lessen this guilt?"
C) "Don't focus on your guilty feelings. These feelings will only lead you to drinking and taking drugs."
D) "You've caused a great deal of pain to your family and close friends, so it will take time to undo all the things you've done."

Answer 1

Option B is the most helpful response as it encourages self-reflection and proactive steps in dealing with guilt, positioning addiction as a complex issue rather than a moral failing.

Step-by-step explanation:

The best response by the nurse to assist a chemically impaired client in dealing with issues of guilt would be option B: "What have you done that you feel most guilty about and what steps can you begin to take to help you lessen this guilt?" This approach encourages the client to reflect upon their actions and to think proactively about how they can start to repair the damages caused by their addiction. It aligns with a sympathetic and non-judgmental approach that is crucial in the treatment of individuals with addiction.

Understanding the distinction between badness and sickness in the context of addiction is important for providing compassionate care. Addiction is now understood as a complex interplay between biological, psychological, and social factors, not simply as a moral failing. Recognizing the impact of guilt and developing strategies to cope with it can be essential parts of the rehabilitation process.