Author Question: A therapeutic contract with a client will be renegotiated: 1. Daily. 2. As needed. 3. During ... (Read 13 times)

Marty · **on:** Jul 19, 2018

A therapeutic contract with a client will be renegotiated:

1. Daily.
2. As needed.
3. During the treatment team meeting.
4. At the beginning of each shift.

Question 2

The nurse is working with a client who suffers from addiction. What treatment approach would be most appropriate for this client who has had multiple substance abuse treatments and has relapsed?

1. 12-step self-help program
2. Long-term outpatient therapy
3. Lifestyle change
4. One week detoxification program

batool · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

2
Rationale: The contract is renegotiated at regular intervals (hourly, daily, or weekly), depending on the goals, the severity of the symptoms, and the degree of adherence to the agreement. The form of the contract is less important than the way the nurse and the client jointly set the goals and expectations, carry out the contract, set limits, and renegotiate changes, and evaluate the final outcome.

Answer to Question 2

3
Rationale: The client has to embrace a total lifestyle change to promote sobriety. This will entail a change of friends, activities, and coping strategies. A 12-step self-help group, detoxification program, and outpatient therapy will not be effective without lifestyle change.