A patient with substance-use disorder returns after a relapse. Which approach is appropriate?
- AReview the plan and reassure the patient it will prevent relapse
- BAssess safety without judgment and review the recovery plan
- CExplain that care resumes after a period of abstinence
- DEmphasize the consequences of relapse to motivate change
Show answer and explanations
Answer
B
A
Reviewing helps, but no plan can promise this; relapse is common and needs honest review.
B
A nonjudgmental assessment of safety (e.g., overdose risk) and a plan review support re-engagement.
C
Making care conditional on abstinence creates a barrier when the patient most needs support.
D
Confrontation increases shame and disengagement; motivational approaches are more effective.