A nurse is caring for a client who has an opioid use disorder. The nurse should anticipate that the provider will prescribe which of the following medications for treatment?

A. Discussing childhood memories during group therapy: Reminiscence therapy involves encouraging older adults to reflect on and share past experiences, particularly positive memories. Discussing childhood or significant life events can enhance self-esteem, social interaction, and emotional well-being while helping preserve cognitive function.

B. Making a unit calendar to promote orientation: Using a calendar is a reality-orientation strategy, which helps with awareness of time, date, and daily events. While beneficial for cognition, it does not fall under reminiscence therapy, which focuses on recalling and discussing personal past experiences.

C. Playing board games with other clients to enhance cognition: Board games can stimulate cognitive skills, problem-solving, and social interaction, but this activity is classified as cognitive stimulation rather than reminiscence therapy. It does not specifically involve reflecting on personal life experiences.

D. Encouraging thought-stopping to block undesirable thoughts: Thought-stopping is a cognitive-behavioral strategy used to manage negative or intrusive thoughts. It is not related to reminiscence therapy, which aims to evoke memory recall and discussion rather than suppress thoughts.

A. Reinforce teaching on coping strategies: Teaching and reinforcing coping strategies helps the client manage cravings, withdrawal symptoms, and triggers for substance use. It supports long-term recovery and empowers the client to use healthy alternatives to substance use.

B. Motivational interviewing: Motivational interviewing is an evidence-based approach that enhances the client’s motivation to change substance-using behaviors. It encourages self-reflection, goal setting, and commitment to treatment, making it an essential component of the care plan.

C. Encourage codependence: Encouraging codependence is inappropriate as it fosters unhealthy relational dynamics and undermines the client’s autonomy. The goal is to support independence and self-efficacy in managing substance use disorder.

D. Encourage personal hygiene: Supporting personal hygiene helps maintain dignity, improves self-esteem, and promotes overall health during withdrawal and inpatient treatment. It also reinforces structure and routine, which are beneficial in recovery.

E. Promote sleep: Sleep promotion is important because withdrawal from substances like heroin and methamphetamine can disrupt normal sleep patterns. Adequate rest supports physical recovery, reduces agitation, and improves cognitive function.

F. Administer disulfiram: Disulfiram is used for alcohol use disorder, not for opioid or stimulant withdrawal. Administering it would be inappropriate for a client using heroin and methamphetamine.