A nurse is providing instructions to a client about the Press Ganey survey. Which of the following statements by the client indicates an understanding?

A. This is a crucial step in the cascade of care, as it involves connecting individuals with OUD to treatment services. Without engagement, subsequent steps like medication initiation and recovery cannot be achieved.
B. While recovery is the ultimate goal of OUD treatment, it is a later stage in the cascade. It follows successful engagement, medication initiation, and retention in care.
C. This is not a primary focus of the cascade of care framework, although it can be a relevant outcome measure to assess the effectiveness of treatment.
D. While important, medication initiation is a step that occurs after engagement in care. It is not the foundational element of the cascade.

A. Speaking to a provider on behalf of a client can be part of a nurse's advocacy role, but it is not specifically an example of responsibility. Advocacy involves representing the client's needs and preferences, but the action itself is more about advocacy than personal responsibility.

B. Performing hand hygiene before caring for a client is a fundamental practice that falls under the responsibility of ensuring infection control and maintaining patient safety. It is a key aspect of professional responsibility as it directly impacts the prevention of healthcare-associated infections and upholding high standards of patient care.
C. Contacting a social worker for a client who needs help with finances is part of the nurse's role in coordinating care and addressing the client's needs holistically. It reflects the nurse’s responsibility to ensure that the client receives comprehensive support, but it is more about care coordination rather than the direct personal responsibility in care delivery.
D. Supporting a client's decision to discontinue treatment is related to respecting patient autonomy and ethical principles. While it is a critical aspect of patient-centered care, it represents the nurse's role in advocacy and ethical practice rather than a direct example of personal responsibility in routine tasks.