A nurse is communicating with a client who was just admitted for treatment of a substance use disorder. Which of the following communication techniques should the nurse identify as a barrier to therapeutic communication?

A. "You will have to have supervision when you go out in the community." This option implies a lack of independence and control for the client, which is generally counterproductive in community-based care. The goal is to empower individuals to live as independently as possible.
B. "You will be able to live in your own home while you receive therapy regularly." This option highlights a key advantage of community-based care for individuals with mental illness: the ability to maintain independence and live within the familiar environment of their own home while receiving necessary treatment and support. This approach fosters a sense of normalcy, reduces stigma, and can contribute to improved quality of life.
C. "You will not be allowed out with friends while in the program." This option suggests a restrictive environment, which is not conducive to a healthy and fulfilling life. Social interaction is crucial for mental well-being, and community-based care should promote social connections.
D. "You will have someone in your home at all times to ask questions if you have any concerns." While having support available is important, constant supervision can be overwhelming and intrusive for many clients. The focus should be on empowering individuals to manage their own care and build independence.

A. Situational crisis: A situational crisis arises from specific, external events that disrupt an individual's normal functioning. Going off to college could be considered a situational crisis if it leads to significant stress or difficulty adjusting.
B. Unanticipated crisis: An unanticipated crisis refers to unexpected events that were not planned for. While going off to college might be unexpected, the term "unanticipated crisis" is less specific and not as fitting as "situational crisis."
C. Adventitious crisis: Adventitious crises are caused by events that are not part of the individual's daily life, such as natural disasters or major accidents. Going off to college does not fit this description.
D. Maturational crisis: A maturational crisis occurs as individuals face developmental transitions or changes (e.g., adolescence, leaving home). Going off to college is a developmental milestone and thus is considered a maturational crisis.